Penrod J D, Harris K M, Kane R L
University of Minnesota, School of Public Health, Institute for Health Services Research, Minneapolis, MN 55455, USA.
J Aging Soc Policy. 1994;6(4):21-31.
Empirical studies focusing on the relationship between formal and informal home care do little to quell the fears of policymakers that expanded access to public home care services will result in the withdrawal of informal support. A close examination of the studies designed to measure the withdrawal of informal support justifies this skepticism. Concerns about the withdrawal of informal care may hinder the introduction of more extensive home care benefits. Researchers have come some distance in trying to address this policy question. The conflicting nature of empirical findings, thus far, demonstrates that the answer depends heavily on how the question is framed, how home care is measured and over what time frame, and what sorts of analytic approaches are used to model the relationship between formal and informal community-based care. This article discusses these issues in greater detail and suggests strategies to address these problems in future research.
专注于正式和非正式家庭护理之间关系的实证研究，几乎无法平息政策制定者的担忧，即扩大公共家庭护理服务的可及性会导致非正式支持的减少。对旨在衡量非正式支持减少情况的研究进行仔细审视，证实了这种怀疑态度。对非正式护理减少的担忧可能会阻碍引入更广泛的家庭护理福利。研究人员在试图解决这个政策问题上已经取得了一定进展。迄今为止，实证研究结果相互矛盾，这表明答案在很大程度上取决于问题的提出方式、家庭护理的衡量方式、所涉及的时间框架，以及用于构建正式和基于社区的非正式护理之间关系模型的分析方法类型。本文将更详细地讨论这些问题，并提出在未来研究中解决这些问题的策略。
