Eldercare in the United States: Inadequate, inequitable, but not a lost cause
Eldercare in the United States: Inadequate, inequitable, but not a lost cause
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DOI：
10.1080/13545700500115845
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发表时间：
2005-07-01
影响因子：
4.6
通讯作者：
Eaton, SC
中科院分区：
文献类型：
--
作者：
Eaton, SC
像其他形式的护理工作一样，老年人护理经常被认为是理所当然的，被低估了。照顾老人的负担和失败往往不成比例地由妇女承担。本文记录了美国老年人获得不平等和低质量的护理。它认为，用于补贴养老院的公共资金使用不当，养老院行业利润最大化的竞争对所提供的护理质量产生了不利影响。在寻求解决这些问题的过程中，政策制定者可以从几个不同的来源汲取重要的经验教训。几个欧洲国家的经验，马萨诸塞州目前的监管努力，以及更分散的志愿者努力，以促进人性化的老年护理愿景，都为未来带来了一些希望。
Eldercare, like other forms of care work, is often taken for granted and undervalued. The burdens as well as the failures of providing care for the elderly are often borne disproportionately by women. This paper documents inequality of access and low quality of care for the elderly in the United States. It argues that public funds used to subsidize nursing homes are poorly spent and that profit-maximizing competition in the nursing home industry adversely affects the quality of care provided. In seeking to address these problems, policymakers can learn important lessons from several different sources. The experiences of several European countries, current regulatory efforts in the state of Massachusetts, and more decentralized volunteer efforts to promote humane visions of eldercare all offer some hope for the future.