Pilot Study of Assisted Living Facilities in Florida

佛罗里达州辅助生活设施试点研究

• 批准号: 6577011
• 负责人: JILL B QUADAGNO
• 金额: $ 7.3万
• 依托单位: FLORIDA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2004-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6577011
• 关键词: aging; clinical research; data collection methodology /evaluation; frail elderly; functional ability; gender difference; health administration; health care policy; health care service utilization; health services research tag; human subject; income; interview; method development; organized financing; population survey; racial /ethnic difference; residential care facility; rural area; urban area

The specific aim of the project is to pilot test data collection instrument that will enable investigation pf variations in residents' income, race/ethnicity, gender and other individual characteristics (including physical and cognitive status) in assisted living facilities by key characteristics of the facility (size, public/private admission rates, rural/urban location, ownership type). Prior research indicates that ALF placement may be an appropriate substitute for nursing home admission,, for at least some frail elderly people. In efforts to contain the costs of long-term care to the frail elder population, the federal government and state governments have implemented policies that have expanded access to ALFs for low-income frail elders though public subsidies for placement in ALFs. A recent national study, the HHS sponsored National Study of Assisted Living Facilities (NSALF), gathered data only for large (11 or more residents) facilities. These facilities served predominantly affluent, white, women residents who paid privately for their own care. Yet the pilot study investigators preliminary analysis of Florida ALF administrative data indicates that publicly-funded ALF resident admissions are concentrated mainly in small (fewer than 10 residents) facilities. Consequently, high quality empirical data that permits comparison across types of ALFs and residents is important. Because research shows that ALFs placements are appropriate for some frail elders at risk of nursing home admission, and because the public sector funds for long-term care are increasing in the ALF sector, the implications for serving different vulnerable sub-groups of the frail elder populations in different types of ALFs need to be investigated. The pilot will provide the foundation for data collection in a larger study which will provide the empirical basis for investigation of differences among ALF types and the populations they serve. The size and diversity of Florida's elder population and its ALF sector and the significant role that Florida public policy plays in subsidizing ALF admissions make Florida an appropriate site for this pilot study of the interaction between research and public policy.

该项目的具体目的是试验测试数据收集工具，该工具将通过该设施的关键特征来调查居民收入，种族/种族，性别和其他个人特征（包括身体和认知状况）的PF变化（包括身体和认知状况） （规模，公共/私人入学率，农村/城市地点，所有权类型）。先前的研究表明，对于至少一些脆弱的老年人，ALF安置可能是疗养院入院的合适替代品。为了控制脆弱的老年人口长期护理的成本，联邦政府和州政府实施了政策，这些政策扩大了与ALF的访问权限，但通过公共补贴安置在ALFS中。 HHS最近的一项国家研究赞助了国家辅助生活设施研究（NSALF），仅收集了针对大型（11个或更多居民）设施的数据。这些设施主要为富裕的白人居民提供服务，这些妇女居民为自己的照顾而私下支付。然而，对佛罗里达州ALF行政数据的试点研究调查人员的初步分析表明，由公共资助的ALF居民招生主要集中在小型（少于10个居民）设施中。因此，允许对ALF和居民进行比较的高质量经验数据很重要。因为研究表明，ALF的安置适合某些有疗养院入院风险的脆弱长者，并且由于ALF行业的长期护理资金正在增加需要研究不同类型的ALF的种群。飞行员将在一项更大的研究中为数据收集提供基础，该研究将为研究ALF类型及其所服务人群之间的差异提供经验基础。佛罗里达州老年人口及其ALF部门的规模和多样性以及佛罗里达公共政策在补贴ALF招生方面所发挥的重要作用，使佛罗里达成为研究研究与公共政策之间相互作用的试验研究。