...Evelyn Shapiro; Noralou P. Roos This article examines the use of acute beds by the elderly in Manitoba over the five-year period, 1972-1976. The analysis reveals that transfers of long-stay (greater than 90 day) elderly to long-term care facilities took longer in 1976 than in 1972 despite major...

...Robert B. Hudson This article addresses the policy issues and outcomes associated with the block grant option in long-term care (LTC). Block grants are being considered in a number of human service areas currently, especially in the wake of the 1980 elections. The article assumes that Medicaid...

... but one that relates to the creation of new human generations. “Aging” and “long-term” care are similarly apt examples, because these subjects too can be framed to ignore the fact that women live longer than men and tend to be the primary recipients as well as the providers...

...William G. Weissert Recent expansion of Medicaid coverage to home-and community-based long-term care moves that payment program away from its traditional institutional bias. But tension over the appropriate role of home care and fears of budget-busting have caused the current administration to set...

... Certification System files, and the American Hospital Association Survey. Separate Tobit models are estimated for each DRG. The analysis shows that transfers to home health care are heavily influenced by the hospital's long-term care arrangement and by conditions in local nursing home and home health care...

...Robert L. Kane; Rosalie A. Kane Copyright © 1994 by Duke University Press 1994 Implications of the Clinton Health Reform Plan for Older Persons and Long-Term Care Robert L. Kane and Rosalie A. Kane University of Minnesota...

...David Falcone; Robert Broyles Race continues to impede access to health services, for acute as well as long-term care. Whites, for example, use disproportionately more days of nursing home care than do nonwhites, not simply because they are more likely to be private payers and, therefore...

...Theodore R. Marmor Health Reform 2010: The Missing Philosophical Premises in the Long-­Running Health Care Debate Theodore R. Marmor Yale University The American...

...Cynthia Massie Mara Stone Robyn . Long-Term Care for the Elderly . Washington, DC : Urban Institute Press , 2011 . 172 pp. $26.50 paper. © 2013 by Duke University Press 2013 References Stone Robyn I. 2000 . Long-Term Care for the Elderly with Disabilities...

...Frederick R. Eisele; Richard R. Hoke Copyright © 1979 by the Dept. of Health Administration, Duke University 1979 Guest Editorial Health Care Policy and the Elderly: Toward a System of Long-term Care Frederick R. Eisele, The Pennsylvania State University...

...Frank J. Thompson; Joel C. Cantor; Jennifer Farnham Abstract Medicaid is vastly more important than Medicare or private insurance in funding long-term care (LTC). However, states vary tremendously in their commitment to Medicaid LTC. This article advances knowledge of the origins, nature...

...Jon B. Christianson This paper discusses the regulation of long-term care in the United States. First, it addresses alternate models of regulation that potentially could explain both enforcer and provider actions. Then it describes in more detail the incentives for enforcement of regulatory...

...Hirsch S. Ruchlin This study analyzes the failure of current regulatory efforts to elicit an acceptable level of performance in long-term care facilities and proposes a strategy for correcting that failure. Seven factors are identified as being responsible for the failure of current regulatory...

...Karl Pillemer As one solution to the widely perceived “crisis” in the long-term-care system, state and local agencies have developed methodologies which specify the amount and type of long-term-care services needed in an area. This article focuses on need-based methodologies, and criticizes the use...

... supply, but practically useful writing is abundant. University of Massachusetts (Boston) Robert Morris Reviews Karen Davis and Diane Rowland, Medicare Policy: New Directions for Health and Long-Term Care (Baltimore: The Johns Hopkins University Press, 1986), 137 pp., $19.50...

.... In this paper we analyze the potential of using home equity to finance long-term care of the elderly, including payments for home care and for long-term care insurance. We first estimate each homeowner's risk of need for care (and risk of institutionalization) and then calculate the degree to which home equity...

... from it, much as these same factors have long influenced population health more broadly. This represents a learning, and a teachable moment—a once-in-a-generation opportunity to ground health in the broader context that creates health, to make the case for injecting a health conversation in all...

...Edward Alan Miller; Pamela Nadash; Marc A. Cohen Abstract The growing need for long-term services and supports (LTSS) poses significant challenges to both individuals and government. This article documents the continuing failure to tackle this problem at the national level—a failure that was most...

...Charles Brecher; James Knickman This article describes current problems in the financing and delivery of long-term care, and assesses several proposals for reform. Proposed financing changes are found to differ in their objectives, with some reforms seeking to shift from greater to lesser...

... emergency response, but also long-term health care, risk communication, research, and economic assistance. Organizing an effective response challenges government institutions because the issues involved—eligibility for health care,the effects of low-level exposure to toxic agents, stress-related illnesses...