Miami University, Oxford, OH, USA.
J Appl Gerontol. 2021 Sep;40(9):980-984. doi: 10.1177/0733464820944325. Epub 2020 Jul 27.
Despite the growing proportion of older adults in the United States, federal and state funding for nonmedical supportive services remains limited. To meet increasing demand, some communities across the nation are exploring alternative funding sources for aging services. Although no systematic database exists to track such local programs, through an array of data sources including a national survey, telephone contacts, and a web review, we identified 15 states that are using local funding to support aging services. Communities are using a variety of local revenue streams, such as property tax levies, payroll, and sales taxes to provide services for older adults and/or their family or friend caregivers. There are considerable differences in community approaches including the following: amount of revenue generated, service eligibility criterion, type of services covered, and management infrastructure. Critical policy questions surrounding equity issues within and across states are raised as communities create these alternative funding mechanisms.
尽管美国老年人的比例不断增加，但联邦和州对非医疗支持服务的资金仍然有限。为了满足不断增长的需求，全美一些社区正在探索为老年服务提供替代资金来源。虽然没有系统的数据库来跟踪这些地方项目，但通过一系列数据源，包括全国性调查、电话联系和网络审查，我们确定了 15 个州正在使用当地资金来支持老年服务。社区正在利用各种当地的收入来源，如财产税、工资税和销售税，为老年人及其家庭或朋友护理人员提供服务。社区的方法存在很大差异，包括：产生的收入金额、服务资格标准、涵盖的服务类型和管理基础设施。随着社区创建这些替代资金机制，围绕州内和州际公平问题的关键政策问题也随之产生。
