Morrow-Howell N, Chadiha L A, Proctor E K, Hourd-Bryant M, Dore P
George Warren Brown School of Social Work, Washington University, St. Louis, MO 63130-4899, USA.
Health Soc Work. 1996 May;21(2):131-9. doi: 10.1093/hsw/21.2.131.
Given previously reported findings of racial differences in elderly people's use of posthospital care, this article focuses on discharge planning processes as explanations of differential service utilization. We studied the discharge plans for 369 African American and white elderly patients and examined options pursued for posthospital care by social workers, patients, and families for evidence of racial differences. We also looked for racial differences in ruling out nursing home care for reasons of patient and family preference. Discharge planning with African American patients and family members involved less pursuit of nursing home care and more pursuit of formal services in the home than planning with white patients and families. Implications for practice and future research are discussed.
鉴于先前报道的老年人使用院后护理存在种族差异的研究结果，本文重点关注出院计划流程，以此作为服务利用差异的解释。我们研究了369名非裔美国人和白人老年患者的出院计划，并考察了社会工作者、患者及其家属为院后护理所采取的选择，以寻找种族差异的证据。我们还探究了因患者和家属偏好而排除养老院护理方面的种族差异。与白人患者及其家属相比，为非裔美国患者及其家庭成员制定出院计划时，对养老院护理的寻求较少，而对家庭正式服务的寻求较多。本文还讨论了对实践和未来研究的启示。
