Kadushin Goldie
School of Social Welfare, University of Wisconsin, Milwaukee 53201, USA.
Health Soc Work. 2004 Aug;29(3):219-44. doi: 10.1093/hsw/29.3.219.
The author reviewed the literature to identify the variables associated with home health care utilization using the Andersen-Newman model as a framework for analysis. Sixty-four studies published between 1985 and 2000 were identified through PUBMED, Sociofile, and PsycINFO databases. Home health care was defined as in-home skilled nursing, homemaker, mobile meals, home health aide, physical therapy, occupational therapy, or social work services. The review indicates that the client most likely to use home health care is elderly, has a high number of ADL/IADL impairments, lives alone, has a low level of informal support, and has Medicaid coverage. In the presence of informal support or when care recipients live with others, the initiation of formal services may be delayed until physical impairment of the care recipient is severe or caregiver burden is high. Implications for social work practice and research are discussed.
作者回顾了相关文献，以确定与家庭医疗保健利用相关的变量，使用安德森-纽曼模型作为分析框架。通过PUBMED、Sociofile和PsycINFO数据库，确定了1985年至2000年间发表的64项研究。家庭医疗保健被定义为上门熟练护理、家务服务、送餐上门、家庭健康助理、物理治疗、职业治疗或社会工作服务。该综述表明，最有可能使用家庭医疗保健的客户是老年人，有大量日常生活活动/工具性日常生活活动障碍，独居，非正式支持水平低，且有医疗补助覆盖。在存在非正式支持或护理接受者与他人同住的情况下，正式服务的启动可能会延迟，直到护理接受者身体损伤严重或照顾者负担过重。文中还讨论了对社会工作实践和研究的启示。
