Doty P
Milbank Q. 1986;64(1):34-75.
There is little evidence to support the belief--and many policy initiatives flowing from it--that families are less willing or able to provide home care to elderly relatives. Informal care-giving remains at a high level; institutionalization rates have changed little over the past 30 years. But some demographic trends affecting both the elderly and families may change this picture in the future. Proposals for providing cash grants or tax allowances do not get to the heart of the matter.
几乎没有证据支持这样一种观点——以及由此产生的许多政策倡议——即家庭不太愿意或没有能力为年迈的亲属提供家庭护理。非正式护理水平仍然很高；过去30年里，机构收容率几乎没有变化。但一些影响老年人和家庭的人口趋势未来可能会改变这种状况。提供现金补助或税收津贴的提议并没有触及问题的核心。
