用养老院护理替代住院精神科护理。

The substitution of nursing home for inpatient psychiatric care.

作者信息

Swan J H

出版信息

Community Ment Health J. 1987 Spring;23(1):3-18. doi: 10.1007/BF00752820.

Abstract

Although the era of deinstitutionalization of the aged from state mental facilities and of the rapid growth of the nursing home industry appears to have ended, the question remains of the extent to which nursing home care is substituted for psychiatric care. To study this question, the numbers per capita of Medicaid program recipients of inpatient psychiatric care for each state in the period 1979-82 was regressed on numbers per capita of Medicaid nursing home recipients, numbers of nursing home beds per capita, and the percentage aged. As expected, psychiatric care is negatively related to bed supply, positively to nursing home recipients and to percentage aged; and the relationship to nursing home recipients is stronger in states with undersupplies of beds. These findings are interpreted to show that nursing home care is substituted for inpatient psychiatric care, depending on bed supply, the generosity of the Medicaid program, and the level of demand for care.

摘要

尽管老年人从国家精神卫生机构非机构化以及疗养院行业快速发展的时代似乎已经结束，但疗养院护理在多大程度上替代了精神科护理的问题依然存在。为研究这个问题，将1979 - 1982年期间每个州医疗补助计划住院精神科护理受助者的人均数量，对医疗补助疗养院受助者的人均数量、人均疗养院床位数量以及老年人口百分比进行回归分析。正如预期的那样，精神科护理与床位供应呈负相关，与疗养院受助者以及老年人口百分比呈正相关；并且在床位供应不足的州，与疗养院受助者的关系更强。这些研究结果被解释为表明，疗养院护理替代了住院精神科护理，这取决于床位供应、医疗补助计划的慷慨程度以及护理需求水平。