Long-term care and a good quality of life: Bringing them closer together
Long-term care and a good quality of life: Bringing them closer together
复制标题
DOI：
10.1093/geront/41.3.293
复制
发表时间：
2001-06-01
期刊：
影响因子：
5.7
通讯作者：
Kane, RA
中科院分区：
文献类型：
--
作者：
Kane, RA
美国的长期护理政策和计划存在一个重大缺陷：它们与养老院护理模式相平衡，无论其技术质量如何，往往与消费者的生活质量差有关。本文提出了生活质量的领域，即安全，舒适，有意义的活动，关系，享受，尊严，自主权，隐私，个性，精神福祉和功能能力。它认为，这些类型的生活质量的结果是最小化在目前的质量评估，并给予信任后，才考虑到健康和安全的结果。五个趋势进行审查，可能会导致一个更以消费者为中心的生活质量的重视：残疾人权利运动，强调消费者的方向，辅助生活的增长，越来越多的关注物理环境，并努力实现文化变革的养老院。在这些趋势的基础上，文章最后提出了超越目前僵局和两极分化的论点，走向更符合良好生活质量的长期护理形式的战略。
Long-term care policies and programs in the United States suffer from a major flaw: They are balanced toward a model of nursing home care that, regardless of its technical quality, tends to be associated with a poor quality of life for consumers. This article proposes quality-of-life domains-namely, security, comfort, meaningful activity, relationships, enjoyment, dignity, autonomy, privacy, individuality, spiritual well-being, and functional competence. It argues that these kinds of quality-of-life outcomes are minimized in current quality assessment and given credence only after health and safety outcomes are considered. Five trends are reviewed that might lead to a more consumer-centered emphasis on quality of life: the disability rights movement, the emphasis on consumer direction, the growth of assisted living, increasing attention to physical environments, and efforts to bring about culture change in nursing homes. Building on these trends, the article concludes with strategies to move beyond current stalemates and polarized arguments toward forms of long-term care that are more compatible with a good quality of life.