从银行到洗:照顾者的混合和转变
Yutong Zhang1, Chanee D Fabius1, Katherine E M Miller1,2
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
The Gerontologist
|November 25, 2025
概括
家庭照顾者通常从日常生活的工具性活动 (IADL) 和经济支持开始,逐渐增加其他任务. 财政支持是整个护理过程中的一贯的护理活动.
科学领域:
- 老年学是一门学科.
- 卫生社会学 卫生社会学
- 卫生经济学 卫生经济学
背景情况:
- 家庭护理人员提供多样化的支持,但活动中的过渡,特别是财务支持的研究不足.
- 了解护理角色的演变对于支持护理人员和护理接收者至关重要.
研究的目的:
- 描述护理活动的组成和转变,包括日常生活活动 (ADL),日常生活工具活动 (IADL) 和财务支持.
- 分析护理人员的特征和随着时间的推移,护理活动的顺序.
主要方法:
- 这是一项回顾性队列研究,使用了来自健康和退休研究 (2002-2018) 的全国代表性数据.
- 包括在至少两个波 (n=3,017) 中报告连续照顾的成年人.
- 分析照顾者活动组成,趋势,照顾者人口统计和活动顺序.
主要成果:
- 最常见的护理组合是ADL,IADL和财务支持 (37.7%).
- 护理往往是通过IADL (35.8%) 和财政支持 (24.7%) 开始的,后来转向ADL援助.
- 财政支持在整个护理过渡过程中表现出一致的流行率.
结论:
- 照顾者的角色往往是逐渐的,财务支持成为关键,早期和持续的活动.
- 经验证据强调了早期识别财政支持需求和加强对照顾者的经济支持政策的必要性.
- 政策干预应应对家庭护理的综合性和不断变化的性质.
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