Topinková E
Kabinet gerontologie a geriatrie Institutu postgraduálního vzdĕlávání ve zdravotnictví, Praha.
Cas Lek Cesk. 1994 Aug 22;133(16):487-90.
A progressive form of long-term care of old people with reduced self-sufficiency is home care. It is an alternative of in-patient care and provides services in the client's home. It combines the advantages of lower cost with the possibility to remain in the domestic environment and keep up social contacts. The most important factors which will substantially increase the need of home care are demographic development, the declining availability of potential care providers and possibilities of the family to ensure care, economic pressure and clients' preference. The present state of home care provision does not meet the demands of society nor individual demands of clients. It is important to create a new model of home care which will form an integral part of the social and health care policy of the state. The author discusses in particular the main principles of this care based on principles of state regulated pluralism.
对于自理能力下降的老年人而言，一种渐进式的长期护理方式是居家护理。它是住院护理的一种替代方式，在客户家中提供服务。它兼具成本较低的优势，以及能够让客户留在家庭环境中并维持社交联系的可能性。将大幅增加居家护理需求的最重要因素包括人口发展、潜在护理提供者的可获得性下降以及家庭提供护理的可能性、经济压力和客户偏好。目前居家护理的提供状况既无法满足社会需求，也不符合客户的个人需求。创建一种新的居家护理模式很重要，这种模式将成为国家社会和医疗保健政策的一个组成部分。作者特别基于国家规范多元主义原则讨论了这种护理的主要原则。
