Raffel N K, Raffel M W
Pennsylvania State University, University Park 16802.
Public Health Rep. 1987 Sep-Oct;102(5):494-500.
Denmark, like the United States and other developed countries, is experiencing an increase in the percentage of dependent elderly in its population. They consume a disproportionate share of health and social services at a time when government is attempting to contain costs. Both countries face similar problems in caring for the elderly--problems of escalating hospital costs, dramatically increased nursing home costs, and insufficient public revenues to cover their entire care. Denmark has developed a wide range of services for the elderly--home help, home nursing, adult day care centers, day nursing homes, and sheltered housing. The response in the United States has taken somewhat different directions, although in both countries home and community services have been expanded as a substitute for expensive institutional care. The possible relevance of the U.S. experience in these areas to Denmark and lessons that the United States might learn from the Scandinavian country are discussed.
与美国及其他发达国家一样,丹麦人口中需照料的老年人比例正在上升。在政府试图控制成本之际,他们消耗了不成比例的健康和社会服务份额。两国在照顾老年人方面都面临类似问题——医院成本不断攀升、疗养院成本大幅增加以及公共收入不足以支付全部护理费用。丹麦为老年人开发了广泛的服务——家庭帮助、家庭护理、成人日托中心、日间疗养院和庇护性住房。美国的应对措施则有所不同,尽管在这两个国家,家庭和社区服务都已得到扩展,以替代昂贵的机构护理。本文讨论了美国在这些领域的经验与丹麦的可能相关性,以及美国可能从这个斯堪的纳维亚国家学到的经验教训。