Harder W P, Gornick J C, Burt M R
Milbank Q. 1986;64(3):414-41.
In 1972 there were fewer than 10 nonpsychiatric adult day care centers in the United States; by late 1982 there were 1,000 or more. This development of programs as an alternative to nursing home and hospital care of impaired adults has been haphazard. Complications from surveys, field visits, and regulatory agencies reveal a lack of elements for systematic evaluation of the real costs and benefits. Future policies must also recognize that adult day care has become a new service without significantly diminishing institutional use.
1972年，美国非精神病成人日托中心不足10家；到1982年末，此类中心已达1000家或更多。作为对受损成年人疗养院式护理和医院护理的替代方案，这类项目的发展一直很随意。调查、实地考察及监管机构所反映的问题表明，缺乏对实际成本和效益进行系统评估的要素。未来的政策还必须认识到，成人日托已成为一项新服务，但并未显著减少机构护理的使用。
