Long-Term Care Providers and Their Perceptions of the External Environment: Rural Versus Urban Differences
Long-Term Care Providers and Their Perceptions of the External Environment: Rural Versus Urban Differences
复制标题
长期护理提供者及其对外部环境的看法：农村与城市的差异
DOI：
--
复制
发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Kris Elmendorf
中科院分区：
文献类型：
--
作者：
R. Weech;D. Shea;Kris Elmendorf
长期护理组织正面临着快速的环境变化，鉴于最近的市场和政策的变化，其中包括平衡预算法（BBA; 1997年）的实施，管理式护理的增长，越来越多的养老院的替代品，护士人手短缺。使用调查数据，本研究探讨了城市和/或农村的差异，在宾夕法尼亚州的长期护理提供者类型的环境感知：养老院，家庭健康机构，和辅助生活设施。此外，它分析了长期护理组织对实施BBA（1997年）的反应。结果表明，城市和农村长期护理提供者在他们的环境感知和他们对环境变化的反应有相似性和差异。农村和城市设施几乎普遍将劳动力问题确定为关键的工业问题。另一方面，也存在差异，农村养老院提供者在长期护理组织中表现出最大的脆弱性。
Long-term care organizations are facing rapid environmental changes given recent market and policy changes, which include the implementation of the Balanced Budget Act (BBA; 1997), the growthof managed care, the increased number of nursing home alternatives, and nurse staffing shortages. Using survey data, this study examined urban and/or rural differences in the environment perceptions across long-term care provider types in Pennsylvania: nursing homes, home health agencies, and assisted living facilities. In addition, it analyzed how long-term care organizations have responded to the implementation of the BBA (1997). Results show that urban and rural long-term care providers have similarities and differences in their environmental perceptions and in their response to environmental changes. Workforce issues were identified almost universally by rural and urban facilities as the critical industry problem. On the other hand, there were also differences, with rural nursing home providers showing the greatest vulnerability among long-term care organizations.
影响因子：
120.7
作者：
Aiken, LH;Clarke, SP;Silber, JH
通讯作者：
Silber, JH
美国农村的辅助生活：全国调查的结果。
DOI：
10.1111/j.1748-0361.2005.tb00073.x
发表时间：
2005
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Hawes,Catherine;Phillips,CharlesD;Holan,Scott;Sherman,Michael;Hutchison,LinnaeL
通讯作者：
Hutchison,LinnaeL
与疗养院参与管理式护理相关的组织和环境因素。
影响因子：
3.4
作者：
Zinn,JS;Mor,V;Castle,N;Intrator,O;Brannon,D
通讯作者：
Brannon,D