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健康与医疗服务的使用:持续照料退休社区居民与国民健康和退休研究样本的匹配病例对照研究

Health and medical services use: a matched case comparison between CCRC residents and national health and retirement study samples.

作者信息

Gaines Jean M, Poey Judith L, Marx Katherine A, Parrish John M, Resnick Barbara

机构信息

The Erickson Foundation, Catonsville, Maryland, USA.

出版信息

J Gerontol Soc Work. 2011 Nov;54(8):788-802. doi: 10.1080/01634372.2011.595476.

Abstract

Little is known about the health status of adults living in continuing care retirement communities (CCRC). Using matched-case control, 458 adults from the Health and Retirement Study (HRS) or a CCRC-based sample were compared on total comorbidity, self-rated health, home health services use, and hospitalizations. At year 2, the CCRC sample reported more comorbidities (96%) but significantly better self-rated health (96% good/excellent) than the HRS sample (93% comorbidity, 73% good/excellent; p < .01). There were no significant differences in frequency of home health use or hospitalization. Living in a CCRC appears to be associated with higher self-ratings of health in this sample.

摘要

对于居住在持续照料退休社区(CCRC)的成年人的健康状况,人们了解甚少。采用配对病例对照研究方法,对来自健康与退休研究(HRS)或基于CCRC的样本中的458名成年人在总体共病情况、自评健康状况、家庭健康服务使用情况和住院情况方面进行了比较。在第2年,CCRC样本报告的共病情况更多(96%),但自评健康状况显著优于HRS样本(96%为良好/优秀,而HRS样本为93%共病,73%为良好/优秀;p < 0.01)。家庭健康服务使用频率或住院情况方面没有显著差异。在这个样本中,居住在CCRC似乎与更高的健康自评相关。

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