Travis S S, McAuley W J
College of Nursing and Health Professions, University of North Carolina at Charlotte, USA.
Nurs Econ. 2000 Jan-Feb;18(1):23-8.
Data collected for all 3,992 participants in Maryland's adult day care programs as of December 31, 1993 showed that the majority of clients were supported by publicly supported "welfare" funding sources. The authors examined the differences in characteristics and service needs between the public payer population and private pay patients, including those who were charged on a sliding scale. They found that private pay clients were not dependent on others to "initiate service arrangements when they want and can find them." Private pay clients were twice as likely to be self or family referrals and more likely to be older, white, and living with a spouse or adult child. Private pay patients were also much more likely to have a history of the recent onset of cognitive impairment and associated memory loss but less likely to fall into the more ADL dependent categories. The nuclear families of private pay clients who are primary caregivers are described as the "critical marketing targets" and that services specifically for the cognitively impaired should be developed.
截至1993年12月31日，为马里兰州成人日托项目的所有3992名参与者收集的数据显示，大多数客户由公共支持的“福利”资金来源提供支持。作者研究了公共支付人群与私人付费患者（包括按比例收费的患者）在特征和服务需求方面的差异。他们发现，私人付费客户在“需要且能找到服务时，不依赖他人来启动服务安排”。私人付费客户由自我或家人转介的可能性是其他客户的两倍，而且更有可能年龄较大、为白人且与配偶或成年子女同住。私人付费患者近期出现认知障碍和相关记忆丧失的病史也更为常见，但进入日常生活活动依赖程度更高类别的可能性较小。作为主要照料者的私人付费客户的核心家庭被描述为“关键营销目标”，并且应开发专门针对认知障碍患者的服务。
