Kraus A S, Spasoff R A, Beattie E J, Holden D E, Lawson J S, Rodenburg M, Woodcock G M
J Am Geriatr Soc. 1976 Apr;24(4):165-72. doi: 10.1111/j.1532-5415.1976.tb04293.x.
As part of a study of long-term institutional care of the elderly, this report presents salient data concerning 193 elderly applicants. Physicians play an important role in decisions to apply for such care. More than half of the applicants and about 80% of their family members approved of the proposed move. The number applying to homes for the aged vs. other institutions seemed much greater than appropriate; many of these applicants appeared more elibible for placement in foster homes and specialized facilities for the demented, or for remaining in their own homes. About a fifth of the applicants could have continued living independently if they had received a reasonable amount of community assistance. Action implications include: 1) expansion and more informed use of community services, 2) more programs of supervised foster homes for the elderly, 3) construction of specialized institutions for the demented, and 4) a greater effort by institutions to satisfy the desire of many new residents to be involved there in useful tasks.
作为一项关于老年人长期机构照料的研究的一部分，本报告呈现了有关193位老年申请者的重要数据。医生在申请此类照料的决策中发挥着重要作用。超过半数的申请者及其约80%的家庭成员赞成拟议的搬迁。申请入住养老院与其他机构的人数似乎远超合理范围；这些申请者中的许多人似乎更适合安置在寄养家庭和为痴呆患者设立的专门设施中，或者继续留在自己家中。如果获得合理的社区援助，约五分之一的申请者本可以继续独立生活。行动建议包括：1）扩大并更明智地利用社区服务；2）为老年人设立更多受监管的寄养家庭项目；3）建造为痴呆患者服务的专门机构；4）各机构做出更大努力，满足许多新居民参与有益活动的愿望。
