Harvard Medical School in Boston, Massachusetts, USA.
Health Aff (Millwood). 2010 Jan-Feb;29(1):35-43. doi: 10.1377/hlthaff.2009.0527.
Assisted living has emerged as an important housing and long-term care option for older Americans. To date, development of this sector has occurred largely without government financing or regulation. In this study we used primary data that we collected on county-level assisted living supply to gain a fuller understanding of this sector nationally. Reflecting their reliance on private resources, assisted living facilities are located disproportionately in areas with higher educational attainment, income, and housing wealth. As this sector evolves, policymakers will have to contend with issues related to access to services, public financing, quality of care, and regulatory oversight.
辅助生活已经成为美国老年人的一个重要住房和长期护理选择。迄今为止,这个领域的发展在很大程度上没有得到政府的资金或监管。在这项研究中,我们使用了我们在县级辅助生活供应方面收集的主要数据,以便更全面地了解全国范围内的这一领域。反映出他们对私人资源的依赖,辅助生活设施不成比例地分布在教育程度、收入和住房财富较高的地区。随着这个领域的发展,政策制定者将不得不应对与服务获取、公共融资、护理质量和监管监督相关的问题。