Background Older adults’ use of social care and their healthcare utilization are closely related. Residents of care homes access emergency care more often than the wider older population; however, less is known about emergency care use across other social care settings. Sources of data A systematic review was conducted, searching six electronic databases between January 2012 and February 2022. Areas of agreement Older people access emergency care from a variety of community settings. Areas of controversy Differences in study design contributed to high variation observed between studies. Growing points Although data were limited, findings suggest that emergency hospital attendance is lowest from nursing homes and highest from assisted living facilities, whilst emergency admissions varied little by social care setting. Areas timely for developing research There is a paucity of published research on emergency hospital use from social care settings, particularly home care and assisted living facilities. More attention is needed on this area, with standardized definitions to enable comparisons between studies.

中文翻译：

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社会护理机构对老年人紧急护理使用的差异：国际证据的系统回顾

背景 老年人对社会护理的利用与其对医疗保健的利用密切相关。疗养院的居民比更广泛的老年人口更经常获得紧急护理；然而，人们对其他社会护理机构中紧急护理的使用知之甚少。数据来源 进行了系统审查，检索了 2012 年 1 月至 2022 年 2 月期间的六个电子数据库。 达成一致的领域 老年人从各种社区环境中获得紧急护理。争议领域 研究设计的差异导致了研究之间观察到的巨大差异。增长点 尽管数据有限，但研究结果表明，疗养院的急诊就诊率最低，辅助生活设施的急诊就诊率最高，而社会护理机构的急诊入院率差异不大。适时开展研究的领域 目前，关于社会护理机构（尤其是家庭护理和辅助生活设施）急诊医院使用情况的已发表研究很少。这个领域需要更多的关注，通过标准化的定义来实现研究之间的比较。