Mor V, Gutkin C E, Sherwood S
J Gerontol. 1985 Mar;40(2):164-71. doi: 10.1093/geronj/40.2.164.
Given increasing expenditures for long-term nursing home care costs, the residential care home (RCH) provides a viable alternative for elderly Americans requiring daily supervision but not extensive care. Purposive and random sampling procedures were used to select 181 RCHs serving the elderly in five states in order to analyze their expenditures. Home operator interviews yielded facility and patient descriptors as well as expenditure data. Analyses of these data revealed total expenditures per resident month to be $330 in 1980 dollars. Based on multivariate analyses, measures of resident case mix were significantly related to food costs but not to staffing costs. Findings suggest that small homes commit more resources to resident care since operator labor is not an expenditure.
鉴于长期疗养院护理成本不断增加，寄宿护理院（RCH）为需要日常监护但不需要广泛护理的美国老年人提供了一个可行的选择。采用立意抽样和随机抽样程序，从五个州中选取了181家为老年人服务的寄宿护理院，以分析其支出情况。对护理院经营者的访谈得到了机构和患者的描述信息以及支出数据。对这些数据的分析显示，以1980年美元计算，每位居民每月的总支出为330美元。基于多变量分析，居民病例组合指标与食品成本显著相关，但与人员成本无关。研究结果表明，小型护理院将更多资源投入到居民护理中，因为经营者的劳动力不属于支出范畴。
