概括
美国过度依赖养老院的老年人护理,这些养老院不适合社会需求. 将重点转移到患者的结果和社区资源上可以提高长期护理的质量.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 社会政策 社会政策 社会政策
背景情况:
- 美国目前的长期护理在很大程度上依赖于养老院.
- 这种类似医院的模式不足以满足老年人的社会需求.
- 需要多样化的社区和机构资源.
研究的目的:
- 批评过度依赖养老院的老年护理.
- 建议从护理活动标准转向基于结果的质量评估.
- 建议一种补偿模式,鼓励积极的患者结果.
主要方法:
- 对当前长期护理系统的结构和局限性的分析.
- 建议提供替代护理模式,包括庇护住房.
- 建议在养老院质量测量和补偿方面进行范式转变.
主要成果:
- 养老院是老龄化固有的社会问题的一个不合适的模型.
- 住房保护和社区资源是可行的替代方案.
- 基于结果的质量评估优于基于活动的标准.
结论:
- 改革长期护理需要多方面的方法,包括社区融入.
- 养老院补偿应与实现预测的患者结果相关联.
- 这有助于提高质量,更好地满足老年人的整体需求.
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