Newcomer Robert, Kang Taewoon, Faucett Julia
University of California, San Francisco, San Francisco, CA 94118, USA.
Home Health Care Serv Q. 2011 Oct;30(4):178-97. doi: 10.1080/01621424.2011.622245.
Risk factors associated with the incidence of recipient injuries, bedsores and contractures, and health care use (i.e., emergency department and hospital use) among aged and non-aged adult personal care recipients are investigated. Data are from a statewide survey of aged and non-aged adult personal assistance service (PAS) recipients (n = 913) in California's In-Home Supportive Services (IHSS) program. This is a consumer-directed PAS program. Outcomes among recipients using relatives (other than spouses or parents) as paid providers are compared with those of recipients having non-relatives as providers. No differences were found by provider-recipient relationships. Non-aged recipients, those in poorer health, those with more than three activities of daily living (ADL) limitations, and those changing providers during the year were all at greater risk for adverse health outcomes. African American, Hispanic, and Asian recipients were at lower risk for injuries and hospital stays than were White recipients.
研究了老年和非老年成人个人护理接受者中与接受者受伤、褥疮和挛缩的发生率以及医疗保健使用情况（即急诊科和医院就诊）相关的风险因素。数据来自对加利福尼亚州居家支持服务（IHSS）项目中年龄在老年和非老年的成人个人援助服务（PAS）接受者（n = 913）进行的全州范围调查。这是一个由消费者主导的PAS项目。将使用亲属（配偶或父母以外的亲属）作为付费服务提供者的接受者的结果与使用非亲属作为服务提供者的接受者的结果进行了比较。未发现服务提供者与接受者关系之间存在差异。非老年接受者、健康状况较差者、日常生活活动（ADL）受限超过三项者以及在一年内更换服务提供者的接受者，出现不良健康结果的风险都更高。非裔美国人、西班牙裔和亚裔接受者受伤和住院的风险低于白人接受者。
