Challenges of systems of care for frail older persons: the United States of America experience.
Challenges of systems of care for frail older persons: the United States of America experience.
复制标题
体弱老年人护理系统的挑战：美国的经验。
DOI：
10.1007/bf03324444
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发表时间：
2002
影响因子：
4
通讯作者：
Coleman,EricA
中科院分区：
文献类型：
--
作者：
Coleman,EricA
美国日益老龄化和虚弱的人口所伴随的人口和经济需求为发展提供更大一体化和更高质量护理的护理系统提供了令人信服的理由。在提供了支持性的统计数据，阐明了这个国家所面临的挑战，本文然后审查了目前的组织和融资服务相关的照顾体弱的老年人。然而，这些个别服务构成了一个连续的照顾，更多的是默认而不是设计。需要更大程度的一体化，以满足这一需要在多种环境中由不同提供者提供护理的人群的需求。幸运的是，正在实施将急性护理与慢性和长期护理相结合的创新，这使人们有理由希望美国的医疗保健系统正在对这些迫切需要做出反应。
The concomitant demographic and economic imperatives of an increasingly aged and frail population in the United States provide a compelling rationale for the development of systems of care that provide greater integration and improved quality of care. After providing the supporting statistics that illuminate the challenges faced by this country, this article then examines the current organization and financing of services pertinent to the care of frail older adults. These individual services, however, comprise a continuum of care more by default than by design. Greater integration is needed to meet the needs of this population that requires care from different providers in multiple settings. Fortunately, innovations are being implemented that integrate acute care with chronic and long-term care, providing reason for hope that the health care system in the United States is responding to these imperatives.