Kane Robert L
University of Minnesota School of Public Health, Minneapolis 55455, USA.
J Aging Soc Policy. 2005;17(4):1-18. doi: 10.1300/J031v17n04_01.
Long-term care (LTC) for older persons is based on the wrong foundations. It is too wedded to protection and not directed enough to maximizing personal goals. Tinkering at the margins will not suffice. Bigger, bolder steps are needed. A first step is to re-examine the goals of such care and the tools we have at hand to meet them. We need to re-examine the major elements of what we have taken for granted. A number of forces must be harnessed, and in some cases effort must be redistributed. Effective collaboration will depend on shared goals. Unless LTC is viewed as something that is desired, we will never receive more than reluctant support from any quarter. Good care must be seen as making a difference; that difference can be in function or in quality of life; it may be as subtle as slowing decline, but it must be made apparent to be appreciated.
老年人的长期护理基于错误的基础。它过于执着于保护，而在最大化个人目标方面的导向不足。在细枝末节上修修补补是不够的。需要采取更大、更果敢的举措。第一步是重新审视此类护理的目标以及我们手头用以实现这些目标的工具。我们需要重新审视那些我们习以为常的主要因素。必须利用多种力量，在某些情况下还必须重新分配力量。有效的协作将取决于共同的目标。除非长期护理被视为人们所期望的事情，否则我们永远无法从任何方面获得比勉强支持更多的东西。优质护理必须被视为能带来改变；这种改变可以体现在功能方面或生活质量方面；它可能像减缓衰退一样细微，但必须使其显现出来才能得到认可。
