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在美国老年家庭护理中,接近40％的长期护理费用是由个人及其家人直接支付的(u.s.Gen一eral Acclunting office,1995）。被护理者的家庭平均每个月有171元的额外支出,这造成全国护理者每月总共15亿元的开支（NAC/AARP,1997）。残障最严重的人的护理者所要自付的护理费用也就最大,譬如照顾那些至少有两项日常起居活动需要接受护理的人,护理者每月平均花在有关护理方面的支出为357元（占他们月收入的 27％）,而那些照顾只需极少帮助的人的护理者,每月平均只花 95元（NAC/AARP,1997）。
Nearly 40% of long-term care costs in the United States are paid directly to individuals and their families (u.s.Gen-eral Acclunting office, 1995). The average number of caregivers’ families is $ 171 per month, which spends a total of $ 1.5 billion a month for caregivers throughout the country (NAC / AARP, 1997). Caregivers for those with the most severe disabilities also have the greatest cost of nursing care, such as caregivers spending an average of $ 357 on nursing care per month for those who need care at a minimum of two daily living activities Accounting for 27% of their monthly income), while those who care for those who need only very little help spend an average of only $ 95 a month (NAC / AARP, 1997).