CASE CONTROL STUDY OF ELDERLY HOME HEALTH CARE USERS

家庭保健的使用迅速增长，以应对 政府的激励措施和人口老龄化。为了更好地 了解家庭保健的使用情况，拟议的研究将比较 评估相关因素的两种选择对象的方法 老年家庭保健接受者，使用1984年的数据 《全国老龄问题健康访谈调查增刊》(SOA)。 大多数关于家庭保健的研究都集中在功能上- 残疾人或服务使用者；很少有人能与养老院相提并论 类似的老年社区居民使用医疗保健用户 其他，或者没有社区服务。这项研究由两部分组成： 1)横断面分析将描述相关因素和模式 报告功能受限的受访者的护理 日常生活活动(ADL)和工具性活动 日常生活(IADL)。这些分析将复制以前的 家庭卫生保健相关因素的研究 功能依赖的样本。2)病例对照分析将 评估ADL和IADL限制及其他因素之间的关联 家庭保健用户中的社会人口统计因素(例如， 报告现任家庭健康助理或来访护士的受访者 在SOA的社区服务部分中使用)，与 其他社区服务用户和非服务用户。这个 病例对照分析将提供另一种统计上的替代方法- 用户和非用户的强大对比，在预览中 为老年人提供以社区为基础的服务。比较 从这两种方法得出的结论将表明 选择标准对这些关联的影响。这些分析 将为后续研究比较结果奠定基础 家庭医疗保健与其他老年人护理模式的对比。 从这项研究中产生的关于预测因素的假设， 将测试家庭保健使用的连续性和效果 预期在老龄化纵向研究(LSOA)数据集中 在即将启动的针对老年人家庭健康的较小规模的研究中 华盛顿特区地区的护理受助人。

Home health care use has grown rapidly in response to government incentives and the aging of the population. To better understand home health care use, the proposed study will compare two methods of subject selection to assess the correlates of elderly home health care recipients, using data from the 1984 National Health Interview Survey Supplement on Aging (SOA). Most studies of home health care have focused on functionally- impaired persons, or on service users; few compared elderly home health care users to similar elderly community residents who used other, or no community services. This study consists of two parts: 1) cross-sectional analyses will describe correlates and patterns of care among respondents who report functional limitations in Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). These analyses will replicate previous studies on correlates of home health care that were drawn from functionally-dependent samples. 2) Case-control analyses will evaluate the association of ADL and IADL limitations and other sociodemographic factors among home health care users (e.g., respondents who report current home health aide or visiting nurse use in the community services section of the SOA), matched to other community service users and to non-service users. The case-control analyses will provide an alternative, statistically- powerful comparison of users and non-users, within the preview of community-based services available to the elderly. Comparison of the conclusions drawn from these two methods will indicate the effects of selection criteria on these associations. These analyses will lay the basis for subsequent studies to compare the outcomes of home health care versus other patterns of care for the elderly. Hypotheses generated from this study about the predictors, continuity, and effects of home health care use will be tested prospectively in the Longitudinal Study of Aging (LSOA) dataset and in smaller studies to be initiated among elderly home health care recipients in the Washington, D.C. area.