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长期护理的面貌变迁。

The changing face of long-term care.

作者信息

Vladeck B C, Miller N A, Clauser S B

机构信息

Health Care Financing Administration.

出版信息

Health Care Financ Rev. 1993 Summer;14(4):5-23.

PMID:10171815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4193350/
Abstract

In this article, we present population estimates of individuals with disabilities and discuss the manner in which the composition of this population is changing. We then highlight aspects of service delivery systems that are evolving in response to the changing long-term care (LTC) population. Following a summary of financing issues, we discuss several cross-cutting issues related to the organization of service delivery, quality assurance (QA), and financing. Current and future Health Care Financing Administration (HCFA) research and demonstrations emerging from these issues are then described.

摘要

在本文中，我们给出了残疾人士的人口估计数，并讨论了这一人群构成的变化方式。然后，我们强调了服务提供系统中因长期护理（LTC）人群变化而不断演变的方面。在总结融资问题之后，我们讨论了与服务提供组织、质量保证（QA）和融资相关的几个贯穿各领域的问题。接着描述了当前及未来源于这些问题的医疗保健财务管理局（HCFA）的研究与示范项目。

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本文引用的文献

1
Financing services for developmentally disabled people: directions for reform.为发育障碍人士提供的金融服务：改革方向
Health Care Financ Rev. 1988 Dec;Spec No(Suppl):103-7.
2
Home care expenses for the disabled elderly.残疾老年人的居家护理费用。
Health Care Financ Rev. 1985 Winter;7(2):51-8.
3
Medicare program expenditures.医疗保险计划支出。
Health Care Financ Rev Annu Suppl. 1992:23-54.
4
National health expenditures projections through 2030.到2030年的国家卫生支出预测。
Health Care Financ Rev. 1992 Fall;14(1):1-29.
5
New Jersey's Medicaid waiver for acquired immunodeficiency syndrome.新泽西州针对获得性免疫缺陷综合征的医疗补助豁免计划。
Health Care Financ Rev. 1992 Spring;13(3):27-44.
6
Medicaid home and community-based waivers for acquired immunodeficiency syndrome patients.为获得性免疫缺陷综合征患者提供的医疗补助居家和社区服务豁免计划。
Health Care Financ Rev. 1990 Dec;Spec No(Suppl):109-18.
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Community-based long-term care for the elderly: evaluation practice reconsidered.基于社区的老年人长期护理：重新审视评估实践
Med Care Rev. 1990 Summer;47(2):221-59. doi: 10.1177/107755879004700205.
8
Estimates of change in chronic disability and institutional incidence and prevalence rates in the U.S. elderly population from the 1982, 1984, and 1989 National Long Term Care Survey.根据1982年、1984年和1989年美国国家长期护理调查得出的美国老年人口慢性残疾变化以及机构发病率和患病率的估计值。
J Gerontol. 1993 Jul;48(4):S153-66. doi: 10.1093/geronj/48.4.s153.
9
Inst-Risk II: an approach to forecasting relative risk of future institutional placement.机构风险II：一种预测未来机构安置相对风险的方法。
Health Serv Res. 1988 Oct;23(4):511-36.
10
Long-term care and AIDS: perspectives from experience with the elderly.
Milbank Q. 1988;66(3):415-43.

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