家庭与护理:解开对健康和福祉的影响
Elena Bassoli1, Mathieu Lefebvre2, Jérôme Schoenmaeckers3
1ETH Zurich, Switzerland.
Social science & medicine (1982)
|September 28, 2025
概括
生活在养老院可以改善健康,但会降低幸福感. 非营利性机构比营利性机构提供更好的结果,影响长期护理组织和资金.
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
- 卫生经济学 卫生经济学
背景情况:
- 长期护理环境对老年人的健康和福祉结果产生重大影响.
- 了解家庭护理,非营利性和营利性养老院之间的差异对于政策和实践至关重要.
研究的目的:
- 估计不同护理环境 (家庭与养老院) 对健康和福祉指标的影响.
- 区分营利与非营利养老院所有权对居民结果的影响.
主要方法:
- 使用了来自法国CARE调查的数据,采访了60岁及以上的个人.
- 应用倾向分数匹配控制在家庭和养老院居民之间的选择偏差.
- 分析结果包括死亡率,发病率和幸福指标 (快乐,紧张).
主要成果:
- 养老院住宿对健康有积极影响,但对幸福感 (快乐,紧张) 有负面影响.
- 与营利性设施相比,非营利性和公共养老院表现出更强烈的积极健康影响.
- 营利性养老院的住户报告的结果比非营利性机构的住户更糟糕.
结论:
- 护理环境和所有权类型显著影响老年人的健康和福祉结果.
- 调查结果表明,需要对长期护理的组织和资金进行政策重新评估,特别是在营利性设施方面.
- 这项研究强调了医疗机构护理环境中改善健康和福祉之间的权衡.
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