1、中文 3120 字 ,1880 单词， 1 万英文字符 出处 :Howard R. Kelman， Cynthia Thomas， Journal of Community Health ，1990， P105 121 原文： Transitions between community and nursing home residence in an urban elderly Howard R. Kelman， Cynthia Thomas Abstract: Over the course of a three year observation and study period, some
2、 6% of a representative community residing urban elderly population were admitted to nursing homes. Nearly half of this group were still living in nursing homes at the end of this observation period. One third had died after entering the nursing home, and the remaining people had returned to their o
3、wn homes in the community. These three groups had significantly different mean lengths of stay in nursing homes; nearly two years for those whose stays were more permanent, 50 days for those whose stays were shortterm, and 153 days on average for those who died following admission. At baseline, the
4、three groups also tended to have different patterns of health, functional and social characteristics. The short term stayers and those who died following admission to a nursing home differed from respondents who did not enter nursing homes-primarily in terms of prior living arrangements and levels o
5、f social support. The permanent stayers differed from the two other nursing home sub-groups, and from community residents, in that they tended to be older and more functionally and mentally impaired. However, at baseline they appeared at less risk to expire than those people who later died following
6、 admission to nursing homes. Clinical and research implications based on these findings are discussed. Background Issues concerning the place of nursing home care in a continuum of long term care services continue to occupy the attention of health care planners, administrators, clinicians, and researchers. This has been the case for a number of reasons. First, more than 1,350,000 elderly Americans currently reside in nursing homes, and the number of nursing home beds now exceeds the numb
