Evans L K
University of Pennsylvania School of Nursing, Philadelphia 19104-2676, USA.
J Gerontol Nurs. 1997 Sep;23(9):32-6. doi: 10.3928/0098-9134-19970901-09.
The proportion of older adults in Western European countries, as in the United States, continues to increase rapidly. Faced with geriatric care dilemmas decades earlier, however, these countries have had more experience on which to base the development of community-based, integrated care systems for the elderly. This article provides observations from a 1993 World Health Organization Fellowship study of long-term care facilities in four European countries: Scotland, Sweden, Norway and Denmark. Several emerging trends in geriatric care documented in the literature were confirmed. These included: moratoria on institutional long-term care, emphasis on informal care and support, provision of 24-hour assistance in the home, care management to individualize care, and an expanded set of providers within integrated delivery systems.
与美国一样，西欧国家老年人的比例持续迅速增长。然而，由于这些国家在几十年前就面临老年护理困境，因此在发展基于社区的老年人综合护理系统方面积累了更多经验。本文提供了1993年世界卫生组织奖学金研究对四个欧洲国家（苏格兰、瑞典、挪威和丹麦）长期护理机构的观察结果。文献中记录的老年护理的几个新趋势得到了证实。这些趋势包括：暂停机构长期护理、强调非正式护理和支持、提供24小时居家援助、个性化护理管理以及综合服务系统内更多样化的服务提供者。
