Houben P P
Tijdschr Gerontol Geriatr. 1986 Jun;17(3):111-4.
Recently, March 1986, the Dutch minister of Welfare, Health and Culture offered an important policy report: 'Care of the elderly' to the parliament. Its underlying concept is individualised care. This philosophy, however, is blocked by the also formulated policy goal of cost control and the insufficient elaboration of the goal of stimulating personal responsibility. The individualization of care is also not specified because of the poor analysis of the need of care. The report should further have paid more attention to the need of reinforcing the social position of the elderly. It proposes concrete plans for experiments suitable to the field, especially with the co-operation of homes for the aged and nursing homes and the further development of nursing at home. Whether sufficient financial means will be supplied, however remains questionable. It is also not stated that these experiments should be realised on a low level, near the base, in order to correspond better with the needs and wishes of the consumers of care themselves. The proposed concentration of large research programs concerning the provisions for the elderly and their social position in few research institutions at last is not approved. Also in this field co-operation is recommended for reasons of multiformity, the use of existing--now dispersed--knowledge, and the spread evaluation of many experiments.
最近，1986年3月，荷兰福利、卫生和文化大臣向议会提交了一份重要政策报告：《老年人护理》。其基本理念是个性化护理。然而，这一理念受到了同样制定的成本控制政策目标以及对激发个人责任感目标阐述不足的阻碍。由于对护理需求分析不足，护理个性化也未得到明确规定。该报告本应进一步更加关注加强老年人社会地位的需求。它提出了适合该领域的具体实验计划，特别是与养老院和疗养院合作以及居家护理的进一步发展。然而，是否会提供足够的资金手段仍值得怀疑。报告也未指出这些实验应在基层、贴近实际的低水平上进行，以便更好地符合护理消费者自身的需求和愿望。最后，提议将关于老年人护理及其社会地位的大型研究项目集中在少数研究机构的做法未获批准。同样在这一领域，出于多样性、利用现有的（目前分散的）知识以及对众多实验进行广泛评估的原因，建议开展合作。
