A national survey of assisted living facilities
A national survey of assisted living facilities
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DOI：
10.1093/geront/43.6.875
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发表时间：
2003-12-01
期刊：
影响因子：
5.7
通讯作者：
Sherman, M
中科院分区：
文献类型：
--
作者：
Hawes, C;Phillips, CD;Sherman, M
目的：在整个 90 年代，辅助生活是增长最快的老年住房形式。本文的目的是描述辅助生活设施 (ALF) 的现有供应，并检验它们与辅助生活理念的匹配程度。设计和方法：该研究涉及多阶段样本设计，以对 ALF 行业进行全国代表性的估计。通过电话采访了近 1,500 名符合条件的 ALF 的管理人员。结果：截至1998年，全国约有11,459个ALF，床位611,300张，居民521,500人。近 60% 提供低服务和低或最低隐私的组合，而只有 11% 提供相对较高的服务和高隐私。百分之七十三的居民房间或公寓是私人的。大多数 ALF 中针对需要转移帮助、有中度至重度认知障碍、有任何行为症状或需要护理的居民的出院政策限制了就地养老。该行业主要是私人支付，对于年龄大于或等于75岁的低收入或中等收入人群来说是负担不起的，除非他们使用资产和收入来支付。启示：ALF 在所有权、规模、政策以及体现辅助生活理念的程度方面存在很大差异。这种多样性对消费者选择合适的设施以及政策制定者决定他们希望辅助生活在长期护理中发挥什么作用来说都是一个挑战。
Purpose: Throughout the 1990s, assisted living was the most rapidly growing form of senior housing. The purpose of this paper is to describe the existing supply of assisted living facilities (ALFs) and examine the extent to which they matched the philosophy of assisted living. Design and Methods: The study involved a multistage sample design to produce nationally representative estimates for the ALF industry. Administrators of nearly 1,500 eligible ALFs were interviewed by telephone. Results: As of 1998, there were an estimated 11,459 ALFs nationwide, with 611,300 beds and 521,500 residents. Nearly 60% offered a combination of low services and low or minimal privacy, whereas only 11% offered relatively high services and high privacy. Seventy-three percent of the resident rooms or apartments were private. Aging-in-place was limited by discharge policies in most ALFs for residents who needed help with transfers, had moderate to severe cognitive impairment, had any behavioral symptoms, or needed nursing care. The industry is largely private pay and unaffordable for low- or moderate-income persons aged greater than or equal to75 unless they use assets as well as income to pay. Implications: ALFs differed widely in ownership, size, policies, and the degree to which they manifested the philosophy of assisted living. This diversity represents a challenge for consumers in terms of selecting an appropriate facility and for policy makers in terms of deciding what role they want assisted living to play in long-term care.