城市老年人口中社區(qū)養(yǎng)老和機(jī)構(gòu)養(yǎng)老間的轉(zhuǎn)換【外文翻譯】

1、本科畢業(yè)設(shè)計(jì)（論文）外文翻譯原文：原文：TransitionsbetweencommunitynursinghomeresidenceinanurbanelderlyAbstract:Overthecourseofathreeyearobservationstudyperiodsome6%ofarepresentativecommunityresidingurbanelderlypopulationwereadmittedtonursi

2、nghomes.Nearlyhalfofthisgroupwerestilllivinginnursinghomesattheendofthisobservationperiod.Onethirdhaddiedafterenteringthenursinghometheremainingpeoplehadreturnedtotheirownhomesinthecommunity.Thesethreegroupshadsignifican

3、tlydifferentmeanlengthsofstayinnursinghomesnearlytwoyearsfthosewhosestaysweremepermanent50daysfthosewhosestayswereshtterm153daysonaveragefthosewhodiedfollowingadmission.Atbaselinethethreegroupsalsotendedtohavedifferentpa

4、tternsofhealthfunctionalsocialacteristics.Theshttermstayersthosewhodiedfollowingadmissiontoanursinghomedifferedfromrespondentswhodidnotenternursinghomesprimarilyintermsofprilivingarrangementslevelsofsocialsuppt.Theperman

5、entstayersdifferedfromthetwoothernursinghomesubgroupsfromcommunityresidentsinthattheytendedtobeoldermefunctionallymentallyimpaired.Howeveratbaselinetheyappearedatlessrisktoexpirethanthosepeoplewholaterdiedfollowingadmiss

6、iontonursinghomes.Clinicalresearchimplicationsbasedonthesefindingsarediscussed.BackgroundIssuesconcerningtheplaceofnursinghomecareinacontinuumoflongtermcareservicescontinuetooccupytheattentionofhealthcareplannersadminist

7、ratscliniciansresearchers.Thishasbeenthecasefanumberofreasons.Firstmethan1350000elderlyAmericanscurrentlyresideinnursinghomesthenumberofnursinghomebedsnowexceedsthenumberofacutecarehospitalstayamongthoseadmittedtonursing

8、homes.Despitetheseotheradvancesinourknowledgeofthenursinghomeasasocialhealthcareinstitutionitsusebyelderlypopulationssignificantgapsintheprecisionrangeofthisknowledgeremaintobeclosed.Littleisknownfexampleofthedynamicsoft

9、hetransitionfromcommunitytonursinghomeresidencefsomereturntolivinginthecommunity.Ourinabilitytopredicttoidentifymeaccuratelypersonsathighriskofnursinghomeplacementhaslimitedourabilitytoprovidecommunitybasedservicesthatco

10、uldsubstitutepreventnursinghomeplacement.Becausewehaveinfrequentlystudiedrepresentativecommunitypopulationslongitudinallydataonincidenceprevalencearealsolimited.Alongitudinalstudyofhealthhealthcareaginginarepresentativeu

11、rbanpopulationofelderlypersonsresidinginthecommunityprovidedanopptunitytoexplecertainofthetransitionaldynamicsacteristicsoutcomesofstudyparticipantswhowereadmittedtonursinghomesduringthecourseofathreeyearperiodofobservat

12、ion.Inthispaperwepresentfirstourfindingsfromanalysesoftheoccurrencesofnursinghomeadmissionsfollowedbytheresultsofanalysesofthehealthsocialacteristicsofrespondentswhoexperiencedonemenursinghomeadmissions.Sociomedicalacter

13、isticsoftheNursingHomeSubgroupsTheeffttodeterminewhetherthesenursinghomegroupscouldbedistinguishedfromoneanotheraccdingtotheirsociomedicalacteristicsrequiredseveralanalyticsteps.Wefirstcalculatedfeachgroupthemeanvaluesfb

14、aselinesocialdemographiceconomichealthfunctionalsocialsupptmedicalcarevariablesthattheliteraturesuggestedwererelatedeithertoadmissiontolengthofstayinnursinghomes.Thevariableswhichweresignificantlydifferentamongthegroupsa

15、reshowninTable4.OthervariablessuggestedasimptantintheliteraturehadmeansthatwerenotsignificantlydifferentacrossthegroupstherefearenotshowninTable4.Thesevariablesincludedbaselinemeasuresofthenumberofreptedmedicalconditions