Regulating U.S. nursing homes: are we learning from experience?
Regulating U.S. nursing homes: are we learning from experience?
复制标题
监管美国疗养院：我们正在吸取经验吗？
作者：
Kieran Walshe
三十多年来，美国疗养院的护理质量一直是公众关注和政策关注的问题。一个复杂的州许可证和联邦认证管理系统已经到位，但质量差、忽视和虐待病人的问题似乎仍然普遍存在。本文介绍了如何现行的监管制度的发展，检查其影响，并借鉴了更广泛的文献监管概述了一些特点，可能会从其有效性，并导致其令人失望的结果。未来的监管改革应更多地关注其他环境下监管的教训，更多地利用研究和形成性评估。
The quality of care in U.S. nursing homes has been a recurrent matter of public concern and policy attention for more than thirty years. A complex regulatory system of state licensure and federal certification is in place, but problems of poor quality and neglect and abuse of patients still appear to be endemic. This paper describes how the current system of regulation developed, examines its impact, and draws on the wider literature on regulation to outline some characteristics that may have detracted from its effectiveness and contributed to its disappointing results. Future regulatory reform should pay more attention to the lessons of regulation in other settings and make more use of research and formative evaluation.