Coolen J A
Tijdschr Gerontol Geriatr. 1984 Jun;15(3):115-24.
This article concerns the possibility of substitution within the health and welfare system for the aged, in particular the possibility of shifting from institutional care (homes for the aged) towards community care (home care programmes). Based on an analysis of the need for support among elderly persons requesting admission into residential homes, it was concluded that such a shift will be possible. Attention was then paid to the planned introduction of more restricted admission-norms as part of old-age-policy in the Netherlands. Of some importance is whether this more strict admission-policy will lead to a decline in the percentage of elderly in residential homes below the existing norm of 7%. This seems unlikely, mainly because most of the aged requesting admission into residential homes already have such a need for support that they will meet the requirements of a more restricted admission policy.
本文探讨了老年保健与福利体系中替代方案的可能性，特别是从机构照料（养老院）转向社区照料（居家护理计划）的可能性。基于对申请入住养老院的老年人的支持需求分析，得出结论认为这种转变是可行的。随后，文章关注了荷兰作为老年政策一部分计划引入的更为严格的入住标准。一个较为重要的问题是，这种更为严格的入住政策是否会导致养老院中老年人的比例降至现有7%的标准以下。但这似乎不太可能，主要是因为大多数申请入住养老院的老年人已经有如此强烈的支持需求，以至于他们将符合更为严格的入住政策要求。
