Managed care for the elderly in the United States: outcomes to-date and potential for future growth

Health Policy ◽  
1997 ◽  
Vol 41 ◽  
pp. S145-S162 ◽  
Author(s):  
Anne Doyle ◽  
Jean Masland
Keyword(s):  
United States ◽  
Managed Care ◽  
The Elderly ◽  
The United States ◽  
Care For The Elderly ◽  
Future Growth

Bed-Ridden Elderly in Japan: Social Progress and Care for the Elderly

1998 ◽  
Vol 46 (2) ◽  
pp. 157-170 ◽  
Author(s):  
Kaori Imai
Keyword(s):  
United States ◽  
The Elderly ◽  
Developed Countries ◽  
The United States ◽  
Social Progress ◽  
Elderly Persons ◽  
Care For The Elderly ◽  
Social Welfare Services ◽  
Care Workers ◽  
Demand For Health

The demand for health care and social welfare services for the elderly has increased and in Japan, there is a need in the social system to improve the quality of life, especially for those who are disabled. This article directs attention to bed-ridden elderly persons from the standpoint of social problems attending economic development and population changes based on data from Japan, the United States, Sweden, and OECD countries. Compared to the United States, there are more bed-ridden elderly in Japan, and inadequate public resources for caring. Physicians, nurses, care workers, and rehabilitation specialists such as physiotherapist and occupational therapist per 1000 aged sixty-five or over are 89.5 in Japan while 237.4 in Sweden. Japan has the fewest such health and welfare personnel among developed countries. Even with increases in such personnel through the New Gold Plan, future increase in aged population would off-set the effect and the problem of providing care for the elderly remains.

On Being Old and Sick: The Burden of Health Care for the Elderly in Canada and the United States

1992 ◽  
Vol 17 (4) ◽  
pp. 763-782 ◽  
Author(s):  
Morris L. Barer ◽  
Clyde Hertzman ◽  
Robert Miller ◽  
Marina V. Pascali
Keyword(s):  
United States ◽  
Health Care ◽  
The Elderly ◽  
The United States ◽  
Care For The Elderly

scholarly journals Response: Re: Cost of Care for the Elderly Cancer Patients in the United States

2008 ◽  
Vol 100 (19) ◽  
pp. 1413-1414
Author(s):  
K. R. Yabroff ◽  
E. B. Lamont ◽  
J. L. Warren ◽  
M. L. Brown
Keyword(s):  
United States ◽  
Cancer Patients ◽  
The Elderly ◽  
The United States ◽  
Cost Of Care ◽  
Elderly Cancer Patients ◽  
Care For The Elderly

Will For-Profits Keep Up the Pace in the United States? The Future of the Program of All-Inclusive Care for the Elderly and Implications for Other Programs Serving Medically Vulnerable Populations

2020 ◽  
pp. 002073142096394
Author(s):  
Lori Gonzalez
Keyword(s):  
United States ◽  
Cost Effective ◽  
The Elderly ◽  
The United States ◽  
For Profit ◽  
Care Access ◽  
Care For The Elderly ◽  
Department Of Health ◽  
Final Rule ◽  
Profit Status

The Program of All-Inclusive Care for the Elderly (PACE) has provided, for more than 4 decades, high-quality, cost-effective medical and social care to older people in the United States under nonprofit ownership. Recent rulings by the Centers for Medicare & Medicaid Services (CMS), however, will fundamentally change the initial intent and operation of the program. CMS’s final rule (4168-F) removes the provision that PACE operators be nonprofit. This article provides the legislative background for the final ruling and critiques the study that was used to justify the removal of the nonprofit provision. Although the Balanced Budget Act of 1997 listed a number of requirements for evaluating for-profit PACE programs, the secretary of the Department of Health and Human Services did not follow them before establishing for-profit PACE sites as permanent providers. It also argues that the ruling was made without much evidence that for-profit compared to nonprofit operators can provide a similar level of quality of care, access, and cost-effectiveness and urges policymakers to increase regulatory accountability, given what we know about other shifts in profit status and health care.

“I Don’t Do It for the Money”

2021 ◽  
pp. 150-156
Author(s):  
Richard Schweid
Keyword(s):  
United States ◽  
Home Health Care ◽  
The Elderly ◽  
The United States ◽  
Home Health ◽  
Unskilled Labor ◽  
Term Care ◽  
Care For The Elderly ◽  
To Receive

This chapter highlights the need for public policy to change how we value the work of home health aides (HHAs). Communities continue to relegate the work that HHAs do to the category of menial labor, when in fact it is something much more important and difficult to do well, more a profession than unskilled labor. In 2019, the number of HHAs for elderly Americans fell far short of those needed in many locales. Mean-spirited, xenophobic immigration policies may soon further reduce the numbers of people who are available to care for the elderly. Without enough people to do this work, the United States will move deeper into a second-rate nationhood. If there are not enough aides to go around, private-pay care will grow more expensive, and public long-term care at home will be reduced or eliminated for many, while wait times to receive what care is left will increase. Ultimately, people's lives will be of less quality than they might have been, and they may die sooner than necessary. The chapter then outlines a number of specific plans which have been elaborated to show how a better system of home health care might be funded in the United States.

Voices of the Next Generation

2019 ◽  
pp. 491-506
Author(s):  
Elizabeth Corcoran ◽  
Sarah LaFave ◽  
Denny Fe Garcia Agana ◽  
Haleigh Kampman ◽  
John C. Penner ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Food Insecurity ◽  
Population Health ◽  
Interdisciplinary Collaboration ◽  
The Elderly ◽  
The United States ◽  
The Third ◽  
Care For The Elderly

This chapter presents a number of personal perspectives on experiences and thoughts on collaborative population health projects that have taken place. It presents a number of essays that look at slightly different aspects of the topic. The first essay focuses on the team of professionals who are involved in such projects. The second essay looks at care for the elderly. The third essay gives a very personal account of hopes to make a difference in population health. The next essay looks at employment and public health. The fifth essay is about food insecurity. The essay that follows looks at the role of the pharmacist. The seventh essay considers interdisciplinary collaboration for improving health in the United States.

Accessibility of Health Care for Elderly Mexicans Living in Ciudad Juarez, Mexico

1992 ◽  
Vol 13 (3) ◽  
pp. 265-276
Author(s):  
Mary Hoyte Sizemore
Keyword(s):  
United States ◽  
Health Care ◽  
Access To Health Care ◽  
Trade Agreement ◽  
The Elderly ◽  
The United States ◽  
Border Region ◽  
Ciudad Juarez ◽  
Care For The Elderly ◽  
Access To Health

The issue of access to health care for the elderly and the quality of that care is of growing importance not only in the United States but also in less developed nations such as Mexico. An area of special interest is the U.S.-Mexico border region, where an increasing number of people are relocating to seek jobs they believe will open up as the North American Free Trade Agreement (NAFTA) loosens trade barriers. Workers flocking to the border often bring their families, including elderly relatives. This study examines a sample of lower-middle and mid-middle class Mexicans aged sixty to eighty-nine who reside in the border city of Ciudad Juárez, focusing on the principal ailments which affect these individuals and available treatment. A concluding section makes brief comparative remarks on access to health care for the elderly in Mexico and in the United States.

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