Filinson R
Gerontology Center, Rhode Island College, Providence 02908, USA.
Gerontologist. 1997 Jun;37(3):333-40. doi: 10.1093/geront/37.3.333.
In 1990, Great Britain enacted the National Health Service and Community Care Act to reduce unnecessary institutionalization, improve coordination of community-based long-term care, and stimulate private service provision. An overview of four major principles of the legislation is provided: the elevation of the assessor/care manager role, the emphasis on inter-agency collaboration across the health and social care divide, privatization of service, and support of carers (caregivers). Preliminary findings related to their implementation indicate incremental rather than sweeping change. The elements of the new policy that borrow from American models of community care--and may be difficult to transplant--are highlighted.
1990年，英国颁布了《国民健康服务与社区护理法案》，以减少不必要的机构收容，改善社区长期护理的协调，并刺激私人服务的提供。本文概述了该立法的四项主要原则：评估者/护理经理角色的提升、强调跨越健康与社会护理界限的机构间协作、服务的私有化以及对护理者的支持。与这些原则实施相关的初步调查结果表明，变革是渐进式的，而非彻底的。文中强调了新政策中借鉴美国社区护理模式且可能难以移植的要素。
