Day P, Klein R
Centre for the Analysis of Social Policy, University of Bath.
Milbank Q. 1987;65(3):303-47.
Britain and the United States alike face the question of how best to protect the growing and vulnerable population of nursing home residents through State regulation of private institutions. Despite marked differences in scale, organization, and financing between the two nations, there are striking similarities in the problems encountered and in styles of enforcement adopted in response. Analysis of the regulatory systems in practice shows a convergence in the regulatory process despite the dissimilarities between formal regulatory models. Both systems are responding--however imperfectly--to the social environment of nursing home care. Future regulatory policy will have to encompass formal and informal, legal and social control.
如何通过国家对私立机构的监管,以最佳方式保护日益增多且易受伤害的养老院居民群体。尽管两国在规模、机构设置和资金筹集方面存在显著差异,但在遇到的问题以及相应采取的执法方式上却有惊人的相似之处。对实际监管体系的分析表明,尽管正式监管模式不同,但监管过程却趋于一致。这两种体系都在——无论多么不完善地——应对养老院护理的社会环境。未来的监管政策将不得不涵盖正式和非正式、法律和社会控制。