Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA.
J Aging Soc Policy. 2010 Oct;22(4):379-93. doi: 10.1080/08959420.2010.507584.
The purpose of this study was to examine the outreach effort and impact of a joint federal-state campaign, Own Your Future, promoting awareness and planning for long-term care (LTC) in the state of Washington. The study applied survey methodology to evaluate the extent of campaign dissemination, evidence of its impact on LTC planning behaviors, and barriers to purchasing private LTC insurance. A total of 3,198 survey responses from a randomly selected community sample and a Washington State employee sample (ages 51 to 71) were analyzed. Results indicated that the impact of the campaign was limited, both with respect to awareness of the campaign itself and to initiation of LTC planning behaviors. Quantitative data revealed a high prevalence of health-related problems (e.g., obesity, diabetes), inadequate knowledge of basic LTC-related information (e.g., cost, payers), and negative attitudes toward purchasing LTC insurance among respondents. Qualitative analyses suggested that respondents perceived significant problems related to affordability and accountability within the current LTC insurance industry. These possible barriers to the purchase of LTC insurance suggest targets to be addressed by policy makers seeking to find ways to offset the public costs of LTC.
本研究旨在考察一项联邦-州联合活动——“掌控你的未来”（Own Your Future）的外展工作及其对华盛顿州长期护理（LTC）意识和规划的影响。该研究采用调查方法评估了该活动的传播程度、其对 LTC 规划行为的影响证据，以及购买私人 LTC 保险的障碍。对从随机选择的社区样本和华盛顿州员工样本（年龄在 51 至 71 岁之间）中获得的共 3198 份调查回复进行了分析。结果表明，该活动的影响有限，无论是在活动本身的认知度还是在启动 LTC 规划行为方面。定量数据显示，受访者中存在较高的与健康相关的问题（例如肥胖、糖尿病）、对基本 LTC 相关信息（例如成本、支付方）的了解不足，以及对购买 LTC 保险的消极态度。定性分析表明，受访者认为当前 LTC 保险行业存在与可负担性和问责制相关的重大问题。这些购买 LTC 保险的潜在障碍表明，政策制定者需要针对这些问题寻找方法来抵消 LTC 的公共成本。
