护理网络之间的过渡:在荷兰老年人中进行的一项前性研究
Maura K M Gardeniers1, Martijn Huisman2, Erik Jan Meijboom3
1Department of Sociology, Vrije Universiteit Amsterdam, De Boelelaan, 1081, Amsterdam, The Netherlands. m.k.m.gardeniers@vu.nl.
European journal of ageing
|August 14, 2024
概括
年龄较大的成年人.
科学领域:
- 老年学是一门学科.
- 卫生社会学 卫生社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着健康状况的下降,老年人越来越需要多样化的护理.
- 了解护理网络组成的变化对于有效的支持至关重要.
- 人们对非正式,私人和公共护理网络之间的过渡知之甚少.
研究的目的:
- 在老年人中绘制不同类型的护理网络之间的过渡.
- 确定影响护理网络发展的因素,包括非正式和付费护理.
- 了解各种护理网络类型的稳定性和过渡.
主要方法:
- 在阿姆斯特丹 (N=1413) 纵向衰老研究的三个波 (2012-2018) 中进行了潜在过渡分析.
- 包括六种照顾者类型:同居者,孩子,亲属,邻居/朋友,公共支付,私人支付.
- 考虑死亡率和制度化作为缺失的数据状态.
主要成果:
- 确定了五种护理网络类型:没有护理,私人支付,混合非正式,混合公共支付和共同居民.
- 同居网络最不稳定,养老院过渡率高.
- 私人支付的网络往往转向混合的非正式护理;混合网络是最稳定的.
- 健康状况恶化是转型的主要触发因素,特别是转向机构护理.
结论:
- 护理网络的组成随着老年人的健康状况而演变.
- 混合的非正式,混合的公共支付和共同居民网络显示出更高的制度化风险.
- 这些网络可能需要加强支持,以促进现场成功老龄化.
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