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Public and private responsibilities: home and community based services in the United Kingdom and Germany
Author(s)Joshua M Wiener, Alison Evans Cuellar
Journal titleJournal of Aging and Health, vol 11, no 3, August 1999
Pagespp 417-444
KeywordsServices ; Health services ; Domiciliary services ; Community care ; Management [care] ; Finance [care] ; Health insurance ; Germany ; United States of America ; United Kingdom.
AnnotationIn the late 1980s, the United States (US), the United Kingdom (UK), and Germany had similar systems of financing and delivering long-term care. In contrast to the US, the UK and Germany enacted radical reform: the 1990 National Health Service and Community Care Act altered the financing of long-term care in the UK, and a nationally uniform, non-means-tested social insurance programme was enacted in Germany. This article analyses the post-reform experiences of the two countries with respect to issues of financing, assessment and case management, and the availability of home- and community-based services, policy implications for the US are developed. (AKM).
Accession NumberCPA-990826243 A
ClassmarkI: L: N: PA: QA: QC: WPG: 767: 7T: 8

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