辅助生活或养老院:谁是搬进来的?
Jinjiao Wang1, Yunjiao Mao2, Brian McGarry2,3
1Elaine Hubbard Center for Nursing Research on Aging, University of Rochester School of Nursing, Rochester, New York, USA.
Journal of the American Geriatrics Society
|July 14, 2023
概括
进入辅助生活 (AL) 的老年人与进入养老院 (NH) 的老年人有很大的不同. 年龄,先前住院和医疗保险状况等因素影响老年人AL与NH的安置.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 长期护理 长期护理
背景情况:
- 辅助生活 (AL) 社区正在增长,但与养老院 (NH) 人口相比,被录取居民的特征尚不清楚.
- 鉴于AL和NH居民个人资料之间越来越多的重叠,了解这些差异至关重要.
研究的目的:
- 检查与新的辅助生活入院相关的个人,设施和地理因素.
- 为了比较新入院AL和来自社区的NH的个体的特征.
主要方法:
- 使用医疗保险入学/索赔,最低数据集以及医疗保险提供者分析和审查数据的回顾性描述性研究.
- 队列包括158,124名医疗保险受益人新入院到ALs和715,261人到NHs (10/2017-10/2019).
- 多项和后勤回归分析确定了与新入学相关的因素.
主要成果:
- 人口,社会经济和医疗服务使用特点区分AL和NH入学.
- 医疗保险服务费受益者,老年人 (≥75岁),男性以及最近住院或SNF住院的人更有可能被录取到AL.
- 双重资格的个人,种族/少数民族,以及最近多次SNF停留的人更有可能被 NH 录取.
结论:
- 从社区新入院到AL与NH之间存在显著的差异.
- 这些发现突出了进入不同长期护理机构的居民的不同个人资料.
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