Cox C
National Catholic School of Social Service, Catholic University of America, Washington, DC 20064, USA.
Soc Work Health Care. 1996;23(1):23-38. doi: 10.1300/J010v23n01_02.
Data collected through interviews with caregivers of dementia patients compares the hospital dispositions, home or nursing home of 99 African American and 80 white dementia patients. The majority of each group are discharged home, although the influence of factors associated with these outcomes varies. Discharge home for the African Americans is strongly affected by the availability of an alternative caregiver while for the white patients, this availability as well as formal support services increase the probability of discharge home. Although African American patients were more impaired than the white patients, the original plan of the caregivers was to take the patients home while the white caregivers were originally undecided. For both groups, greater cognitive impairment increases the likelihood of institutional placement. African Americans, although satisfied with the final plan, are more likely to be dissatisfied with their involvement in the planning process.
通过对痴呆症患者护理人员的访谈收集的数据，比较了99名非裔美国痴呆症患者和80名白人痴呆症患者的医院处置情况、居家或养老院安置情况。每组中的大多数患者都被送回家中，尽管与这些结果相关的因素的影响各不相同。非裔美国人能否出院回家在很大程度上受是否有替代护理人员的影响，而对于白人患者，有替代护理人员以及获得正式支持服务都会增加其出院回家的可能性。尽管非裔美国患者比白人患者受损更严重，但护理人员最初的计划是让患者回家，而白人护理人员最初则犹豫不决。对于两组患者来说，认知障碍越严重，被安置到机构的可能性就越大。非裔美国人虽然对最终方案感到满意，但对自己参与规划过程的情况更有可能感到不满。
