Kalra L, Foster C J
Department of Geriatric Medicine, Queen Mary's Hospital, Sidcup, Kent.
Age Ageing. 1989 Jul;18(4):271-4. doi: 10.1093/ageing/18.4.271.
Three hundred applicants for sheltered housing underwent multidisciplinary geriatric assessment for suitability as a part of a joint assessment scheme with Local Authority Housing and Social Services Departments. Ninety-four applicants sought a move for health reasons while 206 applicants quoted housing and social reasons and denied medical problems. The assessment showed no significant disability necessitating sheltered housing facilities for 41 (44%) of the 94 people applying on health grounds. Severe disability made sheltered housing placement inappropriate for ten (10%) of the applicants with health problems. In the 206 applicants denying medical problems, the assessment revealed significant unreported physical illness in 46 (22%) and undiagnosed dementia in a further 26 (13%). Allocation of sheltered housing was affected in 99 (33%) of the 300 applicants. Eighty-two applicants were considered unsuitable, whereas 17 applicants originally thought to be unsuitable were recommended for sheltered housing. Multidisciplinary geriatric assessment is of considerable benefit in determining suitability of applicants for sheltered housing and will help in achieving better placement by avoiding inappropriate moves.
作为与地方政府住房和社会服务部门联合评估计划的一部分，300名申请庇护性住房的人接受了多学科老年医学评估以确定其是否适合。94名申请人因健康原因寻求搬迁，而206名申请人则列举了住房和社会方面的原因并否认有医疗问题。评估显示，在94名以健康为由申请的人中，有41人（44%）没有严重残疾到需要庇护性住房设施的程度。严重残疾使得为10名（10%）有健康问题的申请人安排庇护性住房不合适。在206名否认有医疗问题的申请人中，评估发现46人（22%）有未报告的重大身体疾病，另有26人（13%）有未被诊断出的痴呆症。300名申请人中有99人（33%）的庇护性住房分配受到影响。82名申请人被认为不合适，而最初被认为不合适的17名申请人被推荐入住庇护性住房。多学科老年医学评估在确定申请人是否适合庇护性住房方面有很大益处，并将通过避免不适当的搬迁来帮助实现更好的安置。
