Assisted living in rural America: results from a national survey.
Assisted living in rural America: results from a national survey.
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美国农村的辅助生活：全国调查的结果。
DOI：
10.1111/j.1748-0361.2005.tb00073.x
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Hutchison,LinnaeL
中科院分区：
文献类型：
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作者：
Hawes,Catherine;Phillips,CharlesD;Holan,Scott;Sherman,Michael;Hutchison,LinnaeL
背景扩大长期护理(LTC)服务的可获得性并使其更好地响应消费者的偏好是一个重要目标，特别是对于生活在农村地区的老年人来说，他们往往年龄较大，功能限制较大，但较少获得大都市地区提供的LTC选择范围。一个越来越受欢迎的选择是辅助生活设施(ALF)。目的和方法本文描述了农村ALF，并将其与大都市ALF进行了比较。使用多阶段样本设计收集数据，该设计产生了具有全国代表性的ALF样本。1998年完成了对1,251个ALF管理人的电话采访。结果发现，在全国范围内，辅助生活主要由私人支付管理，农村地区供应不足。与大都市ALF相比，农村ALF规模较小，不太可能提供与辅助生活理念相关的服务和住宿类型。他们更有可能提供几乎没有隐私的住宿，虽然他们提供的服务相似，但农村ALF不太可能有护士，特别是有执照的实习护士。此外，他们不太可能提供高服务和高隐私的组合。最后，农村养老保险的价格低于城市养老保险；然而，大多数农村老年居民仍然负担不起平均价格。结论这些发现表明，目前结构的辅助生活对满足农村脆弱老年人的需求只会做出微乎其微的贡献。
ContextExpanding the availability of long‐term care (LTC) services and making them more responsive to consumer preferences is an important goal, particularly for elderly people living in rural areas who tend to be older and have greater functional limitations but less access to the range of LTC options available in metropolitan areas. One option that has been growing in popularity is assisted‐living facilities (ALFs).Purpose and MethodsThis paper describes rural ALFs and compares them with metropolitan ALFs. Data were collected using a multistage sample design that yielded a nationally representative sample of ALFs. Telephone interviews were completed with administrators of 1,251 ALFs in 1998.FindingsNationwide, assisted living was largely administered by private payment, and there was an undersupply in rural areas. Compared with metropolitan ALFs, rural ALFs were smaller and less likely to offer the types of services and accommodations associated with the philosophy of assisted living. They were more likely to offer accommodations with little privacy, and while similar in the services they offered, rural ALFs were less likely to have nurses on staff, particularly licensed practical nurses. Moreover, they were less likely to offer a combination of high services and high privacy. Finally, rural ALFs charged lower prices than urban ALFs; however, the average price was still unaffordable for most elderly rural residents.ConclusionsThese findings suggest that assisted living, as currently structured, will make only a marginal contribution to meeting the needs of frail elders in rural areas.