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Centre for Policy on Ageing | |
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The evolving balance of formal and informal, institutional and non-institutional long-term care for older Americans
— a thirty-year perspective | | Author(s) | Pamela Doty |
| Journal title | Public Policy & Aging Report, vol 20, no 1, Winter/Spring 2010 |
| Publisher | National Academy on an Aging Society, Winter/Spring 2010 |
| Pages | pp 3-9 |
| Source | http://www.agingsociety.org |
| Keywords | Services ; Health services ; Long term ; Care homes ; Nursing homes ; Domiciliary services ; Community care ; Finance [care] ; Comparison ; Longitudinal surveys ; United States of America. |
| Annotation | Shifting the centre of gravity in the long-term care financing and service delivery system away from institutional care toward home and community-based services (HCBS) has, in one way or another, been a federal policy goal since the late 1970s. 'Long term care: background and future directions', a report published in January 1981 by the Office of Policy Analysis in the Health Care Financing Administration (now known as the Centers for Medicare and Medicaid Services), identified "limited access to services" attributed to public programme "bias toward institutional and skilled medical care" as among the major problems of the US long-term care system (United States Health Care Financing Administration, Office of Policy Analysis, p25). The report also stated that "a consistent theme in policy deliberations on long-term care reform is the desirability of expanding in-home and community-based services" (p31). Over the past three decades, federal and state policymakers have understandably focused most of their attention and reform efforts on publicly-financed long-term care. In recent years, especially, policymakers have defined the goal primarily in terms of "balancing" (or "re-balancing") state long-term care financing and service delivery systems with respect to promoting greater reliance on HCBS rather than institutional care. (RH). |
| Accession Number | CPA-100728201 A |
| Classmark | I: L: 4Q: KW: LHB: N: PA: QC: 48: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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