Greene V L, Lovely M E, Ondrich J I
All-University Gerontology Center, Syracuse, NY.
Gerontologist. 1993 Apr;33(2):177-89. doi: 10.1093/geront/33.2.177.
We use an integrated model incorporating simple principles of decision analysis and marginal cost analysis to discuss cost-effectiveness of community long-term care services as a substitute for nursing home care. By taking individuals as the unit of analysis and analyzing different types of community services separately, the model defines the targeting issue precisely and permits key policy parameters to be estimated empirically. When applied to data from the National Long Term Care Channeling Demonstration, 41% of those screened into the control group were found to have some potential for net long-term care cost reduction through program services.
我们使用一个整合了决策分析和边际成本分析简单原则的综合模型，来讨论社区长期护理服务替代养老院护理的成本效益。该模型以个体为分析单位，分别分析不同类型的社区服务，精确地界定了目标设定问题，并允许根据经验估计关键政策参数。将该模型应用于国家长期护理分流示范项目的数据时，发现被纳入对照组的人群中，有41%的人通过项目服务具备一定的长期护理净成本降低潜力。
