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Centre for Policy on Ageing | |
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| The closing of a social HMO: a case study | | Author(s) | Lucy Rose Fischer, Walter Leutz, Annice Miller |
| Journal title | Journal of Aging & Social Policy, vol 10, no 1, 1998 |
| Pages | pp 57-76 |
| Source | http://www.tandfonline.com |
| Keywords | Services ; Health services ; Long term ; Interaction [welfare services] ; Closure ; Longitudinal surveys ; United States of America. |
| Annotation | Social health maintenance organisations (SHMOs) integrate acute and long-term care and provide extended-care benefit for older people at risk of institutionalisation in the US. This article reports findings from a case study concerning the termination of the Group Health SHMO in Minnesota. Interviews were conducted with social workers and at-risk older people who had been receiving long-term care through the SHMO. The case study examines the post-SHMO transition and the process of replacing SHMO care co-ordination and long-term care services. Most of the older people and their caregivers indicated that they were "losing ground", that is, they were paying more or getting less care. Some were paying more for less care. Because they tended to switch to private-pay arrangements and to rely more on informal care, it appears that their care system became much less stable after the closing of the SHMO. (RH). |
| Accession Number | CPA-990120247 A |
| Classmark | I: L: 4Q: QK6: 5YW: 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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