Positions of influence in the nursing home admission decision
Positions of influence in the nursing home admission decision
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DOI：
10.1177/0164027597191002
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发表时间：
1997-03-01
影响因子：
2.6
通讯作者：
Travis, SS
中科院分区：
文献类型：
--
作者：
McAuley, WJ;Travis, SS
导致养老院入院的决定会对个人和政策产生重大影响，但很少有研究关注谁在决定过程中有影响力。我们试图确定各种社会职位中的哪些被视为对接纳的决定非常有影响力，以及哪些因素与某些社会职位的影响力感知水平相关。我们检查了来自电话采访的数据，抽样对象为145名首次入院的维吉尼亚州养老院居民。家庭对机构决策的影响似乎遵循与入学前家庭照顾类似的等级模式。养老院的居民很少对这一决定有很大的影响力。赞助商经常将健康我们的专业人士，特别是医生描述为对决策过程非常有影响力的人。有一些证据表明，卫生专业人员和神职人员之间存在影响力集群，医生在这一集群中占据核心地位。
Decisions leading to nursing home admissions have substantial personal and policy consequences, but little research has focused on who is influential in the decision process. We sought to determine which of various social positions were viewed as being very influential in the decision to admit and what factors were associated with perceived level of influence of certain social positions, We examined data from telephone interviews with a sample of 145 responsible parties of first-time, recently admitted nursing home residents in Virginia. Family influence on institutional decision making appears to follow a hierarchical pattern similar to that for preadmission family caregiving. Nursing home residents were infrequently very influential parties to the decision. Health we professionals, especially physicians, were frequently described by sponsors as very influential to the decision process. There is some evidence of a cluster of influence among health professionals and clergy, with the physician occupying a central position in this cluster.