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U.S. Long-Term Care Financing in Comparative International Perspective: OldMyths, New Ideas

机译：比较国际视角下的美国长期护理融资：旧的，新思路

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The paper, presented at the April 1990 National Council on Aging Annual Meeting,examines misconceptions regarding how the United States differs from other advanced industrial countries in its financing of long-term care. Reviews of pertinent literature on the topic showed that (1) no country provides comprehensive long-term care services, and in all countries, national health insurance coverage of inpatient long-term care is limited to medically oriented chronic hospital or nursing home care; (2) like the United States, both the Federal Republic of Germany and England employ means testing to determine eligibility for publicly funded institutional care, and Canada, Australia, Norway, Sweden, and Denmark use income-related cost sharing; (3) as in the United States, other countries have difficulties coordinating the financing, organization, and delivery of long-term care services, although Denmark, New Zealand, and some Canadian provinces are making strides in this area; and (4) although some believe that other countries are better at preventing institutionalization because they fund home and community-based services, the United States, the Federal Republic of Germany, and the United Kingdom have the lowest institutionalization rates among Western industrialized countries, from 4% to 5%. France, Belgium, Denmark, Australia, and Canada have institutionalization rates between 6% and 8%, and Sweden, Norway, and the Netherlands have the highest rates, ranging between 9% and 11%.

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