了解HCBS使用情况:残疾发病年龄和残疾持续时间的作用
G Chiri1, J N Howard1, L Palmer1
1Center for the Health of Populations, RTI International, 3040 Cornwallis Rd, Research Triangle Park, NC, 27709, USA.
Disability and health journal
|January 14, 2025
概括
障碍的持续时间,而不是发病时间,显著影响了家庭和社区服务 (HCBS) 的需求. 较长的残疾期增加了所有成年人的HCBS利用率,无论他们的残疾何时开始.
科学领域:
- 老年学是指老年学的学科.
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 许多成年人需要支持来独立生活,面临着挑战,无论是老龄化与残疾,还是晚年发展残疾.
- 现有的数据限制阻碍了对这些群体独特的家庭和社区服务 (HCBS) 需求的清晰理解.
- 老龄化和残疾的交集提出了复杂的支持需求,目前的政策往往没有完全解决.
研究的目的:
- 调查60岁之前和之后残疾发病的成年人使用家庭和社区服务 (HCBS) 的情况.
- 探索残疾的时间和持续时间如何影响HCBS的需要和获取.
- 弥合了解年轻成年人与残疾老龄化和年长成年人与残疾老龄化不同需求的差距.
主要方法:
- 利用了来自多个波的健康和退休研究 (HRS) 的数据,包括HCBS HRS模块和医疗保健邮件调查.
- 根据残疾发病 (在60岁之前或之后) 和测量残疾持续时间对个人进行分类.
- 进行了多变量回归分析,以检查与残疾开始和持续时间相关的HCBS利用率.
主要成果:
- 根据残疾发病时间,没有发现HCBS利用率的统计学上显著差异.
- 更长的残疾持续时间独立地与使用HCBS的可能性更高有关.
- 这些发现表明,在HCBS需求中,残疾持续时间比开始时间更为关键.
结论:
- 增加残疾持续时间是跨不同老龄化和残疾人群体中HCBS需求的关键决定因素.
- 结合老龄化和残疾研究观点的综合政策和计划对于有效的资源配置至关重要.
- 通过综合方法解决共同的挑战,可以改善所有残疾人生活的结果.
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