Iecovich Esther
a Associate Professor, Department of Public Health and Gerontology, Faculty of Health Sciences , Ben-Gurion University of the Negev , Beer-Sheva , Israel.
J Aging Soc Policy. 2016 Oct-Dec;28(4):277-91. doi: 10.1080/08959420.2016.1162657. Epub 2016 Mar 9.
Supportive housing schemes were historically aimed to provide group accommodation for older adults. With the aging of residents, facilities were required to enable them to receive care services in order to allow them to age in place. Thus, different countries and different facilities developed different models of housing with care, reflecting cultural and policy diversities. Despite all of the different models, there are many commonalities among the supportive housing schemes across countries. These include provision of dwelling units and care services provided by either the facility or by external agencies. The aims of this article are threefold: to describe the historical development of the ever-evolving supportive care housing phenomena; to point at variations in models of housing and care within the international context; and to present a new Israeli model that enables residents to privately hire live-in care workers to meet their care needs. This is a unique model in the international context that has not been reported before. The article describes the main ideas of the new model and discusses the challenges that it raises and pinpoints the unresolved issues associated with the presence of live-in care workers employed by residents of sheltered housing that should be addressed.
支持性住房计划在历史上旨在为老年人提供集体住宿。随着居民老龄化，需要相应设施以使他们能够接受护理服务，从而实现就地养老。因此，不同国家和不同设施形成了不同的养老住房模式，反映出文化和政策的多样性。尽管存在各种不同模式，但各国的支持性住房计划仍有许多共同之处。这些共同之处包括提供居住单元以及由设施本身或外部机构提供护理服务。本文的目的有三个：描述不断演变的支持性护理住房现象的历史发展；指出国际背景下住房和护理模式的差异；介绍一种新的以色列模式，该模式使居民能够私人雇佣住家护理人员来满足他们的护理需求。这是国际背景下一种独特的、此前未被报道过的模式。本文描述了新模式的主要理念，讨论了它所带来的挑战，并指出了与受庇护住房居民雇佣住家护理人员相关的未解决问题，这些问题有待解决。
