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为依赖呼吸机者提供居家护理:一项具有成本效益且人道的公共政策。

Home care for ventilator-dependent persons: a cost-effective, humane public policy.

作者信息

Motwani J K, Herring G M

机构信息

Department of Social Service, New York University Medical Center, Goldwater Memorial Hospital, Roosevelt Island 10044.

出版信息

Health Soc Work. 1988 Winter;13(1):20-4. doi: 10.1093/hsw/13.1.20.

DOI:10.1093/hsw/13.1.20
PMID:3278957
Abstract

The study measured cost-effectiveness of home care for severely disabled persons. Findings support home care as more cost-effective than other alternatives for ventilator-dependent persons. Home care-related policy reform in Medicaid, Medicare, Supplemental Security Income, and subsidized housing, coupled with a coordinated service delivery system, could save millions of public dollars. To accomplish this, policies must accommodate and encourage independent community living for the disabled and the integrity of their families.

摘要

该研究衡量了为重度残疾人提供家庭护理的成本效益。研究结果支持家庭护理比为依赖呼吸机的患者提供的其他替代方案更具成本效益。医疗补助、医疗保险、补充保障收入和补贴住房方面与家庭护理相关的政策改革,再加上协调的服务提供系统,可以节省数百万公共资金。要实现这一点,政策必须适应并鼓励残疾人独立的社区生活及其家庭的完整性。

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