Harrow B S, Tennstedt S L, McKinlay J B
New England Research Institutes, Watertown, MA 02172, USA.
Gerontologist. 1995 Dec;35(6):803-13. doi: 10.1093/geront/35.6.803.
This article describes the total cost of care, including both informal caregiving and formal services for a cohort of disabled elderly living in the community. The cost of informal caregiving hours was calculated using a market value approach. The total annual cost of caring was estimated to be $9,600. Increased disability was associated with increased costs. High-cost elders were more likely to be severely disabled, live with their caregiver, and become institutionalized. For most elders, even the cost of a complete substitution of informal care for formal services, plus living expenses, was less costly than nursing home care.
本文描述了对一群居住在社区中的残疾老年人的护理总成本，包括非正式护理和正式服务的成本。非正式护理时间的成本是使用市场价值法计算的。每年的护理总成本估计为9600美元。残疾程度的增加与成本的增加相关。高成本的老年人更有可能严重残疾、与照顾者同住并被送进养老院。对于大多数老年人来说，即使完全用正式服务替代非正式护理的成本加上生活费用，也比养老院护理的成本要低。
