Bishop C E
Heller Graduate School, Brandeis University, USA.
Health Aff (Millwood). 1999 Jul-Aug;18(4):146-55. doi: 10.1377/hlthaff.18.4.146.
Findings from the 1995 National Nursing Home Survey suggest that elderly Americans are reducing their use of nursing home care. The numbers reflect a change in the role of the nursing home, as defined in this survey. By 1995 nursing facilities were increasingly focusing on patients with greater disability and postacute care needs. Preferred alternatives, most notably home-delivered care and assisted living, were likely filling the gap left by declining nursing home use. Better population-based studies are needed to track emerging trends and ascertain whether elders with disabilities are receiving the care they need. Such data could inform development of better public and private financing strategies for long-term care.
1995年全国养老院调查结果表明，美国老年人正在减少对养老院护理的使用。这些数字反映了本次调查所定义的养老院角色的变化。到1995年，护理机构越来越关注残疾程度更高和有急性后期护理需求的患者。首选的替代方案，最显著的是上门护理和辅助生活，可能填补了养老院使用量下降所留下的缺口。需要开展更好的基于人群的研究来跟踪新出现的趋势，并确定残疾老年人是否得到了他们所需的护理。这些数据可为制定更好的长期护理公共和私人融资策略提供参考。
