Ruchlin H S, Morris J N, Gutkin C E, Sherwood S
Health Care Financ Rev. 1989 Spring;10(3):55-65.
Costs of care are presented for elderly persons in five community-based settings. These settings include elderly persons living in their own homes or in group housing and who do or do not receive case-managed home care. Expenditures for care ranged from a low of about $1,100 per year to a high of $4,025. The level of expenditure was directly related to risk of institutionalization and was higher for those receiving case-managed home care. As a majority of the elderly use a substantial amount of care even without case management, the potential for community care demonstration programs to yield significant cost savings appears quite limited.
本文呈现了五种社区环境中老年人的护理成本。这些环境包括居住在自己家中或集体住房中的老年人，他们接受或未接受个案管理的居家护理。护理支出从每年约1100美元的低水平到4025美元的高水平不等。支出水平与机构化风险直接相关，接受个案管理居家护理的老年人支出更高。由于即使没有个案管理，大多数老年人也会使用大量护理服务，因此社区护理示范项目实现显著成本节约的潜力似乎相当有限。
