居家健康护理在辅助生活设施中的应用。
Home Health Utilization in Assisted Living Settings.
机构信息
Brown University, Providence, RI, USA.
U.S. Department of Veterans Affairs Medical Center, Providence, RI, USA.
出版信息
Med Care Res Rev. 2020 Dec;77(6):620-629. doi: 10.1177/1077558719835049. Epub 2019 Mar 19.
Home health agencies (HHAs) are one of the most commonly used third-party providers in the assisted living (AL) setting. One way ALs may be potentially able to meet the needs of their residents despite increased impairment is through supplementing the services offered with those delivered by HHAs. We explore the growth in the delivery of HHA services to Medicare beneficiaries in AL compared with other home settings between 2012 and 2014. We also examine demographic, cognitive, and functional characteristics of beneficiaries; HHA provider characteristics; and the variation in the percentage of home health use in ALs across the country. Our findings suggest that there was a slight growth in the share of HHA services being delivered in AL. HHA recipients in AL were more likely to have cognitive and activities of daily living impairments than those receiving HHA services in other settings. This is among the first studies to examine HHA utilization in AL.
家庭健康代理机构（HHAs）是辅助生活（AL）环境中最常用的第三方提供商之一。尽管 AL 中的居民功能障碍有所增加，但 AL 可能能够通过补充 HHA 提供的服务来满足其居民的需求。我们探讨了 2012 年至 2014 年期间，与其他家庭环境相比，向 Medicare 受益人提供 HHA 服务在 AL 中的增长情况。我们还检查了受益人的人口统计学、认知和功能特征；HHA 提供商特征；以及全国范围内 AL 中家庭健康使用百分比的变化。我们的研究结果表明，AL 中提供的 HHA 服务份额略有增长。在 AL 中接受 HHA 服务的人比在其他环境中接受 HHA 服务的人更有可能存在认知和日常生活活动障碍。这是首批研究 HHA 在 AL 中的利用情况的研究之一。
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