Stern M C, Jagger C, Clarke M, Anderson J, McGrother C, Battock T, McDonald C
Department of Epidemiology and Public Health, University of Leicester, Leicester Royal Infirmary.
BMJ. 1993 Mar 27;306(6881):827-30. doi: 10.1136/bmj.306.6881.827.
To determine the changes between 1979 and 1990 in demography and dependency levels in elderly people in residential care.
Censuses of those aged 65 years and over in any type of residential care at midnight on 11 December 1979 and 27 November 1990.
Leicestershire District Health Authority (population 865,133, 1991 census), coterminous with county and social services boundaries.
Age, sex, length of stay, and dependency levels (measured by activities of daily living).
In 1990 (1979), 6079 (4678) elderly people were enumerated in 241 (133) establishments, a 30% increase in the numbers of elderly people in residential care and an 82% increase in the number of establishments between 1979 and 1990. Dependency levels rose between 1979 and 1990 in all but the geriatric sector, the greatest increases being found in private residential homes where the largest percentage increase in the number of residents had occurred.
Dependency levels in residential care have risen substantially, particularly in the private sector, even beyond levels expected from the greater numbers of elderly people. With the impending move to community care, dependency levels are likely to rise further, and more appropriate staff training and medical input to homes will become necessary.
确定1979年至1990年间接受寄宿护理的老年人的人口统计学和依赖程度的变化。
对1979年12月11日午夜和1990年11月27日午夜在任何类型寄宿护理机构中的65岁及以上老年人进行普查。
莱斯特郡地区卫生局（1991年人口普查人口为865,133），与郡和社会服务边界一致。
年龄、性别、住院时间和依赖程度（通过日常生活活动来衡量）。
1990年（1979年），在241家（133家）机构中普查到6079名（4678名）老年人，1979年至1990年间，接受寄宿护理的老年人数量增加了30%，机构数量增加了82%。1979年至1990年间，除老年护理部门外，其他各部门的依赖程度均有所上升，私立寄宿护理院的依赖程度上升幅度最大，其居民数量增长百分比最高。
寄宿护理中的依赖程度大幅上升，尤其是在私立部门，甚至超出了因老年人数量增加而预期的水平。随着即将转向社区护理，依赖程度可能会进一步上升，因此有必要对护理院工作人员进行更适当的培训并提供更多医疗投入。
