DOMICILIARY CARE--HOMELIKE CARE OR ACCESS PROBLEM

这项研究将比较寄宿养老院的居民在 人口统计、健康特征和护理需求，以解决 歧视和/或文化偏好问题。从长远来看 目的是确保虚弱的老年人得到适当的照顾 他们的需要程度不分种族差异。特别是我们的 目标是：i.将非洲裔美国人与美国白人居民进行比较 家庭护理设施在人口统计、健康方面 特点，以及放置的适当性。二、比较 非洲体弱老年人对长期护理设施的认知 居住在该社区的美国人与类似的白人群体一样。 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人居民的家庭护理设施相同。 四.研究少数族裔身份在a)居民中的影响，以及b) 照顾者在家庭护理设施的护理过程中。这个 研究设计要求对住院医生和CLOSE进行深入研究 家属，采访与该事件密切相关的工作人员 住院医生的关怀、图表回顾和与管理人员的面谈 这个家。研究的第二个方面涉及识别虚弱 居住在社区内的老年人和他们的访谈 照顾者关于非正式社会支持的程度、感知和 护理和家庭护理院的知识和他们的偏好 用于护理的类型。总样本量为1050人。

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.