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社区社会贫困如何与养老院质量相关:一个结构,过程,结果模型
Rohit Pradhan1, Justin Lord2, Gregory Orewa3
1School of Health Administration, Texas State University, San Marcos, Texas, USA.
Innovation in aging
|February 18, 2025
概括
养老院的社会贫困影响了人员配置,导致护理质量变化. 这项研究揭示了社会经济因素如何影响居民的结果,如跌倒和住院治疗.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
背景情况:
- 养老院 (NH) 的质量在社会经济层面之间不一致.
- 社会贫困是影响NH质量的关键因素.
研究的目的:
- 调查社会贫困与NH质量之间的关联.
- 探索社会贫困如何影响NH的结构,过程和结果指标.
主要方法:
- 利用了2019年从工资基础期刊,护理比较和LTCFocus.org获得的12900个NHs的2019年数据.
- 采用结构方程建模来分析严重社会贫困指数 (SDI ≥85/100) 对质量指标的影响.
- 对护理人员,抗精神病药物 (APM) 的使用,跌倒,压力,ADL下降和住院治疗的研究影响.
主要成果:
- 严重的SDI与注册护士 (RN) 时间的减少和认证护士助理 (CNA) 时间的增加相关.
- 更高的执照实践护士 (LPN) 和CNA小时与APM使用量的减少有关.
- 增加APM使用与ADL下降和住院病例有关.
- 严重的SDI间接增加了住院和下降通过较低的RN人员,但通过更高的CNA人员减少了压力.
- 直接,严重的SDI增加了压力和住院,并减少了跌倒.
结论:
- 严重的社会贫困显著改变了护理人员的组成,并影响了NH的护理质量.
- 环境因素,特别是社会贫困,是NH质量政策制定的关键考虑因素.
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