Associate Professor, Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai , New York, NY, USA.
Associate Professor, Department of Medicine Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai , New York, NY, USA.
J Aging Soc Policy. 2020 Nov-Dec;32(6):590-603. doi: 10.1080/08959420.2019.1628625. Epub 2019 Jun 27.
The homebound population relies on both paid and family caregivers to meet their complex care needs. In order to examine the association between intensity of caregiving support and leaving the home, we identified a population of community-dwelling, homebound Medicare beneficiaries age ≥65 (n = 1,852) enrolled in the 2015 National Health and Aging Trends Study and measured the support they received from paid and family caregivers. Those who had ≥20 h of caregiving support per week had 50% less odds of being "exclusively homebound" (rarely or never leave home) (OR 0.56, < .01). Policies that facilitate increased support for family caregivers and better access to paid caregivers may allow homebound individuals who would otherwise be isolated at home to utilize existing community-based long-term care services and supports.
居家的人群依赖有偿和家庭护工来满足他们复杂的护理需求。为了研究护理支持强度与离家之间的关系，我们确定了一个由≥65 岁的、居住在社区的、有医疗保险的、居家的受益人组成的人群（n=1852），他们参加了 2015 年国家健康和老龄化趋势研究，并衡量了他们从有偿和家庭护工那里得到的支持。每周接受≥20 小时护理支持的人，其“完全居家”（很少或从不离家）的可能性降低 50%（OR 0.56，<.01）。促进对家庭护工的更多支持和更好地获得有偿护工的政策，可能使那些原本会被隔离在家中的居家个体能够利用现有的社区长期护理服务和支持。
