弥合差距:建设劳动力来满足长期护理需求
1University of Michigan Medical School, 1301 Catherine St., Ann Arbor, MI 48109, USA.
Health affairs scholar
|November 24, 2025
概括
联邦政策正在努力为长期服务和支持 (LTSS) 提供资金. 强制为家庭和社区服务 (HCBS) 提供资金可以动员非正式照顾者,改善需要长期护理的人的获取.
科学领域:
- 卫生政策 卫生政策
- 老年学是指老年学的学科.
- 社会工作 社会工作 社会工作
背景情况:
- 目前的长期服务和支持 (LTSS) 系统在提供可持续的护理和劳动力方面面临挑战.
- 医疗补助受益者,尽管有强制性访问权限,但在获得必要的LTSS时遇到困难.
- 传统的机构护理模式难以满足老龄化人口的需求,越来越依赖非正式的护理人员.
研究的目的:
- 探索家庭和社区服务 (HCBS) 的授权资金如何可以提高获得LTSS的机会.
- 检查动员现有的非正式护理人员劳动力的潜力.
- 解决偏好社区护理和当前系统的局限性之间的差距.
主要方法:
- 评论和政策分析.
- 对LTSS现有的联邦政策和资金结构的审查.
- 探索非正式照顾者的角色和挑战.
主要成果:
- 非正式的照顾者至关重要,但往往没有报酬,平衡工作和照顾.
- 现有的正式LTSS劳动力无法充分支持老龄化人口.
- 家庭和社区服务 (HCBS) 为机构护理提供了首选的替代方案.
结论:
- 对HCBS的授权资金是改善LTSS访问的潜在策略.
- 通过补偿和支持动员非正式照顾者可以加强LTSS系统.
- 向HCBS的政策转变可以更好地与人口的偏好和需求保持一致.
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