Caffrey Christine, Harris-Kojetin Lauren, Rome Vincent, Sengupta Manisha
NCHS Data Brief. 2014 Nov(170):1-8.
In 2012, the majority of residential care communities had 4–25 beds, yet 71% of residents lived in communities with more than 50 beds. A lower percentage of communities with 4–25 beds were chain-affiliated, nonprofit, and in operation 10 years or more, compared with communities with 26–50 and more than 50 beds. Dementia-exclusive care or dementia care units were more common as community size increased. A higher percentage of communities with more than 50 beds screened for cognitive impairment and offered dementia-specific programming compared with communities with 4–25 and 26–50 beds. A higher percentage of communities with more than 50 beds screened for depression compared with communities with 4–25 beds. Compared with communities with 4–25 beds, a higher percentage of communities with 26–50 beds and more than 50 beds provided therapeutic, hospice, mental health, and dental services; but a lower percentage of communities with more than 50 beds provided skilled nursing services than did smaller communities. This report presents national estimates of residential care communities, using data from the first wave of NSLTCP. This brief profile of residential care communities provides useful information to policymakers, providers, researchers, and consumer advocates as they plan to meet the needs of an aging population. The findings also highlight the diversity of residential care communities across different sizes. Corresponding state estimates and their standard errors for the national figures in this data brief can be found on the NSLTCP website at http://www.cdc.gov/nchs/nsltcp/ nsltcp_products.htm. These national and state estimates establish a baseline for monitoring trends among residents living in residential care.
2012年，大多数寄宿护理社区有4至25张床位，但71%的居民居住在床位超过50张的社区。与有26至50张床位及超过50张床位的社区相比，有4至25张床位的社区中，隶属于连锁机构、非营利性且运营10年及以上的比例较低。随着社区规模的增大，专门的痴呆症护理或痴呆症护理单元更为常见。与有4至25张床位和26至50张床位的社区相比，床位超过50张的社区中，对认知障碍进行筛查并提供特定痴呆症项目的比例更高。与有4至25张床位的社区相比，床位超过50张的社区中，对抑郁症进行筛查的比例更高。与有4至25张床位的社区相比，有26至50张床位及超过50张床位的社区中，提供治疗、临终关怀、心理健康和牙科服务的比例更高；但与规模较小的社区相比，床位超过50张的社区中提供专业护理服务的比例较低。本报告利用全国长期护理服务利用与支付调查（NSLTCP）第一波的数据，呈现了寄宿护理社区的全国估计数据。这份寄宿护理社区的简要概况为政策制定者、提供者、研究人员和消费者权益倡导者在规划满足老年人口需求时提供了有用信息。研究结果还凸显了不同规模寄宿护理社区的多样性。本数据简报中全国数据的相应州估计值及其标准误差可在NSLTCP网站（http://www.cdc.gov/nchs/nsltcp/nsltcp_products.htm）上找到。这些全国和州的估计值为监测寄宿护理居民的趋势奠定了基础。
