Chappell N L
Department of Sociology, University of Victoria, British Columbia, Canada.
Gerontologist. 1994 Feb;34(1):116-20. doi: 10.1093/geront/34.1.116.
This article assesses the applied relevance of research on home care, reviewing the literature on predictors of use of home care services, the experience of receiving home care, and efficacy studies. Research to date informs us rather conclusively that functioning is a major predictor of use throughout the industrialized world, but does not inform us of the structural factors impacting on home care. Studies on the experience of home care, to date, have focused on program implementation issues, rather than more macro policy issues. Finally, efficacy studies by and large have not concluded that home care is less costly or necessarily better for the quality of life of seniors when compared with institutional care. This has led to questions about the raison d'être of home care. We do not have longitudinal research assessing the long-term preventive effects of home care.
本文评估了家庭护理研究的应用相关性，回顾了关于家庭护理服务使用预测因素、接受家庭护理的体验以及疗效研究的文献。迄今为止的研究相当确凿地告诉我们，功能状况是整个工业化世界使用家庭护理的主要预测因素，但并未告知我们影响家庭护理的结构因素。迄今为止，关于家庭护理体验的研究主要集中在项目实施问题上，而非更宏观的政策问题。最后，总体而言，疗效研究并未得出与机构护理相比，家庭护理成本更低或对老年人生活质量必然更好的结论。这引发了对家庭护理存在理由的质疑。我们没有评估家庭护理长期预防效果的纵向研究。
