미국 장기 요양기관 진료 및 장기요양 정책 고찰

Long-term Care Practice and Health Policy in the United States

In the United States, nursing homes have evolved dramatically over the past several years, responding to a variety of government and market-driven forces. The almshouse, common at the turn of the 20th century, has been transformed into a highly-regulated institution for people who often have severe physical and mental disabilities. Nursing homes, more than ever, present the clinician with a set of unique and complex care issues. This review will discuss United States long-term care practice and health policy in the context of population needs, government policy, and reimbursement, and staffing patterns using a patient story.