美国老年人家庭护理服务与养老院低护理需求居民之间的关系。
The relationship between older Americans act in-home services and low-care residents in nursing homes.
机构信息
Brown University, Providence, RI, USA.
出版信息
J Aging Health. 2014 Mar;26(2):250-60. doi: 10.1177/0898264313513611. Epub 2013 Dec 10.
Abstract
OBJECTIVE
The aim of the study was to investigate the relationship between supportive services provided under Title III-B of the Older Americans Act (OAA) and the prevalence of low-care residents in nursing homes (NHs).
METHOD
State Program Reports (state-level expenditure and utilization data for each OAA service) and NH facility-level data were analyzed using a two-way fixed effects model.
RESULTS
Results suggest that every additional 1% of the population age 65+ that receives personal care services is associated with a 0.8% decrease in the proportion of low-care residents in NHs.
DISCUSSION
Despite efforts to rebalance long-term care, there are still many NH residents who have the functional capacity to live in a less restrictive environment. This is among the first studies to suggest that states that have invested in their in-home supportive services, particularly personal care services provided through the OAA, have proportionally fewer of these people.
摘要
目的
本研究旨在探讨《美国老年人法案》（OAA）第三篇 B 节下提供的支持性服务与疗养院（NH）中低护理居民的患病率之间的关系。
方法
采用双向固定效应模型分析州计划报告（针对每个 OAA 服务的州级支出和利用数据）和 NH 设施层面的数据。
结果
结果表明，每增加 1%接受个人护理服务的 65 岁及以上人口，NH 中低护理居民的比例就会降低 0.8%。
讨论
尽管努力重新平衡长期护理，但仍有许多 NH 居民具有在限制较少的环境中生活的功能能力。这是第一项表明在家庭支持性服务（特别是通过 OAA 提供的个人护理服务）方面进行投资的州，其比例较低的研究之一。
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