Chao Shirley Y, Houser Robert F, Tennstedt Sharon, Jacques Paul, Dwyer Johanna T
Massachusetts Executive Office of Elder Affairs, One Ashburton Place, 5th Floor, Boston, MA 02108, USA.
J Am Diet Assoc. 2007 Sep;107(9):1590-8. doi: 10.1016/j.jada.2007.06.006.
This study assessed the views of 153 national experts in nutrition, health, and aging services in assisted-living facilities; including gerontological nutrition (39%), foodservice (14%), aging and disability (22%), geriatric medicine (9%), and assisted living (16%); on the practices that serve as indicators of the quality of food and nutrition services provided in assisted-living facilities and ascertained the most favored style of service delivery: health, amenities, or both. An 88-item Food and Nutrition Care Indicators survey was developed from assisted-living facility regulations in 50 states and other quality indicators of nutrition services. Respondents rated each item on a scale from 1 (not important) to 5 (extremely important). Results show that at least 80% of experts rated the majority of indicators in each domain as highly important (57% of dining room, 67% of foodservice indicators, 65% of general nutrition, and 70% of therapeutic nutrition indicators). Most experts (89%) rated a combination of indicators that included both health (general and therapeutic) and amenities service styles as being highly important. The 57 items rated most important were consolidated into a checklist. A service model that incorporates all of these elements appears to be most appropriate.
本研究评估了153名国家专家对辅助生活设施中营养、健康及老龄服务的看法，这些专家涵盖老年营养（39%）、食品服务（14%）、老龄与残疾（22%）、老年医学（9%）以及辅助生活（16%）等领域；评估内容涉及作为辅助生活设施中食品与营养服务质量指标的实践，并确定了最受欢迎的服务提供方式：健康、便利设施或两者兼具。根据50个州的辅助生活设施法规及其他营养服务质量指标，编制了一份包含88个条目的食品与营养护理指标调查问卷。受访者对每个条目按照从1（不重要）到5（极其重要）的等级进行评分。结果显示，至少80%的专家将每个领域中的大多数指标评为高度重要（餐厅指标的57%、食品服务指标的67%、一般营养指标的65%以及治疗性营养指标的70%）。大多数专家（89%）将包括健康（一般和治疗性）及便利设施服务方式在内的指标组合评为高度重要。将57项被评为最重要的指标整合为一份清单。包含所有这些要素的服务模式似乎最为合适。
