Dosman Donna, Keating Norah
Department of Human Ecology, 3-02 Human Ecology Building, University of Alberta, Edmonton, AB, Canada T6G 2N1.
J Aging Soc Policy. 2005;17(2):67-83. doi: 10.1300/J031v17n02_05.
A current emphasis in Canadian public policy is on community care for frail seniors. Such care is viewed as attractive in part because public costs are lower than for traditional nursing home care. Adult Family Living (AFL) is seen as an exemplar of this community focus. Data from a multi-model evaluation of residential continuing care in western Canada are used to show that while AFL programs have lower public costs than nursing homes, AFL caregivers incur high levels of economic and non-economic costs. We address the question of the sustainability of this approach to community-based residential care in light of the apparent transfer of public costs to AFL caregivers.
加拿大公共政策当前的一个重点是为体弱的老年人提供社区护理。这种护理在一定程度上被视为具有吸引力，因为公共成本低于传统的养老院护理。成人家庭生活（AFL）被视为这种社区关注的典范。来自加拿大西部住宅持续护理多模式评估的数据表明，虽然AFL项目的公共成本低于养老院，但AFL护理人员承担着高水平的经济和非经济成本。鉴于公共成本明显转移到AFL护理人员身上，我们探讨了这种基于社区的住宅护理方法的可持续性问题。
