DOMICILIARY CARE--HOMELIKE CARE OR ACCESS PROBLEM

这项研究将比较护理院的居民在 人口统计、健康特征和护理需求， 歧视和/或文化偏好问题。 长期 目的是确保体弱长者得到适当的照顾， 他们的需要程度，不论种族差异。 特别是我们 目标是：I.为了比较非洲裔美国人和白色居民， 在人口统计、健康、 特点和适当的位置。 二. 比较 对非洲体弱老年人长期护理设施的看法 生活在社区中的美国人与类似的白人群体。 三. 比较非裔美国人的家庭情感和支持 家庭护理设施的居民与白色居民的比例。 四. 研究a）居民和B）中少数民族地位的影响 护理人员在辅助护理设施的护理过程中。 的 研究设计要求对居民和近距离居民进行深入研究， 家庭成员，与工作人员密切参与的采访， 居民的照顾，图表审查，并与管理员的采访， 家中 这项研究的第二个方面涉及识别脆弱的 社区内的老年人，并采访他们及其 照顾者对非正式社会支持的程度，感知和 护理和辅助护理院的知识，以及他们的偏好 护理类型。 总样本量为1050。

This study will compare the residents of domiciliary care homes in terms of demography, health characteristics and care needs in order to address questions of discrimination and/or cultural preference. The long term aim is to assure that frail elderly persons receive care appropriate to their level of need irrespective of ethnic differences. Specifically our aims are: I. To compare African Americans with white residents of domiciliary care facilities in terms of demography, health characteristics, and appropriateness of placement. II. To compare the perceptions of long term care facilities of frail elderly African Americans living in the community to that of a similar group of whites. III. To compare the family sentiment and support of African American residents of domiciliary care facilities with that of white residents. IV. To study the effect of minority status among a) residents, and b) caregivers on the process of care in domiciliary care facilities. The study design calls for an intensive study of both residents and close family members, interviews with staff persons closely involved with the residents' care, chart reviews, and interviews with the administrator of the home. A second aspect of the study involves identifying frail elderly living within the community and interviewing them and their caregiver regarding extent of informal social support, perception and knowledge of nursing and domiciliary care homes, and their preferences for type of care. The total sample size will be 1050.