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HEALTH--HEALTH CARE, FAMILY, AND SOCIAL TRANSITIONS

健康——医疗保健、家庭和社会转型

基本信息

批准号：
3119570
负责人：
HOWARD R KELMAN
金额：
$ 27.34万
依托单位：
MONTEFIORE MEDICAL CENTER (BRONX, NY)
依托单位国家：
美国
项目类别：
财政年份：
1989
资助国家：
美国
起止时间：
1989-03-01 至 1991-02-28
项目状态：
已结题

项目摘要

In this project, we propose to extend an analysis of the effectiveness of the receipt of specific types of health care in promoting, maintaining, and improving the health and social functioning of elderly people. Work on this topic was undertaken initially in the Norwood-Montefiore Aging Study (NMAS I), funded by the National Institute on Aging under Grant No. PO1 AG03424. This extension involves three years of semi-annual follow up interviews with NMAS I respondents (N=l,000, approximately) and with a new sample of 2225 respondents, living in the same geographic area. The specific aims of this project are to: (1) Continue to study changing patterns in the use of health care services, and related explanatory variables, including health, the availability of social support, life events, health behaviors, sociodemographic and economic characteristics of elderly people in the Bronx, among those whose primary source of care is: (1) a group medical practice program, (2) local general care hospitals, (3) private fee-for-service physicians, (4) some other care source or (5) no source at all. (2) Analyze the relationship between characteristics of the elderly, their patterns of use of health services, and health outcomes including measures of physical health mental health, functional status and morbidity and mortality. (3) Examine the implications of transitions in living arrangements and social circumstances, including changes in household composition, moves to other dwelling or institutions such as nursing homes, and changes in formal and informal support systems on the health and well being of elderly respondents. (4) Extend the analysis of patterns of health service use, and of transitions, to a sample of 500 black elderly respondents living in the same general neighborhood.

在这个项目中，我们建议扩展对接受特定类型保健的有效性，促进、维持和改善健康和社会老年人的功能。就这一专题开展了工作，最初是在诺伍德-蒙蒂菲奥里老龄化研究（NMAS I）中，由国家老龄化研究所在批准号PO 1AG 03424下进行。这一扩展包括三年的半年一次的随访与NMAS I受访者的访谈（约N= 1，000），以及与2225名受访者的新样本，生活在相同的地理区域。该项目的具体目标是： (1)继续研究医疗服务使用模式的变化服务和相关解释变量，包括保健、社会支持的可获得性、生活事件、健康行为、年长者的社会人口及经济特征布朗克斯，其中的主要来源的照顾是：（1）团体医疗实践计划，（2）当地普通护理医院， (3)私人收费服务医生，（4）其他一些护理来源（5）没有来源。 (2)分析其特征之间的关系老年人、他们使用卫生服务的模式和健康包括身体健康和心理健康措施在内的成果，功能状态以及发病率和死亡率。 (3)研究生活安排中过渡的影响和社会情况，包括家庭的变化组成，搬到其他住所或机构，养老院，以及正式和非正式支持系统的变化对老年人的健康和福祉的影响。 (4)扩大对卫生服务使用模式的分析，过渡，以500名黑人老年人为样本，在同一个街区。