Kemper P
Division of Long Term Care Studies, Agency for Health Care Policy and Research, Rockville, MD 20857.
Gerontologist. 1990 Dec;30(6):817-24. doi: 10.1093/geront/30.6.817.
Proposals to expand public financing of home care are currently receiving serious consideration. This paper examines what was learned from the Channeling demonstration about the potential of case management agency systems for administering home care benefits. The Channeling experience points to a number of potential advantages: substitution of lower cost for higher cost services, negotiation of lower prices for services, and quality assurance. It also identified potential disadvantages: difficulty controlling participation rates and the high cost of the case management agency system itself.
扩大居家护理公共融资的提议目前正在得到认真考虑。本文探讨了从“渠道化”示范项目中学到的有关病例管理机构系统管理居家护理福利潜力的经验。“渠道化”经验指出了一些潜在优势：用低成本服务替代高成本服务、协商降低服务价格以及质量保证。它还发现了潜在劣势：难以控制参与率以及病例管理机构系统本身成本高昂。
