Finucane T E, Elon R D, Keenan J M
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Clin Geriatr Med. 1995 Aug;11(3):391-402.
Non-institutional long-term care is a broad, poorly defined, rapidly developing field. The need for it, the technologic ability to provide it, and the amount of money spent on it are all growing. Reconciling the public's reluctance to support social programs with the inevitable overlap of social and medical needs in the care of the frail elderly presents a serious challenge in formulating policy. Medical directors of programs in non-institutional long-term care will have to face governmental constraints and will be responsible for developing and implementing new policy in the future.
非机构性长期护理是一个广泛、定义不清且发展迅速的领域。对其的需求、提供护理的技术能力以及在这方面的资金投入都在不断增长。在制定政策时，要协调公众对社会项目的抵触情绪与照顾体弱老年人时社会需求和医疗需求不可避免的重叠，这是一项严峻的挑战。非机构性长期护理项目的医疗主管将不得不面对政府的限制，并在未来负责制定和实施新政策。
