Wilson Donna M, Truman Corrine D
University of Alberta.
Eval Health Prof. 2004 Sep;27(3):219-36. doi: 10.1177/0163278704267036.
Despite concern over increased health services utilization with population aging, few studies describe health services utilization by long-term-care (LTC) residents. An investigation was designed to compare health services use before and after LTC admission. Comprehensive 1988 to 1999 data for all LTC residents (N = 47,510) in Alberta, Canada, were obtained. Utilization comparisons involved equal pre/post timeframes. Only non-hospital physician services increased post-LTC admission. Home care was not provided after admission (51% had been recipients). Hospital and ambulatory services use declined, with these patterns stable for 5 years pre- and post-LTC admission. When hospital or ambulatory care was sought by LTC residents, they were not disadvantaged in the type or scope of care as compared to the care received prior to LTC admission. These findings should raise interest in the services provided by LTC facilities and the outcomes of long-term, facility-based care. LTC services could be beneficial for people with advanced age and dependency.
尽管人们担心随着人口老龄化，医疗服务利用率会上升，但很少有研究描述长期护理（LTC）居民的医疗服务利用情况。一项调查旨在比较长期护理入院前后的医疗服务使用情况。获取了加拿大艾伯塔省所有长期护理居民（N = 47,510）1988年至1999年的综合数据。利用率比较涉及入院前后相等的时间框架。长期护理入院后，只有非医院医生服务增加。入院后不再提供家庭护理（51%的人曾接受过家庭护理）。医院和门诊服务的使用减少，这些模式在长期护理入院前后5年保持稳定。当长期护理居民寻求医院或门诊护理时，与长期护理入院前接受的护理相比，他们在护理类型或范围上没有劣势。这些发现应会引起人们对长期护理机构提供的服务以及长期机构护理结果的兴趣。长期护理服务可能对高龄和有依赖性的人有益。
