Coll P P
Department of Family Medicine, University of Connecticut, Hartford 06105.
J Fam Pract. 1993 Apr;36(4):431-5.
As we move toward the 21st century, nursing home care will become an increasingly important part of family practice. The number of nursing home residents will grow, their illnesses will become more acute, and the types of medical services provided by nursing homes will broaden. The fiscal difficulty of providing nursing home care will intensify, and a variety of innovative payment programs will be introduced in an attempt to control costs. The only way these will succeed is by a partial reallocation of health care dollars from expensive high-technology hospital care to less expensive low-technology care in nursing homes. As a result of these changes, hospitals will become more involved in the provision of what were traditionally nursing home services. Nursing homes will be used to a larger extent for medical education, and, under congressional pressure, a shrinking pool of federal research dollars will be more fairly allocated to clinical investigation in this setting.
随着我们迈向21世纪，疗养院护理将成为家庭医疗实践中日益重要的一部分。疗养院居民数量将增加，他们的病情将变得更加严重，疗养院提供的医疗服务类型也将扩大。提供疗养院护理的财政困难将加剧，各种创新的支付计划将被引入以控制成本。这些计划成功的唯一途径是将医疗保健资金从昂贵的高科技医院护理部分重新分配到疗养院中较便宜的低技术护理。由于这些变化，医院将更多地参与提供传统上属于疗养院的服务。疗养院将在更大程度上用于医学教育，并且在国会的压力下，日益减少的联邦研究资金将更公平地分配用于此环境下的临床研究。
