Factors associated with nursing-home entry for elders in Manitoba, Canada.
Factors associated with nursing-home entry for elders in Manitoba, Canada.
复制标题
加拿大马尼托巴省老年人进入疗养院的相关因素。
DOI：
10.1093/gerona/55.5.m279
复制
发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Cameron A. Mustard
中科院分区：
文献类型：
--
作者：
Monica Tomiak;Jean;Eric Guimond;Cameron A. Mustard
背景
随着人口老龄化，预计对长期护理服务，特别是养老院的需求会更大。政策分析人士继续为老年人寻找替代的、成本更低的护理形式，并试图制定计划，以推迟或防止养老院进入。卫生保健管理人员需要信息来规划未来对养老院服务的需求。这项研究评估了易感、使能和需要特征在预测和理解养老院进入方面的相对重要性。
方法
比例风险模型包含了需求随时间的变化，使用加拿大马尼托巴省具有代表性的老年居民样本的健康和社会人口学特征来估计5年内进入养老院的风险。
结果
老年以后，需要因素对进入养老院的影响最大。特定的医疗条件至少与功能限制有同样大的贡献。配偶的在场大大降低了仅对男性入境的风险。
结论
结果表明，通过针对阿尔茨海默病、肌肉骨骼疾病和中风等特定医疗条件的干预计划，可以在防止或推迟疗养院进入方面获得最大收益。
BACKGROUND
As the population ages, a greater demand for long-term care services and, in particular, nursing homes is expected. Policy analysts continue to search for alternative, less costly forms of care for the elderly and have attempted to develop programs to delay or prevent nursing-home entry. Health care administrators require information for planning the future demand for nursing-home services. This study assesses the relative importance of predisposing, enabling, and need characteristics in predicting and understanding nursing-home entry.
METHODS
Proportional hazard models, incorporating changes in needs over time, are used to estimate the hazard of nursing-home entry over a 5-year period, using health and sociodemographic characteristics of a representative sample of elderly residents from Manitoba, Canada.
RESULTS
After age, need factors have the greatest impact on nursing-home entry. Specific medical conditions have at least as great a contribution as functional limitations. The presence of a spouse significantly reduces the hazard of entry for males only.
CONCLUSIONS
The results suggest that the greatest gains in preventing or delaying nursing-home entry can be achieved through intervention programs targeted at specific medical conditions such as Alzheimer's disease, musculoskeletal disorders, and stroke.
社区居住的患有关节炎的老年人健康状况的转变。
影响因子：
--
作者：
Yelin,EH;Katz,PP
通讯作者：
Katz,PP
压倒性的可能性：护理和收容的风险。
DOI：
10.1093/geronj/45.5.s173
发表时间：
1990
期刊：
Journal of gerontology
影响因子：
--
作者：
Newman,SJ;Struyk,R;Wright,P;Rice,M
通讯作者：
Rice,M