The amount, distribution, and timing of lifetime nursing home use.
The amount, distribution, and timing of lifetime nursing home use.
复制标题
终生使用疗养院的数量、分布和时间。
作者：
C. Murtaugh;P. Kemper;B. Spillman;B. Carlson
目标
终身疗养院使用的信息需要设计和评估长期护理融资改革。虽然一些研究估计了平均寿命使用或其分布，但对人口亚组之间的使用差异、使用时间、疗养院使用者经历的不同护理事件数量以及65岁以外年龄的风险和预期使用知之甚少。这项研究的目的是填补这些知识空白。
方法
该研究使用了一个数据库，该数据库被构建为代表使用养老院的死者。样本来自1985年全国疗养院调查收集的出院样本。权重构建的目的是在1995年选定的年龄在养老院使用的剩余寿命的预测。
结果
各人口群体之间的终生使用情况差异很大。总体而言，对特定年龄的剩余使用量的估计趋于相对稳定，约为1年。平均年，直到疗养院入院，但是，急剧下降，从近40年的45岁到约5年的85岁。
结论
终生使用的分布高度倾斜，为通过公共或私人保险分散风险的努力提供了支持。然而，大约四分之一的使用发生在5年的养老院居住之后，很大一部分使用将超过福利最大值，这是许多长期护理公共融资和私人保险政策建议的一部分。
OBJECTIVES
Information on lifetime nursing home use is needed to design and evaluate long-term care financing reforms. Whereas a number of studies have estimated mean lifetime use or its distribution, very little is known about variation in use among subgroups of the population, the timing of use, the number of distinct episodes of care experienced by nursing home users, and the risk and expected use at ages other than age 65. The purpose of the study was to fill these gaps in knowledge.
METHODS
The study used a data base constructed to represent decedents who used nursing homes. The sample was derived from the sample of discharges collected as part of the 1985 National Nursing Home Survey. Weights were constructed for the purpose of making projections of remaining lifetime nursing home use at selected ages in 1995.
RESULTS
There was considerable variation in lifetime use among demographic groups. Overall, estimates of the amount of use remaining at selected ages tended to be relatively constant at approximately 1 year. Mean years until nursing home admission, however, decreased sharply from almost 40 years at age 45 to approximately 5 years at age 85.
CONCLUSIONS
The distribution of lifetime use was highly skewed, providing support for efforts to spread risk through public or private insurance. With roughly one quarter of all use occurring after 5 years of nursing home residence, however, a substantial share of use would exceed benefit maximums that are part of many proposals for public financing of long-term care as well as private insurance policies.
老年人的发病、残疾和长期护理：对保险融资的影响。
DOI：
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发表时间：
1990
期刊：
The Milbank quarterly
影响因子：
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作者：
Liu,K;Manton,KG;Liu,BM
通讯作者：
Liu,BM