German P S, Skinner E Z, Shapiro S
Am J Public Health. 1976 Jul;66(7):660-6. doi: 10.2105/ajph.66.7.660.
Factors affecting the extent to which individuals aged 65 and over living in inner-city households received health care for three chronic conditions (high blood pressure, heart trouble, arthritis) are examined. These factors are age, sex, living arrangements, and the presence of more than one chronic condition. Indicators of receiving care are having seen a health care provider within the previous six months and being on medication for the condition. A more detailed scrutiny of care received for high blood pressure is undertaken as well. This analysis is part of a larger study investigating health care of groups within East Baltimore who utilize different systems of care, focusing on a hospital outpatient department and a new HMO. Data were obtained from 1455 household interviews among three sample populations: enrolees in an HMO, public housing project residents, and the general community. The findings indicate that high proportions of the elderly who report having these conditions also report receiving care for them. For people with high blood pressure, the majority are receiving care and being given self-care instructions, and high proportions report compliance with instructions.
研究了影响居住在内城区家庭的65岁及以上老年人针对三种慢性病（高血压、心脏病、关节炎）接受医疗保健的程度的因素。这些因素包括年龄、性别、居住安排以及是否患有不止一种慢性病。接受护理的指标是在过去六个月内看过医疗保健提供者以及正在接受针对该疾病的药物治疗。同时还对高血压患者接受的护理进行了更详细的审查。该分析是一项更大规模研究的一部分，该研究调查了巴尔的摩东部使用不同护理系统的群体的医疗保健情况，重点关注一家医院门诊部和一家新的健康维护组织（HMO）。数据来自对三个样本群体的1455户家庭访谈：HMO的参保者、公共住房项目居民以及普通社区居民。研究结果表明，报告患有这些疾病的老年人中，很大比例的人也报告接受了针对这些疾病的护理。对于高血压患者，大多数人正在接受护理并得到自我护理指导，而且很大比例的人报告遵守了这些指导。
