University of Saskatchewan, Saskatoon, Canada.
J Aging Health. 2011 Sep;23(6):954-73. doi: 10.1177/0898264311402687. Epub 2011 Apr 5.
To compare demographic, social, medical, and health care characteristics of home care clients in the last year of life by quintile of deprivation and examine associations between material deprivation and service characteristics.
This retrospective study used administrative data for 700 clients who died while receiving home care services. Outcome measures were the receipt of supportive or palliative home care. Associations were assessed using multiple logistic regression.
Material deprivation was not associated with either the hours of home care received or the receipt of supportive home care services. Clients with dementia or stroke, those were older than 80 years and those who were single were less likely to receive palliative care services than other groups.
Inequalities in allocation of home care services based on age, diagnosis, and marital status, but not material deprivation, suggest the need to carefully match service with need at the end of life.
通过贫困五分位数比较临终前一年的家庭护理客户的人口统计学、社会、医疗和医疗保健特征，并研究物质贫困与服务特征之间的关系。
本回顾性研究使用了 700 名接受家庭护理服务后死亡的患者的行政数据。结果测量为接受支持性或姑息性家庭护理的情况。使用多因素逻辑回归评估相关性。
物质贫困与家庭护理时间或接受支持性家庭护理服务之间没有关联。与其他群体相比，痴呆或中风患者、年龄超过 80 岁和单身的患者接受姑息治疗服务的可能性较低。
基于年龄、诊断和婚姻状况，而不是物质贫困，对家庭护理服务分配的不平等，表明需要在生命结束时根据需要仔细匹配服务。
