The role of community-based care capacity in shaping risk of long-term care facility placement.
The role of community-based care capacity in shaping risk of long-term care facility placement.
复制标题
基于社区的护理能力在影响长期护理机构安置风险中的作用。
DOI：
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复制
发表时间：
2012
期刊：
影响因子：
--
通讯作者：
W. Berta
中科院分区：
文献类型：
--
作者：
K. Kuluski;A. Williams;A. Laporte;W. Berta
目标
在整个发达国家，基于设施的长期护理（LTC）床位的等待名单继续增长。等待名单主要是由老龄化人口的需求驱动的（需求方因素）。较少关注系统为社区提供长期护理替代品的能力（供应方因素）。我们研究的作用，需求和供应方面的因素，通过比较个人的特点谁已被评估，并认为有资格在城市和农村/服务不足的部分，加拿大安大略省西北部的LTC。
方法
对安大略西北部所有等待LTC的个人的家庭护理评估数据进行了分析，截至2008年3月（n=858）。为了进行分析，样本被分为城市和农村群体，以说明等候名单位置的地理差异。比较两组患者的特征。
结果
在农村地区的LTC等候名单上的个人在日常生活和认知活动方面的损害比城市地区的同行要小得多。然而，在这两个地区，轻度护理活动的障碍似乎是一个关键的等待名单驱动程序，很少有人有一个非正式的照顾者住在家里。
结论
我们的数据表明，LTC等候名单至少在某种程度上反映了社区能力不足，而不仅仅是对LTC的需求。
OBJECTIVES
Across the developed world, wait lists for facility-based long-term care (LTC) beds continue to grow. Wait lists are primarily driven by the needs of aging populations (demand-side factors). Less attention has been given to system capacity to provide community alternatives to LTC (supply-side factors). We examine the role of both demand- and supply-side factors by comparing the characteristics of individuals who have been assessed and deemed eligible for LTC in urban and rural/underserviced parts of northwestern Ontario, Canada.
METHODS
Home care assessment data were analyzed for all individuals waiting for LTC in northwestern Ontario as of March 2008 (n=858). For the analysis, the sample was separated into urban and rural groups to account for geographical differences in wait list location. Characteristics between these two groups were compared.
RESULTS
Individuals on LTC wait lists in the rural areas were significantly less impaired in activities of daily living and cognition than their counterparts in the urban area. However, in both areas, impairments in lighter-care activities appeared to be a key wait list driver, and few people had an informal caregiver living in the home.
CONCLUSIONS
Our data suggest that LTC wait lists reflect, at least to some extent, insufficient community capacity, not just need for LTC.
在进入疗养院之前使用正式服务的居住差异。
DOI：
10.1093/geront/34.1.44
发表时间：
1994
期刊：
The Gerontologist
影响因子：
--
作者：
Coward,RT;Duncan,RP;Freudenberger,KM
通讯作者：
Freudenberger,KM
DOI：
10.1093/gerona/54.11.m546
发表时间：
1999-11-01
影响因子：
5.1
作者：
Morris, JN;Fries, BE;Morris, SA
通讯作者：
Morris, SA