Natl Health Stat Report. 2024 Aug 27(208). doi: 10.15620/cdc/158328.
This report presents national results from the National Post-acute and Long-term Care Study to describe providers and services users in seven major settings of paid, regulated post-acute and long-term care services in the United States.
Data are from the 2020 National Post-acute and Long-term Care Study, which includes surveys of adult day services centers and residential care communities and administrative data from the Centers for Medicare and Medicaid Services on home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and nursing homes.
The findings show variation in characteristics of the seven post-acute and long-term care settings. About 68,150 providers served roughly 7.3 million people in the United States; about one-half of these providers were residential care communities, and about one-quarter were nursing homes. The Northeast had a higher percentage of adult day services centers than other settings, the Midwest had a higher percentage of nursing homes, the South had a higher percentage of long-term care hospitals, and the West had a higher percentage of residential care communities. Among the settings, more registered nurses were employed in inpatient rehabilitation facilities and long-term care hospitals, and more licensed practical nurses in home health agencies and long-term care hospitals. The most common services were skilled nursing and therapeutic services. Adult day services centers had the highest percentage of users younger than age 65, while nearly one-half of hospice and nursing home users were age 85 and older. Adult day services centers had the highest percentage of other non-Hispanic and Hispanic users among the settings. The percentage of users with selected diagnoses and activities of daily living difficulties varied by setting.
The providers described in this report comprise a large share of the U.S. post-acute and long-term care industry. This report provides the most recent nationally representative information on these providers and services users and updates findings from previous National Center for Health Statistics reports.
本报告呈现了全国性的研究结果，描述了美国七种付费、监管后的长期护理服务的主要场所的提供者和服务使用者，这些服务包括成人日间护理中心和住宅护理社区。
数据来自 2020 年国家长期护理研究，其中包括对成人日间护理中心和住宅护理社区的调查，以及医疗保险和医疗补助服务中心关于家庭健康机构、临终关怀、住院康复设施、长期护理医院和疗养院的行政数据。
研究结果显示，这七种长期护理服务场所的特点存在差异。大约 68150 名提供者在美国为大约 730 万人提供服务；其中大约一半的提供者是住宅护理社区，大约四分之一的是疗养院。东北地区的成人日间护理中心比例高于其他地区，中西部地区的疗养院比例较高，南部地区的长期护理医院比例较高，西部地区的住宅护理社区比例较高。在这些场所中，更多的注册护士在住院康复设施和长期护理医院工作，更多的持照实习护士在家庭健康机构和长期护理医院工作。最常见的服务是熟练护理和治疗服务。成人日间护理中心的用户中，年龄在 65 岁以下的比例最高，而近一半的临终关怀和疗养院用户年龄在 85 岁及以上。成人日间护理中心的其他非西班牙裔和西班牙裔用户比例最高。各场所的用户中，有特定诊断和日常生活活动困难的比例各不相同。
本报告描述的提供者构成了美国长期护理行业的重要组成部分。本报告提供了这些提供者和服务使用者的最新全国代表性信息，并更新了之前国家卫生统计中心报告的发现。
