Center on Aging, University of Connecticut Health Center, Farmington, Connecticut 06030, USA.
J Aging Soc Policy. 2012;24(3):251-70. doi: 10.1080/08959420.2012.676315.
A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.
一项旨在将长期护理服务从机构向家庭和社区转移的重大努力正在全国范围内展开。本文采用定量和定性方法，确定了从全州范围内为老年人提供家庭和社区服务的计划过渡到长期疗养院的消费者的未满足需求。行政数据、护理经理的记录和焦点小组讨论确定了计划服务差距，这些差距不能充分适应急性健康问题、心理健康问题和紧张的家庭照顾者；其他未满足的需求突出了劳动力不足、交通障碍和有限的支持性住房选择。考虑了国家和州一级的政策影响。
