Kane R A
Division of Health Services Research & Policy, School of Public Health, Minneapolis, MN, USA.
J Aging Health. 1999 Aug;11(3):299-321. doi: 10.1177/089826439901100303.
This article classifies home care goals into two broad categories: therapeutic goals, in which home care providers strive for measurable improvement on parameters of physical, psychological, or social functioning and compensatory (or empowering) goals, in which home care providers strive to provide services to compensate for functional impairment, thus enabling consumers to pursue their own goals. Therapeutic goals are loosely associated with "medical models" of care and compensatory goals with "social models." From a consumer perspective therapeutic and compensatory goals are important, and artificial distinctions between the two should be eliminated. However, this merger should be effected in such a way that therapeutic approaches can be incorporated into programs with relatively low unit costs.
治疗性目标，即居家护理提供者力求在身体、心理或社会功能参数方面取得可衡量的改善；以及补偿性（或赋能性）目标，即居家护理提供者力求提供服务以弥补功能障碍，从而使消费者能够追求自身目标。治疗性目标与护理的“医学模式”联系较为松散，补偿性目标则与“社会模式”相关。从消费者角度来看，治疗性目标和补偿性目标都很重要，应消除两者之间人为的区分。然而，这种合并应以能够将治疗方法纳入单位成本相对较低的项目的方式来实现。
