Ruotong Liu, Brent Vander Wyk, Ana R Quiñones, Heather G Allore
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引用次数: 0
Abstract
This study examines caregiver networks, including size, composition, and stability, and their associations with the likelihood of hospitalization and skilled-nursing facility (SNF) admissions. Data from the National Health and Aging Trends Study linked to Center for Medicare and Medicaid Services data were analyzed for 3855 older adults across five survey waves. Generalized estimating equation models assessed the associations. The findings indicate each additional paid caregiver was associated with higher adjusted risk ratios (aRR) for hospitalization (aRR = 1.24, 95% CI 1.10-1.41) and SNF admission (aRR = 1.28, 95% CI 1.06-1.54) among care recipients, a pattern that is also observed with the addition of unpaid caregivers (hospitalization: aRR = 1.13, 95% CI 1.06-1.20; SNF: aRR = 1.12, 95% CI 1.02-1.23). These results suggest that policies and approaches to enhance the quality and coordination of caregivers may be warranted to support improved outcomes for care recipients.
本研究探讨了护工网络（包括规模、组成和稳定性）及其与住院和入住专业护理机构（SNF）的可能性之间的关系。研究分析了全国健康与老龄化趋势研究（National Health and Aging Trends Study）中与医疗保险和医疗补助服务中心（Center for Medicare and Medicaid Services）数据相关联的数据，这些数据来自五次调查中的 3855 名老年人。广义估计方程模型评估了这些关联。研究结果表明，每增加一名带薪护理人员，护理对象住院（aRR = 1.24，95% CI 1.10-1.41）和入住 SNF（aRR = 1.28，95% CI 1.06-1.54）的调整风险比 (aRR) 就会增加，增加无薪护理人员后也会出现这种情况（住院：aRR = 1.13，95% CI 1.06-1.20；SNF：aRR = 1.12，95% CI 1.02-1.23）。这些结果表明，可能需要制定政策和方法来提高护理人员的素质和协调性，以支持改善护理对象的预后。
期刊介绍：
Research on Aging is an interdisciplinary journal designed to reflect the expanding role of research in the field of social gerontology. Research on Aging exists to provide for publication of research in the broad range of disciplines concerned with aging. Scholars from the disciplines of sociology, geriatrics, history, psychology, anthropology, public health, economics, political science, criminal justice, and social work are encouraged to contribute articles to the journal. Emphasis will be on materials of broad scope and cross-disciplinary interest. Assessment of the current state of knowledge is as important as provision of an outlet for new knowledge, so critical and review articles are welcomed. Systematic attention to particular topics will also be featured.
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