Coughlin T A, McBride T D, Perozek M, Liu K
Health Policy Center, Urban Institute, Washington, DC 20037.
Health Serv Res. 1992 Oct;27(4):453-79.
While interest in publicly funded home care for the disabled elderly is keen, basic policy issues need to be addressed before an appropriate program can be adopted and financed. This article presents findings from a study in which the cost implications of anticipated behavioral responses (for example, caregiver substitution) are estimated. Using simulation techniques, the results demonstrate that anticipated behavioral responses would likely add between $1.8 and $2.7 billion (1990 dollars) to the costs of a public home care program. Results from a variety of cost simulations are presented. The data base for the study was the 1982 National Long-Term Care Survey.
尽管人们对由公共资金资助的残疾老年人居家护理兴趣浓厚，但在采用并资助一个合适的项目之前，一些基本政策问题需要得到解决。本文展示了一项研究的结果，该研究对预期行为反应（例如，护理人员替代）的成本影响进行了估算。通过模拟技术，结果表明预期行为反应可能会使公共居家护理项目的成本增加18亿至27亿美元（1990年美元价值）。文中呈现了各种成本模拟的结果。该研究的数据库是1982年的全国长期护理调查。
