Centre for Policy on Ageing



From medical patients to health care consumers — decisional capacity and choices to purchase coverage and services
Author(s)	M B Kapp
Journal title	Aging & Mental Health, vol 3, no 4, November 1999
Pages	pp 294-300
Source	http://www.tandfonline.com
Keywords	Health services ; Rights [elderly] ; Consumer choice ; United States of America.
Annotation	The US is undergoing a fundamental shift in the finance and delivery of long-term care away from extensive government regulation, and toward greater consumer choice and direction in both the public and private sectors. An enhanced emphasis on consumer choice and control in a competitive marketplace of health insurers, managed care plans and service providers may pose special challenges for older and disabled people. They may be eligible for and dependent on public financing for services, and cognitively and/or emotionally impaired to some extent. This article examines issues concerning evaluation of decisional capacity to act as a health and long-term care consumer in the new marketplace model, as well as questions about surrogate decision-making for those deemed incapable of making choices independently about their health and long-term care. (RH).
Accession Number	CPA-001018203 A
Classmark	L: IKR: WYC: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.