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医疗服务提供者与非正式护理接受者报告之间差异的程度及预测因素。

The extent and predictors of discrepancy between provider and recipient reports of informal caregiving.

作者信息

Urwin Sean, Lau Yiu-Shing, Grande Gunn, Sutton Matt

机构信息

Health Organisation, Policy and Economics, School of Health Sciences, University of Manchester, Manchester, UK.

Health Organisation, Policy and Economics, School of Health Sciences, University of Manchester, Manchester, UK.

出版信息

Soc Sci Med. 2021 May;277:113890. doi: 10.1016/j.socscimed.2021.113890. Epub 2021 Apr 2.

DOI:10.1016/j.socscimed.2021.113890
PMID:33845393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7613109/
Abstract

Informal care research mainly relies upon carers reporting that they provide this type of care. Little is known about whether reports from recipients would produce similar information. We explore whether providers and recipients are in agreement with each other's reports of informal care at the extensive and intensive margin and whether particular characteristics of providers and recipients predict any discrepancies. Using data from the 2015-2017 wave of the UK Household Longitudinal Study (UKHLS), we find that among those who reported receiving informal care a provider confirmed only 37.5% of these. Each additional restriction on activities and instrumental activities of daily living for a recipient increases the probability of agreement by 5.2 and 9.3 percentage points, respectively. When both parties report informal care, providers report on average 10.55 (37%) more hours per week compared to recipients. This represents an annual difference of £12,081 using the replacement monetary valuation method. If we rely on recipient reports, we may be more likely to capture how many in the population are caregivers. However, we may also be less likely to capture the full hours of care for each caregiver. These discrepancies in reported caregiving affect studies of the consequences of caregiving and economic evaluations of interventions that impact on caregiving.

摘要

非正式护理研究主要依赖于护理者报告他们提供了这类护理。对于接受者的报告是否会产生类似信息,我们知之甚少。我们探究护理提供者和接受者在非正式护理的广度和强度方面对彼此报告是否一致,以及护理提供者和接受者的特定特征是否能预测出任何差异。利用英国家庭纵向研究(UKHLS)2015 - 2017年的数据,我们发现,在那些报告接受了非正式护理的人中,只有37.5%得到了护理提供者的证实。接受者在活动和日常生活工具性活动方面每增加一项限制,一致的概率分别提高5.2和9.3个百分点。当双方都报告了非正式护理时,护理提供者报告的每周平均时长比接受者多10.55小时(37%)。使用替代货币估值方法,这意味着每年相差12,081英镑。如果我们依赖接受者的报告,我们可能更有可能了解有多少人是护理者。然而,我们也可能不太可能掌握每个护理者的全部护理时长。这些报告护理情况的差异会影响对护理后果的研究以及对影响护理的干预措施的经济评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2b1/7613109/a37e534c6a92/EMS149411-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2b1/7613109/8fd7a249ec85/EMS149411-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2b1/7613109/a37e534c6a92/EMS149411-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2b1/7613109/8fd7a249ec85/EMS149411-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2b1/7613109/a37e534c6a92/EMS149411-f002.jpg

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本文引用的文献

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Informal care and long-term labor market outcomes.非正式护理与长期劳动力市场结果。
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