Gaugler Joseph E
a School of Nursing , University of Minnesota , Minneapolis , Minnesota , USA.
Home Health Care Serv Q. 2014;33(1):36-57. doi: 10.1080/01621424.2013.870099.
The objectives of this study were to better describe adult day service (ADS) programs and determine how various structural and case mix characteristics of ADS were empirically associated with the services provided in and the social environments of adult day programs. All directors of ADS programs in Minnesota (United States) were contacted from 2011 to 2012 to complete a detailed online survey that collected information on ADS structure, client case mix, services and activities, and social environment (n = 83; 67.5% response rate). Several structural characteristics and case mix indicators (e.g., number of clients attending) were significantly associated (p < .05) with specific types of ADS service provision, such as health monitoring. Programs that were adequately staffed and perceived as pleasant appeared to also have a more vibrant social environment. The results suggest the potential need for bolstering staffing and enhancing the physical environment of ADS programs.
本研究的目的是更全面地描述成人日间服务（ADS）项目，并确定ADS的各种结构和病例组合特征与成人日间项目所提供的服务以及社会环境之间存在怎样的实证关联。2011年至2012年期间，研究人员联系了美国明尼苏达州所有成人日间服务项目的负责人，让他们完成一份详细的在线调查问卷，该问卷收集了有关成人日间服务结构、客户病例组合、服务与活动以及社会环境的信息（n = 83；回复率为67.5%）。几个结构特征和病例组合指标（如参与的客户数量）与特定类型的成人日间服务提供显著相关（p < 0.05），例如健康监测。人员配备充足且氛围宜人的项目似乎也拥有更活跃的社会环境。研究结果表明可能需要加强成人日间服务项目的人员配备并改善其物理环境。
