Long-term care preferences of hospitalized persons with AIDS.

Autor:	McCormick, Wayne, Inui, Thomas, Deyo, Richard, Wood, Robert, McCormick, W C, Inui, T S, Deyo, R A, Wood, R W
Předmět:	AIDS ATTITUDE (Psychology) COMPARATIVE studies HEALTH attitudes HOME nursing LONG-term health care LONGITUDINAL method RESEARCH methodology MEDICAL cooperation MEDICAL personnel RESEARCH PATIENT participation EVALUATION research DISCHARGE planning PATIENTS' attitudes PSYCHOLOGY
Zdroj:	JGIM: Journal of General Internal Medicine; Nov1991, Vol. 6 Issue 6, p524-528, 5p
Abstrakt:	Objective: To determine in a cohort of hospitalized persons with AIDS: 1) their preferences for various postdischarge long-term care settings, 2) the postdischarge settings recommended by primary care providers (doctors, nurses, and social workers), and 3) the impact of these views on the resulting discharge dispositions.Design: Prospective cohort study.Setting: Medical wards of five Seattle tertiary care hospitals.Participants: 120 consecutive hospitalized persons with AIDS and their primary care providers.Measurements and Main Results: Although 70 (58%) of the patients found care in an AIDS long-term care facility acceptable, 87 (73%) preferred home care. Thirty-eight (32%) of the cohort were appropriate for long-term care after hospitalization, according to primary care providers. Eleven of the 38 patients deemed appropriate for long-term care were discharged to long-term care settings; among these, three had preferred home care. Likelihood of discharge to long-term care settings increased if patients found it acceptable (OR = 7.1; 95% CI = 3.2, 15.5), if they did not prefer home care (OR = 7.7; 95% CI = 4.7, 13.5), and if providers judged them to be appropriate for long-term care (OR = 29; 95% CI = 13, 64). In unstructured interviews, availability of emotional and medical support and privacy emerged as important factors to persons with AIDS considering long-term care.Conclusions: Hospitalized persons with AIDS willingly express their desires for various postdischarge care settings. A majority find long-term care in AIDS facilities acceptable, although they generally prefer home care. Discharge disposition is associated with acceptability, preference, and appropriateness for long-term care. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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