Manton K G
Center for Demographic Studies, Duke University, Durham, NC, USA.
Health Care Manag. 1997 Jun;3(1):177-91.
Demographic changes (including a healthier and aging population), trends in chronic morbidity and disability, and changes in active life expectancy have affected trends in long-term care delivery in the United States. Managed care plans face particular challenges, including creation of mix-based reimbursements and better integration of geriatric and other specialty services.
人口结构变化（包括人口健康状况改善和老龄化）、慢性病发病率和残疾趋势以及健康预期寿命的变化，已经影响了美国长期护理服务的发展趋势。管理式医疗计划面临着特殊挑战，包括制定基于组合的报销方式以及更好地整合老年医学和其他专科服务。
