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纽约州北部各县老年服务结构的城乡差异。

Rural-urban differences in the structure of services for the elderly in upstate New York counties.

作者信息

Taietz P, Milton S

出版信息

J Gerontol. 1979 May;34(3):429-37. doi: 10.1093/geronj/34.3.429.

DOI:10.1093/geronj/34.3.429
PMID:429778
Abstract

This research examines the impact of federal intervention and local community effort on the development of programs for the elderly. The study was designed, first, to gather longitudinal data on the structure of services for the elderly in 53 upstate New York counties for comparison with a study conducted in 1967 and, second, to measure the effectiveness of 43 counties with a County Office for the Aging (COFA) in mobilizing resources to increase services for the elderly. The findings reveal: (1) federal intervention has had the effect of an overall increase in services while at the same time decreasing rural-urban differences; (2) urban COFAs score consistently higher on the measures of community effectiveness; (3) the educational attainment of COFA directors is not a good predictor of success in mobilizing outside resources in both urban and rural counties; (4) in urban but not in rural counties, directors with administrator/planner experience have greater success in mobilizing outside resources.

摘要

本研究考察了联邦干预和地方社区努力对老年人项目发展的影响。该研究的设计目的,其一,是收集纽约州北部53个县老年人服务结构的纵向数据,以便与1967年进行的一项研究作比较;其二,是衡量43个设有老年事务办公室(COFA)的县在调动资源以增加老年人服务方面的成效。研究结果显示:(1)联邦干预起到了全面增加服务的作用,同时缩小了城乡差异;(2)城市的老年事务办公室在社区成效指标上得分一直更高;(3)老年事务办公室主任的教育程度并非城乡两县调动外部资源成功与否的良好预测指标;(4)在城市县而非农村县,具有行政管理人员/规划师经验的主任在调动外部资源方面更成功。

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引用本文的文献

1
Rural-urban differences in the utilization of care by the elderly.
J Cross Cult Gerontol. 1990 Apr;5(2):131-47. doi: 10.1007/BF00116570.
2
Premature institutionalization among the rural elderly in Arizona.
Public Health Rep. 1984 Jan-Feb;99(1):58-63.
3
Informal and formal health care systems for the rural elderly.农村老年人的非正式和正式医疗保健系统。
Health Serv Res. 1989 Feb;23(6):785-806.