CASE CONTROL STUDY OF ELDERLY HOME HEALTH CARE USERS

家庭医疗保健的使用迅速增长， 政府的激励措施和人口老龄化。 更好地 了解家庭医疗保健的使用，拟议的研究将比较 两种方法的主题选择，以评估相关的 使用1984年的数据， 国家健康访谈调查补充老龄化（SOA）。 大多数家庭医疗保健的研究都集中在功能上- 残疾人，或服务用户;很少比较老人院 卫生保健使用者与使用类似的老年社区居民 其他，或没有社区服务。 本研究由两部分组成： 1)横截面分析将描述相关因素和模式， 在报告功能限制的受访者中， 日常生活活动（ADL）和工具活动 日常生活（IADL） 这些分析将重复以前的 对家庭医疗保健相关因素的研究， 功能依赖的样品。 2)病例对照分析将 评估ADL和IADL限制的相关性以及其他 家庭健康护理用户中的社会人口因素（例如， 报告目前有家庭健康助理或访问护士的受访者 在SOA的社区服务部分使用），与 其他社区服务用户和非服务用户。 的 病例对照分析将提供一种替代方法， 强大的用户和非用户的比较，在预览 为老年人提供社区服务。 比较 从这两种方法得出的结论将表明， 选择标准对这些协会的影响。 这些分析 将为后续研究比较结果奠定基础 与其他老年人护理模式相比。 从这项研究中产生的关于预测因子的假设， 将测试家庭医疗保健使用的连续性和效果 在老龄化纵向研究（LSOA）数据集中前瞻性地 在老年人家庭健康的小型研究中， 华盛顿，华盛顿特区地区的护理接受者。

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.