Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
J Am Med Dir Assoc. 2021 Jul;22(7):1333-1337. doi: 10.1016/j.jamda.2021.04.025. Epub 2021 May 7.
COVID-19 has shone a harsh light on the inequities of health care in the United States, particularly in how we care for older people. We summarize some of the effects of lockdown orders on clients, family caregivers, and staff of adult day service programs throughout the United States, which may serve as a counterpoint to scientific evidence suggesting a lack of efficacy of these programs. Given the ramifications of state lockdown orders for users and staff of the long-term services and support system, we provide recommendations to better support community-based programs and those they serve. Specifically, (1) adult day programs should be classified as essential, (2) a focus on the value of adult day and similar programs is needed, and (3) an exploration of new ways to finance home and community-based services is warranted. Such advances in policy and science would help to integrate adult day services more effectively into the broader health care landscape.
COVID-19 让美国医疗保健的不平等现象暴露无遗，尤其是在我们如何照顾老年人方面。我们总结了美国各地成人日托项目的客户、家庭护理人员和工作人员受到封锁令的一些影响，这可能与科学证据形成对比，这些证据表明这些项目缺乏疗效。鉴于州封锁令对长期服务和支持系统的用户和工作人员的影响，我们提出了一些建议，以更好地支持基于社区的项目及其服务对象。具体而言，（1）成人日托项目应被归类为必要项目，（2）需要关注成人日托和类似项目的价值，（3）有必要探索为家庭和社区为基础的服务提供资金的新途径。此类政策和科学方面的进展将有助于更有效地将成人日托服务纳入更广泛的医疗保健领域。
