Forbes Dorothy A, Stewart Norma, Morgan Debra, Anderson Malcolm, Parent Karen, Janzen Bonnie L
College of Nursing, University of Saskatchewan, Saskatoon, Canada.
Can J Nurs Res. 2003 Dec;35(4):14-36.
The purpose of this study was to examine individual determinants of use of publicly funded home-care nursing and housework assistance by Canadians 18 years and older from 1994 to 1999. Andersen and Newman's Behavioural Model of Health Services Use guided the selection of variables, analyses, and interpretation of the findings. Descriptive, correlation, and multiple logistic regression analyses were completed in each of the first 3 cross-sectional cycles of Statistics Canada's National Population Health Surveys. The determinants of use of housework assistance were older age, female, living alone, lower income, activity restriction, needing help with housework, not hospitalized in the previous year, and having at least 1 chronic condition. The determinants for home nursing tended to be the opposite of those for housework assistance. Between 1994 and 1999, use of housework assistance appeared to decrease and use of nursing services appeared to remain relatively stable. The findings underscore the need to target these 2 discrete subgroups of home-care users and ensure that funding is directed at support services as well as nursing services.
本研究旨在调查1994年至1999年期间18岁及以上加拿大民众使用公共资助的家庭护理和家务协助服务的个体决定因素。安德森和纽曼的卫生服务利用行为模型指导了变量的选择、分析以及研究结果的解释。在加拿大统计局全国人口健康调查的前3个横断面周期中，分别完成了描述性、相关性和多元逻辑回归分析。使用家务协助服务的决定因素包括年龄较大、女性、独居、收入较低、活动受限、需要家务帮助、前一年未住院以及患有至少一种慢性病。家庭护理的决定因素往往与家务协助的决定因素相反。1994年至1999年期间，家务协助服务的使用似乎有所减少，而护理服务的使用似乎保持相对稳定。研究结果强调了针对这两个不同的家庭护理用户亚组的必要性，并确保资金既用于支持服务，也用于护理服务。
