de Girolamo Giovanni, Tempestini Antonella, Cavrini Giulia, Argentino Paola, Federici Stefano, Putzu Paolo, Scocco Paolo, Zappia Mario, Morosini Pierluigi, Cascavilla Isabella, Sgadari Antonio, Azzarito Caterina, Brancati Giacomo, Spalletta Gianfranco, Pasini Augusto
Dipartimento di salute mentale, ASL di Bologna.
Epidemiol Prev. 2005 Sep-Dec;29(5-6):264-70.
To survey all Residential Facilities (RFs) for the elderly in five Italian Regions (Calabria, Sardinia, Sicily. Umbria and Veneto), and to evaluate their logistic and organizational characteristics, staff and residents' features.
Structured interviews were conducted with RF managers.
All RFs operating in the five Italian Regions.
In the five Regions there are 853 RFs with an average of 198.0 beds per 10000 elderly inhabitants; this rate shows a marked variability between different Regions. The mean number of beds in the RFs is 59.8 (median: 34). The large majority (96%) have a 24-hour staff cover. In terms of management, the RFs are handled by local municipalities (29%), religious non-profit associations (24%), and other non-profit organizations (21%). In the 754 RFs surveyed (91.1% of the sample) there were 24.456 workers employed, even the number of staff in each facility shows a great variability. The mean number of workers directly involved in residents' care is 27.8, and the ratio residents/staff is 2.1, which becomes lower (1.8) if we consider the ratio non-independent residents/staff. In the 754 RFs there were 42,687 residents, with an average of 53.5 elderly residents for each facility and 3.2 residents below the age of 65; the mean age of the resident sample was 79.3 years, and there is an high proportion of residents with neurological (including dementia), psychiatric or medical disorders.
There is marked variability in the provision of residential places between different Regions; many other characteristics of RFs for the elderly, including staff/residents ratios, show a similar variability Most RFs host elderly with a variety of neurological, psychiatric and medical disorders. The future waves of the project will shed light on many features of these institutions, which care for 2.1% of the elderly population in Italy and may serve larger proportions of the elderly in the future.
调查意大利五个地区（卡拉布里亚、撒丁岛、西西里岛、翁布里亚和威尼托）所有的老年人居住设施（RFs），并评估其后勤和组织特征、工作人员及居民特点。
对RFs管理人员进行结构化访谈。
意大利五个地区运营的所有RFs。
在这五个地区共有853个RFs，每10000名老年居民平均有198.0张床位；该比率在不同地区之间存在显著差异。RFs的平均床位数为59.8（中位数：34）。绝大多数（96%）有24小时工作人员值班。在管理方面，RFs由当地市政府（29%）、宗教非营利协会（24%）和其他非营利组织（21%）管理。在接受调查的754个RFs（占样本的91.1%）中，雇佣了24456名工作人员，每个设施的工作人员数量也有很大差异。直接参与居民护理的工作人员平均数量为27.8，居民与工作人员的比例为2.1，如果考虑非独立居民与工作人员的比例，该比例会更低（1.8）。在754个RFs中有42687名居民，每个设施平均有53.5名老年居民和3.2名65岁以下居民；居民样本的平均年龄为79.3岁，患有神经疾病（包括痴呆症）、精神疾病或身体疾病的居民比例很高。
不同地区在提供居住场所方面存在显著差异；老年人居住设施的许多其他特征（包括工作人员与居民的比例）也表现出类似的差异。大多数RFs接收患有各种神经、精神和身体疾病的老年人。该项目的后续阶段将揭示这些机构（照料意大利2.1%的老年人口，未来可能照料更大比例的老年人）的许多特征。
