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谁住在苏格兰的养老院?利用2012 - 2016年常规收集的社会护理数据进行描述性分析。

Who lives in Scotland's care homes? Descriptive analysis using routinely collected social care data 2012-16.

作者信息

Burton Jennifer K, Lynch Ellen, Love Sharon, Rintoul Julie, Starr John M, Shenkin Susan D

机构信息

Academic Geriatric Medicine, Institute of Cardiovascular and Medical Sciences, New Lister Building, Glasgow G31 2ER, UK,

Health and Social Care Analysis Division, Directorate for Population Health, Scottish Government, Edinburgh, UK.

出版信息

J R Coll Physicians Edinb. 2019 Mar;49(1):12-22. doi: 10.4997/JRCPE.2019.103.

Abstract

BACKGROUND

Adults living in long-term care are a significant and complex population who are under-represented in research using traditional methodologies.

METHODS

The aim of this study was to provide the first description of the adult care home population and their homes, using routinely collected data. A retrospective descriptive analysis was performed using the Scottish Care Home Census (SCHC) between 1 April 2012 and 31 March 2016.

RESULTS

Data are from 1,299 care home services (79.3-89.7% completeness), including 34,399-39,311 residents per year across all regions of Scotland. A total of 68% of residents are female, with median age 84 years. 27% fund their own care. Over 85% of self-funded residents receive free personal care allowance. Around 60% require care from a registered nurse and 49% have a formal diagnosis of dementia. The majority of admissions come from hospital (46%). Between 13 and 17% of residents die annually, with a median time to death of 596-653 days.

CONCLUSIONS

This study provides the most comprehensive descriptive data of UK care home residents available. There is scope to enhance the information available through linkage to other routine sources.

摘要

背景

长期护理机构中的成年人是一个庞大且复杂的群体,在使用传统方法的研究中代表性不足。

方法

本研究旨在利用常规收集的数据,首次描述成年护理院人群及其居住场所。使用2012年4月1日至2016年3月31日期间的苏格兰护理院普查(SCHC)进行回顾性描述性分析。

结果

数据来自1299家护理院服务机构(完整性为79.3 - 89.7%),包括苏格兰所有地区每年34399 - 39311名居民。共有68%的居民为女性,年龄中位数为84岁。27%的人自费支付护理费用。超过85%的自费居民领取免费个人护理津贴。约60%的居民需要注册护士护理,49%的居民被正式诊断患有痴呆症。大多数入院患者来自医院(46%)。每年有13%至17%的居民死亡,死亡中位时间为596 - 653天。

结论

本研究提供了英国护理院居民最全面的描述性数据。通过与其他常规来源建立联系,有扩大可用信息范围的空间。

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