Diversion, transition programs target nursing homes' status quo.
Diversion, transition programs target nursing homes' status quo.
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转移、过渡计划针对疗养院的现状。
作者：
S. Reinhard
随着数以百万计的美国人年龄的增长，他们倾向于在限制最少的环境中进行长期护理，政策制定者正在寻找增加社区服务的方法。一项新的联邦项目——“金钱跟随人”——开始进展缓慢，但前景看好。该计划的“下游”方法将居民从养老院转移到社区护理机构。例如，有成熟的养老院过渡计划的州已经成功地将25- 35%的养老院居民安置到辅助生活中。其他成功使用“上游”策略使人们远离养老院的项目并没有被广泛复制。政策制定者面临的挑战是保持资金和灵活性，使养老院不再是老年人和残疾人的默认选择。
As millions of Americans age and exercise their preference for long-term care in the least restrictive environment, policymakers search for ways to increase community-based services. A new federal program--Money Follows the Person--is off to a slow but promising start. The program's "downstream" approach moves residents out of nursing homes and into community care settings. For example, states with mature nursing home transition programs have managed to relocate 25-35 percent of their nursing home residents to assisted living. Other programs successfully using "upstream" strategies to keep people out of nursing homes have not been widely copied. The challenge for policymakers is to maintain funding and flexibility so that nursing homes are no longer the default option for older adults and people with disabilities.