Masters Program in Gerontology, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Arch Gerontol Geriatr. 2010 Nov-Dec;51(3):304-8. doi: 10.1016/j.archger.2010.01.005. Epub 2010 Feb 6.
To examine differences in health and functional status and in utilization of health services between holocaust survivors and their counterparts; and (b) to investigate if holocaust survivor status is a significant predictor of health status, functional status, and utilization of health services. The study included 1255 respondents of whom 272 were holocaust survivors. Interviews were conducted face-to-face at the respondents' homes. Participants were asked about their health (self-rated health and comorbidity) and functional (ADL and IADL) status, utilization of inpatient and outpatient health care services, age, gender, education, marital status, length of residence in Israel, and if they were holocaust survivors. Holocaust survivors, who were frailer and more chronically ill compared to their counterparts, visited their family physician and the nurse at the health care clinic more often than their counterparts did, and received more homecare services. Yet, there were no differences between them in the utilization of other health care services such as visits to specialists, emergency department, and hospitalizations. Holocaust survivors are more homebound due to more morbidity and functional limitations and therefore receive more health home care services that offset the utilization of other health services.
(a) 比较大屠杀幸存者及其对照组在健康和功能状况以及卫生服务利用方面的差异；
(b) 探讨大屠杀幸存者身份是否是健康状况、功能状况和卫生服务利用的重要预测因素。
研究纳入了 1255 名受访者，其中 272 名是大屠杀幸存者。通过面对面访谈的方式在受访者家中进行。参与者被问及他们的健康状况（自评健康和合并症）和功能状况（ADL 和 IADL）、住院和门诊医疗服务的利用情况、年龄、性别、教育程度、婚姻状况、在以色列的居住时间以及是否是大屠杀幸存者。
与对照组相比，大屠杀幸存者身体更脆弱，慢性病更多，他们比对照组更频繁地去看家庭医生和保健诊所的护士，也接受了更多的家庭护理服务。然而，他们在其他医疗服务的利用方面没有差异，如看专科医生、急诊和住院治疗。大屠杀幸存者由于更多的发病和功能限制而更多地居家，因此接受了更多的家庭健康护理服务，从而抵消了其他健康服务的利用。
大屠杀幸存者由于更多的发病和功能限制而更多地居家，因此接受了更多的家庭健康护理服务，从而抵消了其他健康服务的利用。
