Configuration of services used by depressed older adults
Configuration of services used by depressed older adults
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DOI：
10.1080/13607860500310591
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发表时间：
2006-05-01
影响因子：
3.4
通讯作者：
Proctor, E.
中科院分区：
文献类型：
--
作者：
Choi, S.;Morrow-Howell, N.;Proctor, E.
作为一个更全面的服务使用措施，这项研究确定了服务使用配置的基础上使用的17个服务。与服务使用配置相关的因素进行检查指导的Andersen和网络事件模型。在入院时和6个月随访时收集自我报告数据，沿着收集140名因重度抑郁症住院的老年人的病历信息。这些数据记录了三个护理部门（精神病、医疗和心理社会服务）的服务获取和使用水平，并评估了与使用相关的需求、诱发、促成和社会网络因素。聚类分析确定了三种不同的服务使用配置：（1）家庭护理用户;（2）门诊心理健康服务的中度用户;（3）所有正式服务的重度用户。急性期后服务使用与以下因素有关，而非精神病需求：（1）并发的身体状况;（2）正式和非正式服务的可用性;（3）财务稳定性。服务使用配置的精神病学结果没有差异。重要的是要了解服务使用模式作为服务使用的措施，考虑到共同发生的医疗，精神和心理社会条件的老年人和相应的需求，在多个部门的护理。
As a more comprehensive service use measure, this study identifies service use configurations based on the use of 17 services. Factors associated with service use configurations are examined guided by the Andersen and Network Episode models. Self-report data at admission and at six-month follow-up were collected, along with information from medical charts among 140 older adults hospitalized for major depression. The data document service access and levels of use in three sectors of care ( psychiatric, medical, and psychosocial services) and assess need, predisposing, enabling, and social network factors associated with use. Three distinct service use configurations were identified with cluster analysis: (1) home care users; (2) moderate users of outpatient mental health services; and (3) heavy users of all formal services. Rather than psychiatric needs, post-acute service use was related to: (1) concurrent physical conditions; (2) the availability of formal and informal services; and (3) financial stability. No difference in psychiatric outcomes was found by service use configuration. It is important to understand service use patterns as a measure of service use, given the co-occurring medical, psychiatric, and psychosocial conditions of older adults and corresponding needs in multiple sectors of care.