Tetyana P Shippee, Yinfei Duan, Zachary G Baker, Romil Parikh, Taylor Bucy, Eric Jutkowitz
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引用次数: 0
摘要
目标：尽管政策越来越关注家庭和社区服务（HCBS），但人们对其生活质量（QoL）却知之甚少，而生活质量是衡量以人为本的护理的关键指标。本文通过测量消费者自我报告的 QoL 并确定与 QoL 差异相关的因素来弥补这一不足：我们对明尼苏达州 3426 名受访者的 2015-2016 年国家核心指标--老龄和残疾调查进行了分析，利用因子分析确定了潜在的 QoL 领域。多变量回归模型确定了 QoL 领域的预测因素：因子分析确定了三个有效可靠的潜在 QoL 领域：安全感、自我决定和护理体验。年龄较小的残疾消费者（相对于年龄≥65 岁的消费者）、少数种族/民族群体、听力受损的消费者、没有配偶/家庭伴侣的消费者以及不住在消费者自己/家人家中的消费者在各个领域的 QoL 都明显较低（p < .001）：讨论：高龄社区保健服务（HCBS）消费者报告的 QoL 存在差异，因此有必要进行公平改革，以提高高龄社区保健服务（HCBS）的质量，满足日益多样化的消费者群体的需求。
Measuring Consumer-Reported Quality of Life Among Recipients of Publicly Funded Home- and Community-Based Services: Implications for Health Equity.
Objectives: Despite an increased policy focused on home- and community-based services (HCBS), little is known about their quality of life (QoL)-a key measure of person-centered care. This paper addresses this gap by measuring consumers' self-reported QoL and identifying factors associated with disparities in QoL.
Methods: We analyzed the 2015-2016 National Core Indicators-Aging and Disability survey for 3426 respondents in Minnesota, using factor analyses to identify latent QoL domains. Multivariable regression models identified predictors of QoL domains.
Results: Factor analyses identified three valid and reliable latent QoL domains: security, self-determination, and care experiences. Younger consumers with disabilities (versus consumers ≥65 years of age), minoritized racial/ethnic groups, consumers with hearing loss, without a spouse/domestic partner, and not living in consumer's own/family home reported significantly lower QoL in various domains (p < .001).
Discussion: Disparities in HCBS consumer-reported QoL exist, necessitating equitable reforms to improve HCBS quality for its increasingly diversified consumer base.
期刊介绍：
The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.
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