何帆;谢海雁;裴晓梅;

• 1:中国医学科学院北京协和医学院北京协和医院门诊部
• 2:中国医学科学院北京协和医学院北京协和医院保健医疗部
• 3:清华大学医学院公共健康研究中心

摘要(Abstract)：

<正>全球老龄化社会的发展,使医疗卫生评估体系面临着重大挑战。老年人具有多病共存、多重用药、生理和认知能力下降、衰弱等较强的异质性,容易导致跌倒、失禁、谵妄等不良临床结局,并可能产生因长期照护(long term care,LTC)而带来的巨大经济及社会支持等需求。然而,因资源有限,必须对LTC的各种需求进行科学评估、合理计划,以使医疗和社会资源得到更加合理的分配。

关键词(KeyWords)： 居民评估工具;综合评估;长期照护

Abstract:

Keywords:

基金项目(Foundation): 中央保健第五期科研课题基金(W2013BJ20);; 北京协和医院2013年青年基金

作者(Author): 何帆;谢海雁;裴晓梅;

Email:

DOI:

参考文献(References)：

• [1]Wellens NI,Flamaing J,Moons P,et al.Translation and adaption of the interRAI Suite to local requirements in Belgian hospitals[J].BMC Geriatr,2012,12:53.
• [2]Phillips CD,Hawes C.The interRAI Pediatric Home Care(PEDS HC)Assessment:Evaluating the Long-term Community-Based Service and Support Needs of Children Facing Special Healthcare Challenges[J],Health Serv Insights,2015,8:17-24.
• [3]Morris JN,Belleville-Taylor P,Fries BE,et al.InterRAI long-term care facilities(LTCF)assessment form and user's manual.version 9.1[S/OL].Australian ed.Washington,DC:interRAI,2011:page IV-V.http://catalog.interRAI.org/LTCF-long-term-care-facilities-manual-australian.
• [4]Morris JN,Berg K,Bjorkgren M,et al.InterRAI clinical assessment protocols(CAPs)for use with community and longterm care assessment instruments.version 9.1[S/OL].Australian ed.Washington,DC:interRAI,2010:page IXXI.http://ebooks.interrai.org/product/interrai-clinical-assessment-protocols-caps-for-use-community-longterm-careinstruments-electronic-edition.
• [5]Poss J,Murphy KM,Woodbury MG,et al.Development of the interRAI Pressure Ulcer Risk Scale(PURS)for use in long-term care and home care settings[J].BMC Geriatr,2010,10:67.
• [6]Guthrie DM,Poss JW.Development of a case-mix funding system for adults with combined vision and hearing loss[J].BMC Health Serv Res,2013,13:137.
• [7]Frijters DHM,van der Roest HG,Carpenter LGI,et al.The calculation of quality indicators for long term care facilities in8 countries(SHELTER project)[J].BMC Health Serv Res,2013,13:138.
• [8]Brand CA,Martin-Khan M,Wright O,et al.Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings:study protocol[J].BMC Health Serv Res,2011,11:281.
• [9]Gray L,Dakin L,Counsell S,et al.‘Online’geriatric assessment procedure for olderadults referred for geriatric assessment during an acute care episode for consideration of reliability of triage decisions[J].BMC Geriatr,2012,12:10.
• [10]尹尚菁,杜鹏.老年人长期照护需求现状及趋势研究[J].人口学刊,2012,2:49-56.
• [11]Boorsma M,Joling KJ,Frijters DH,et al.The prevalence,incidence and risk factors for delirium in Dutch nursing homes and residential care homes[J].Int J Geriatr Psychiatry,2012,27:709-715.
• [12]Burrows AB,Morris JN,Simon SE,et al.Development of a minimum data set-based depression rating scale for use in nursing homes[J].Age Ageing,2000,29:165-72.
• [13]Martin L,Poss JW,Hirdes JP,et al.Predictors of a new depression diagnosis among older adults admitted to complex continuing care:implications for the depression rating scale(DRS)[J].Age Ageing,2008,37:51-56.
• [14]Dosa D,Intrator O,Mc Nicoll L,et al.Preliminary derivation of a Nursing Home Confusion Assessment Method based on data from the Minimum Data Set[J].J Am Geriatr Soc,2007,55:1099-1105.
• [15]Berg K,Finne-Soveri H,Gray L,et al.Relationship between interRAI HC and the ICF:opportunity for operationalizing the ICF[J].BMC Health Serv Res,2009,9:47.
• [16]Hsueh IP,Lin JH,Jeng JS,et al.Comparison of the psychometric characteristics of the functional independence measure,5 item barthel index,and 10 item barthel index in patients with stroke[J].J Neurol Neurosurg Psychiatry,2002,73:188-190.
• [17]Glenny C,Stolee P.Comparing the functional independence measure and the interRAI/MDS for use in the functional assessment of older adults:a review of the literature[J].BMC Geriatr,2009,9:52.
• [18]Glenny C,Stolee P,Husted J,et al.Comparison of the responsiveness of the FIM and the interRAI post acute care assessment instrument in rehabilitation of older adults[J].Arch Phys Med Rehabil,2010,91:1038-1043.
• [19]Luo H,Lum TY,Wong GH,et al.Predicting adverse health outcomes in nursing homes:A 9-year longitudinal study and development of the FRAIL-Minimum Data Set(MDS)quick screening tool[J].J Am Med Dir Assoc,2015,16:1042-1047.
• [20]Luo H,Lum TY,Wong GH,et al.The Effect of Depressive Symptoms and Antidepressant Use on Subsequent Physical Declineand Number of Hospitalizations in Nursing Home Residents:A 9-year Longitudinal Study[J].J Am Med Dir Assoc,2015,16:1048-1054.
• [21]Liu JY,Chi I,Chan KS,et al.The reliability and validity of the pain items of the Hong Kong version interRAI community health assessment for community-dwelling elders in Hong Kong[J].J Clin Nurs,2015,24:2352-2354.