Applebaum R A
Department of Sociology and Anthropology, Miami University, Oxford, OH 45056.
Health Serv Res. 1988 Apr;23(1):51-66.
The National Long Term Care Demonstration (channeling) was designed to provide coordinated community-based long-term care services to those older persons at high risk of nursing home placement. A key component of the program was the process established to accomplish this targeting effort. In this article, the outreach and eligibility procedures developed in the demonstration are described. Characteristics of channeling clients are compared to those of clients from other long-term care demonstrations, a national nursing home sample, and a simulated national sample of functionally impaired older persons. Results indicate that the channeling clients were quite frail, more so than the clients served in most of the other long-term care demonstrations, but were younger, slightly less disabled, and more likely to be married than a national sample of nursing home residents.
国家长期护理示范项目(定向安置)旨在为那些有较高养老院安置风险的老年人提供基于社区的协调长期护理服务。该项目的一个关键组成部分是为实现这一目标所建立的流程。在本文中,将描述示范项目中所制定的推广和资格认定程序。将定向安置项目客户的特征与其他长期护理示范项目的客户、全国养老院样本以及功能受损老年人的模拟全国样本的特征进行比较。结果表明,定向安置项目的客户身体相当虚弱,比大多数其他长期护理示范项目所服务的客户更为虚弱,但他们更年轻,残疾程度略低,而且比全国养老院居民样本更有可能已婚。