Oktay J S, Palley H A
School of Social Work, University of Maryland, Baltimore 21201.
Health Soc Work. 1991 May;16(2):110-7. doi: 10.1093/hsw/16.2.110.
Results of a survey of Medicaid personal care programs in 15 states and the District of Columbia in 1987 show that these programs suffer from many problems. Low wages and slow payment make recruitment and retention of qualified workers difficult. Other problems include lack of coordination among agencies, lack of adequate standards for training or supervision of workers, unequal access to programs, and inequities among states. Implications for social workers are discussed.
1987年对15个州和哥伦比亚特区医疗补助个人护理项目的一项调查结果显示，这些项目存在诸多问题。低工资和支付缓慢使得招聘和留住合格员工困难重重。其他问题包括各机构间缺乏协调、对员工培训或监督缺乏适当标准、项目获取机会不平等以及各州之间的不公平现象。文中还讨论了这些问题对社会工作者的影响。
