PURPOSE:Making good consumer decisions requires having good information. This study compared long-term-care recommendations among various types of health professionals. DESIGN AND METHODS:We gave randomly varied scenarios to a convenience national sample of 211 professionals from varying disciplines and work locations. For each scenario, we asked the professional to recommend the appropriate forms of long-term care. RESULTS:Although the professional respondents used the full spectrum of options offered to them, some professionals tended to favor the sector they worked in. Advanced practice nurses recommended day care and homemaking more and adult foster care less. Gerontologists used skilled nursing-facility placement more actively and rehabilitation, homemaking, and home health care less actively. Geriatricians and primary care physicians both favored rehabilitation and skilled nursing-facility care and were both less enthusiastic about assisted living, homemaking, and informal care, but the geriatricians favored day care more than did the primary care physicians. Registered nurses were highly supportive of assisted living, adult foster care, homemaking, and home health care, and they opposed skilled nursing-facility care. Social workers were less likely than other participants to endorse rehabilitation and adult foster care. IMPLICATIONS:Because consumer preference should be a major factor in making long-term-care decisions, many consumers need information about what options may best fit their situation. In the absence of empirical data on which types of long-term care work best for whom, consumers have to rely on expert judgment-but that judgment varies. Clients should be aware that an expert's background (as defined by discipline and work situation) may affect his or her recommendations. Each discipline appears to have its own set of experiences and beliefs that may influence recommendations.

译文

目的:做出正确的消费者决定需要掌握良好的信息。这项研究比较了各种类型的卫生专业人员之间的长期护理建议。
设计与方法:我们为来自不同学科和工作地点的211名专业人员提供了随机变化的情景,以方便他们在全国范围内进行抽样。对于每种情况,我们都要求专业人员推荐适当的长期护理形式。
结果:尽管专业受访者使用了提供给他们的所有选择,但一些专业人士倾向于偏爱他们工作的部门。高级执业护士建议日托和家庭护理更多,而成人寄养则更少。老年学家更加积极地使用熟练的护理设施,而康复,家庭装修和家庭保健的活动则较少。老年医生和初级保健医生都偏爱康复和熟练的护理设施护理,对辅助生活,家庭制作和非正式护理的热情都较低,但是老年医生比初级保健医生更喜欢日托。注册护士高度支持辅助生活,成人寄养,家庭护理和家庭保健,并且他们反对熟练的护理设施护理。与其他参与者相比,社会工作者认可康复和成人寄养服务的可能性较小。
含义:由于消费者的偏好应该是做出长期护理决定的主要因素,因此许多消费者需要有关哪种选择最适合其情况的信息。在缺乏关于哪种类型的长期护理最适合谁的经验数据的情况下,消费者必须依靠专家的判断,但这种判断会有所不同。客户应注意,专家的背景(由学科和工作情况所定义)可能会影响其建议。每个学科似乎都有自己的经验和信念,可能会影响建议。

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