对老年人长期护理的一种观点。

Health Care Financ Rev. 1988 Dec;Spec No(Suppl):7-15.

Long-term care represents a significant burden to the approximately 7 million elderly in need, their families, and the Medicaid program. Concerns exist about access, quality, cost, and the distribution of the burden of care. In this article each area is discussed, highlighting the principal issues, identifying the unique aspects that pertain to long-term care, and exploring the implications for research and policy development. Future trends, especially the growth of the elderly population, are expected to affect significantly the provision of long-term care. The considerable uncertainty about how these trends may impact on long-term care is described, and the critical role social choice will play in shaping the future long-term care system is emphasized.

长期护理给大约700万需要护理的老年人、他们的家庭以及医疗补助计划带来了沉重负担。人们对护理服务的可及性、质量、成本以及护理负担的分配存在担忧。本文将对每个领域进行讨论，突出主要问题，确定与长期护理相关的独特方面，并探讨对研究和政策制定的影响。预计未来趋势，尤其是老年人口的增长，将对长期护理服务的提供产生重大影响。文中描述了这些趋势可能如何影响长期护理存在的巨大不确定性，并强调了社会选择在塑造未来长期护理体系中将发挥的关键作用。