Baker D I, Bice T W
Yale University School of Nursing, Program on Aging, New Haven, CT 06510, USA.
Gerontologist. 1995 Jun;35(3):360-9. doi: 10.1093/geront/35.3.360.
Urinary incontinence (UI) has been shown to be prevalent and a risk factor for permanent institutionalization; yet it is not routinely measured in research of home care utilization. A retrospective cohort design is used to directly estimate the effect of UI on the public costs of home care services to elderly individuals. Multivariate analyses controlling for other individual, household, and supply characteristics demonstrate that those with UI generate significantly greater public costs for home care services. Patterns of service use suggest palliative rather than rehabilitative service, raising questions regarding the effective use of resources.
尿失禁（UI）已被证明是普遍存在的，并且是永久入住养老院的一个风险因素；然而，在家庭护理利用的研究中，它并没有被常规测量。一项回顾性队列设计被用于直接估计尿失禁对老年人家庭护理服务公共成本的影响。对其他个人、家庭和供应特征进行控制的多变量分析表明，患有尿失禁的人产生的家庭护理服务公共成本显著更高。服务使用模式表明是姑息性而非康复性服务，这引发了关于资源有效利用的问题。
