重新构想养老院：可能的艺术。

Reimagining nursing homes: the art of the possible.

机构信息

Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA.

出版信息

J Aging Soc Policy. 2010 Oct;22(4):321-33. doi: 10.1080/08959420.2010.507509.

DOI:10.1080/08959420.2010.507509

PMID:20924889

Abstract

Long-term care (LTC) needs to be reconceptualized. The current efforts to reinvent the nursing home perpetuate a flawed model of care. The heritage of the nursing home as the dominant model for LTC needs to be reexamined. The basic LTC building blocks--housing, services, and medical care--can be combined in various ways to meet consumers' needs and preferences. We need innovative solutions that can offer reasonable service while recognizing the value of acceptable risk taking. Modest personal care should not come at the price of surrendering one's autonomy.

摘要

长期护理（LTC）需要重新概念化。目前对养老院进行再设计的努力延续了一种有缺陷的护理模式。需要重新审视养老院作为 LTC 主要模式的传统。基本的 LTC 构建块——住房、服务和医疗保健——可以以各种方式组合，以满足消费者的需求和偏好。我们需要创新的解决方案，既能提供合理的服务，又能认识到可接受的风险承担的价值。适度的个人护理不应该以牺牲自主权为代价。