长期照护模式对脆弱老年人健康结局的影响研究

项目名称： 长期照护模式对脆弱老年人健康结局的影响研究

项目编号： No.71303138

项目类型： 青年科学基金项目

立项/批准年度： 2014

项目学科： 管理科学

项目作者： 王翠丽

作者单位： 山东大学

项目金额： 20万元

中文摘要： 长期照护模式即老年人在家庭-社区或机构环境中接受照护，服务效果是老年人群特征、环境和提供的实际服务相互作用的结果。对不同长期照护模式下老年人健康结局的比较效果研究，将为其体系优化提供理论和科学依据。本研究采用理论分析和实证研究的方法，进行不同长期照护模式下老年人群特征、老年人健康轨迹的比较研究，以揭示不同模式服务相同特征老年人群的程度及对其健康带来的相对好处和危害，解决识别有效的长期照护模式的关键问题。本研究将以比较效果研究中PICOTS框架作为理论基础，应用前瞻性队列准实验研究设计，追踪1年，采取现场调研方法实证分析。现场调查将在济南市三个行政区开展，社区卫生服务机构、养老机构、老年人、家庭主要照顾者为主要研究对象。调查将采用访谈、问卷、档案调查的方式收集资料。本课题在国内首次开展长期照护直接比较效果纵向研究，并探索解决选择偏倚的边界分析技术，这将有助于丰富长期照护体系研究。

中文关键词： 长期照护；老年人；健康；机构照护；家庭-社区照护

英文摘要： Long term care (LTC) for older adults is delivered in institutional settings such as nursing homes (NHs) or through community-based services (HCBS). Outcomes in LTC are a result of a complex interplay between the characteristics of older adults, the environment, and the actual services delivered. The comparative study on the impact of LTC delivered in NHs and HCBS settings may contribute to in-depth understanding relevant policy issues.This study aims to directly compare LTC for older adults in NHs and HCBS settings by evaluating characteristics of older adults served in NHs and HCBS, the impact of NHs or HCBS care on outcome trajectories of older adults. Well-established prospective cohort study and quasi-experiments will be used. Data were collected from three districts in Jinan, Shandong Province, an eastern area in China. A mixed methods measure will be used. Quanitative data will be collected on sociodemographic characteristics and a range of outcomes in physical fucntion, cognition, mental health/affect, harms, quality of life and satisfaction for older adults, and characteristics for NHs and community health centers and outcomes in strain and health affects related to family caregivers. In-depth interview on the progress and challenge of LTC and experience in providing and receiving LTC will be conducted

英文关键词： long-term care；elderly；health；insititutional care；home and community-based care