养老院：改善一个存在缺陷的社区设施。

Nursing homes: improving a flawed community facility.

作者信息

Stotsky B A, Stotsky E S

出版信息

Hosp Community Psychiatry. 1983 Mar;34(3):238-42. doi: 10.1176/ps.34.3.238.

DOI:10.1176/ps.34.3.238

Abstract

The phenomenal growth in the number and population of nursing homes in this country over the past 40 years is a sign of the overreliance on institutional approaches to care for the ill elderly and the underuse of other community alternatives. The authors discuss the reasons for the growth of nursing homes and outline the problems homes have in securing funding and providing appropriate quality care for patients. Two broad approaches to improving care for the ill elderly in the community--finding alternative community placements and improving the nursing homes themselves--are examined, and the need for homes to document the cost-effectiveness and efficacy of their treatments is highlighted.

摘要

在过去40年里，这个国家养老院的数量和入住人数显著增长，这表明在照顾患病老年人方面过度依赖机构护理方式，而其他社区护理选择未得到充分利用。作者讨论了养老院数量增长的原因，并概述了养老院在获得资金和为患者提供适当质量护理方面存在的问题。探讨了改善社区患病老年人护理的两种主要方法——寻找替代性社区安置场所和改善养老院自身条件，并强调了养老院记录其治疗的成本效益和疗效的必要性。