Frail Elders Program, Commonwealth Fund, New York City, NY, USA.
Health Aff (Millwood). 2010 Feb;29(2):312-7. doi: 10.1377/hlthaff.2009.0966. Epub 2010 Jan 7.
The "culture change" movement represents a fundamental shift in thinking about nursing homes. Facilities are viewed not as health care institutions, but as person-centered homes offering long-term care services. Culture-change principles and practices have been shaped by shared concerns among consumers, policy makers, and providers regarding the value and quality of care offered in traditional nursing homes. They have shown promise in improving quality of life as well as quality of care, while alleviating such problems as high staff turnover. Policy makers can encourage culture change and capitalize on its transformational power through regulation, reimbursement, public reporting, and other mechanisms.
“文化变革”运动代表了对养老院的思维方式的根本性转变。养老院不再被视为医疗机构，而是以提供长期护理服务为特色的以人为本的住所。文化变革的原则和实践是由消费者、政策制定者和提供者之间对传统养老院提供的护理的价值和质量的共同关注所塑造的。它们在提高生活质量和护理质量方面显示出了希望，同时缓解了诸如高员工流动率等问题。政策制定者可以通过监管、报销、公共报告和其他机制来鼓励文化变革，并利用其变革力量。
