Bass D M, Looman W J, Ehrlich P
Margaret Blenkner Research Center, Benjamin Rose Institute, Cleveland, OH 44115-1989.
Gerontologist. 1992 Feb;32(1):33-43. doi: 10.1093/geront/32.1.33.
This investigation examined cognitive impairment as a predictor of the volume of community services used by older adults. Predictors of service volume were selected according to the modified Andersen framework and tested with 97 health care and 246 social service clients of a large multiservice agency. Results for health care clients showed that the effects of four predictors differ depending on clients' level of cognitive impairment; living arrangement, presence of secondary caregivers, client depression and task burden of the primary caregiver. No differences in predictor of social service use were observed for cognitively impaired and lucid clients.
本调查研究了认知障碍作为老年人使用社区服务量预测指标的情况。根据修改后的安德森框架选择服务量的预测指标，并在一家大型综合服务机构的97名医疗保健客户和246名社会服务客户中进行了测试。医疗保健客户的结果表明，四个预测指标的影响因客户的认知障碍程度而异；生活安排、是否有二级照料者、客户抑郁情况以及主要照料者的任务负担。在认知障碍客户和神志清醒的客户中，未观察到社会服务使用预测指标的差异。
