Toward a National Strategy for Long-term Care of the Elderly : a Study Plan for Evaluation of New Policy Options for the Future : Report of a Committee of the Institute of Medicine.

Detalles Bibliográficos
Clasificación:Libro Electrónico
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Washington : Ipswich : National Academies Press, Ebsco Publishing [distributor] 1986 ;
Temas:
Long-term care facilities > United States.
Long-term care of the sick > United States.
Older people > Medical care.
Soins de longue durée > États-Unis.
Personnes âgées > Soins médicaux.
Long-term care facilities
Long-term care of the sick
Older people > Medical care
United States
Acceso en línea:Texto completo
Tabla de Contenidos:
  • TOWARD A NATIONAL STRATEGY FOR LONG-TERM CARE OF THE ELDERLY
  • Copyright
  • Contents
  • PREFACE
  • OVERVIEW
  • SECTION I BACKGROUND AND STUDY RATIONALE
  • FUTURE GROWTH IN LONG-TERM CARE NEEDS
  • The Elderly
  • The Population Under Age 65
  • The Composite Picture
  • LONG-TERM CARE COSTS
  • Annual Costs and Personal Income
  • Misconceptions About Insurance Coverage of Costs
  • NATIONAL LONG-TERM CARE EXPENDITURES7
  • Nursing Home Expenditures
  • Noninstitutional Care Expenditures
  • FINANCING LONG-TERM CARE
  • AVAILABILITY, APPROPRIATENESS, AND QUALITY OF LONG-TERM CARESECTION II STUDY CONCEPT
  • STUDY FOCUS
  • Components of an Optimal Long-Term Care System
  • Achieving Desirable Outcomes
  • STUDY SCOPE
  • Study Population
  • Time Frame
  • SECTION III STUDY APPROACH
  • (1) DEFINING THE PROBLEM
  • (2) NARROWING THE GAP BETWEEN THE DESIRABLE AND THE ACTUAL
  • (3) FINANCING LONG-TERM CARE
  • (4) MAKING LONG-TERM CARE AFFORDABLE
  • (5) CROSS-NATIONAL COMPARISONS: LESSONS FOR THE U.S.
  • (6) IMPLICATIONS FOR THE NONELDERLY DISABLED
  • GENERAL ISSUES
  • ANTICIPATED STUDY OUTCOMESSECTION IV PROPOSED BUDGET
  • LONG-TERM CARE STUDY
  • ASSUMPTIONS
  • Duration
  • Staff
  • Committee Meetings
  • Subcontracts, Commissioned Papers, and Consultants
  • Dissemination
  • Other Costs
  • REFERENCES AND NOTES
  • EXHIBIT A-1 THE CHALLENGE: AN ACCELERATING GROWTH IN LONG-TERM CARE NEEDS
  • THE ELDERLY
  • THE UNDER AGE 65 POPULATION
  • The Developmentally Disabled
  • The Chronically Mentally Ill
  • Other Disabled Persons Under Age 65
  • Future Needs of Under Age 65 Functionally Dependent
  • ESTIMATED OVERALL GROWTH
  • 1980 TO 2000EXHIBIT A-2 HEALTH STATUS, LIFE EXPECTANCY AND LONG-TERM CARE UTILIZATION BY THE ELDERLY
  • THE CHANGING DEMOGRAPHICS
  • Mortality
  • Health Status and Use of Medical Care Services
  • Expenditures for Medical Care
  • Future Morbidity Patterns
  • National Projections
  • Regional Projections
  • Conclusion
  • REFERENCES
  • EXHIBIT B-1 OVERVIEW OF MAJOR PROBLEMS AND ISSUES IN THE EXISTING LONG-TERM CARE SYSTEM
  • INFORMAL CARE
  • Costs and Financing
  • State Initiatives
  • FORMAL INSTITUTIONAL CARE
  • Access and Quality
  • Costs and FinancingState Initiatives
  • FORMAL COMMUNITY SERVICE PROGRAMS
  • Access and Quality
  • Costs and Financing
  • Federal, State and Private Initiatives
  • LONG-TERM CARE FOR THE UNDER AGE 65 POPULATION
  • Chronically Mentally Ill
  • Developmentally Disabled, Including Mentally Retarded
  • Physically Disabled Adults
  • RAPID CHANGES IN THE NATION'S HEALTH CARE STRUCTURE
  • SUMMARY OF CRITICAL ISSUES
  • FRAGMENTATION OF THE SYSTEM: A MAJOR CROSS-CUTTING PROBLEM
  • PROPOSED NEW LONG-TERM CARE FINANCING ALTERNATIVES

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