Brody S J, Masciocchi C
Am J Public Health. 1980 Nov;70(11):1194-8. doi: 10.2105/ajph.70.11.1194.
Planning for the long-term care and support of the elderly is uncoordinated. Although several agenices are charged with the planning role, the Health Systems Agency (HSA) has emerged as the major planning unit. Long-term care planning is currently based on skilled nursing facility (SNF) utilization rates. This limited focus is inappropriate and the data are inconclusive. Population-based data, including levels of functioning, age, and living arrangements of those in need of extended support would provide a more useful approach. Sources for such information are suggested. The HSA should commit itself to population-based planning with special consideration of the mental health needs of the SNF residents, and the function of nursing home auspice. All types of health and social services should be taken into account in planning a system for long-term care and support.
针对老年人长期护理与支持的规划缺乏协调性。尽管有多个机构负责规划工作，但卫生系统机构（HSA）已成为主要的规划单位。长期护理规划目前基于专业护理机构（SNF）的利用率。这种有限的关注点并不恰当，且数据尚无定论。基于人群的数据，包括需要长期支持的人群的功能水平、年龄和生活安排，将提供一种更有用的方法。文中还建议了获取此类信息的来源。HSA应致力于基于人群的规划，并特别考虑专业护理机构居民的心理健康需求以及养老院赞助的作用。在规划长期护理与支持系统时，应考虑所有类型的健康和社会服务。
