title: Institutionalized and the non-institutionalized elderly.
abstract: A survey covering all the elderly over 65 years of age at home and in institutions was made in a rural town of Japan in order to reveal the physical and socio-psychological factors which were related to their current placement status. The proportion of those over 65 in this town is 13%, of which 53% are living either alone or with spouse only, which anticipates the future national trend. Of the 3039 enumerated, 6.0% were hospitalized, 1.5% in the Home for the aged and only one in a Nursing home. As the level of disability became more serious, the proportion institutionalized increased; however, even at the severe level only half were in institutions. This situation could only be understood when the family caring capacity was taken into consideration. Those at home had a greater possibility of having a healthy, not employed caring person. Economic factors were relevant only for the Home for the aged subjects. At the same disability level, the family of the institutionalized expressed a greater subjective burden in caring compared with those at home. A tentative criteria for evaluating institutional care need based on the level of disability and family caring capacity is proposed.
mesh_terms: D000368:Aged; D003625:Data Collection; D006233:Persons with Disabilities; D005190:Family; D006299:Health Services for the Aged; D006707:Homes for the Aged; D006760:Hospitalization; D006801:Humans; D007326:Institutionalization; D009735:Nursing Homes; D012959:Socioeconomic Factors