Cox C
Graduate School of Social Service, Fordham University, New York, NY 10023, USA.
J Aging Soc Policy. 1997;9(2):81-99. doi: 10.1300/J031v09n02_07.
The issue of long-term care continues to be a main concern in the United States. As the country wrestles with the development of policies and services, the experiences of Israel, whose system rests upon national insurance, and that of the United Kingdom, which is based on grants to local authorities, can act as valuable teaching aids in the development of programs in the United States. Although both countries focus on community care with virtually universal access, concern over resources is forcing each to target their services increasingly to the most frail. The findings underscore the necessity for accurate planning and adequate resources if services are to meet the needs of the frail elderly population.
长期护理问题在美国仍然是一个主要关切点。在美国努力制定政策和服务的过程中，以色列基于国家保险的体系以及英国基于向地方当局提供拨款的体系所积累的经验，在美国项目的发展中可作为宝贵的借鉴。尽管这两个国家都注重社区护理且几乎人人都能获得，但对资源的担忧正促使它们越来越多地将服务目标对准最脆弱的人群。研究结果强调，如果服务要满足体弱老年人群的需求，精准规划和充足资源是必要的。
