HEALTH--HEALTH CARE, FAMILY, AND SOCIAL TRANSITIONS

在这个项目中，我们建议扩展对 年接受特定类型卫生保健的效果 促进、维护和改善健康和社会 老年人的功能。开展了关于这一专题的工作 最初是诺伍德-蒙特菲奥里老龄化研究(NMAS I)，资助 由国家老龄研究所在第号补助金下进行。PO1 AG03424。 此次延期为期三年，每半年一次。 对国家行动计划一级受访者的采访(N=L，约1000人)和 对2225名受访者进行了新的抽样调查， 地理区域。 该项目的具体目标是： (一)继续研究卫生保健利用方式的变化 服务和相关的解释变量，包括健康、 社会支持、生活事件、健康行为、 中国老年人的社会人口学和经济特征 布朗克斯，他们的主要护理来源是：(1) 团体医疗实践计划，(2)当地全科医院， (3)私人收费医生；(4)其他护理来源 或(5)没有任何来源。 (2)分析了各特征之间的关系。 老年人、他们使用卫生服务的模式和健康 结果包括身体健康和精神健康的测量， 功能状态以及发病率和死亡率。 (3)研究生活安排转变的影响 和社会环境，包括家庭的变化 组成，搬到其他住所或机构，如 养老院，以及正式和非正式支助系统的变化 关于老年受访者的健康和福祉。 (4)扩大对卫生服务使用模式的分析，以及 转变，对500名黑人老年受访者的样本 在同一个普通社区。

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.