National Long Term Care Channeling Evaluation, 1982-1984

The United States Department of Health and Human Services initiated this survey to demonstrate and evaluate the cost savings and effectiveness of applying a case management approach to community-based long term care services for the frail elderly. The goal of case management is to coordinate and direct community, medical, and informal long term care services to the frail elderly as an alternative to institutionalization. The four main areas of evaluation are: 1) the use of hospitals, nursing homes, and other formal medical services, 2) public and private expenditures on formal community services including case-management, housing, and income transfers, 3) informal care by family and friends, and 4) individual outcomes, including quality of life, physical functioning, unmet service needs, and mortality of the elderly sample members.

美国卫生与公众服务部发起此次调查，旨在展示并评估将案例管理方法应用于基于社区的长期护理服务，以降低脆弱老年人的成本并提高其有效性。案例管理的目标是通过协调和指导社区、医疗及非正式的长期护理服务，为脆弱老年人提供替代机构化的解决方案。评估的主要四个领域包括：1）医院、养老院及其他正式医疗服务的使用；2）包括案例管理、住房及收入转移在内的公共和私人对正式社区服务的支出；3）家庭成员和朋友的非正式护理；4）个体结果，包括生活质量、生理功能、未满足的服务需求以及老年样本成员的死亡率。