Social insurance financing for long-term care: creative public policy to halt pauperization of the elderly and disabled in nursing homes

1997 ◽  
Vol 20 (2) ◽  
pp. 309-337
Author(s):  
William P. Brandon
Keyword(s):  
Public Policy ◽  
Nursing Homes ◽  
Social Insurance ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

Public Policy Issues Affecting the Homeless in America

1989 ◽  
Vol 11 (1) ◽  
pp. 4-21
Author(s):  
Margaret Boone ◽  
Thomas Weaver
Keyword(s):  
Public Policy ◽  
Long Term Care ◽  
The Elderly ◽  
The United States ◽  
Term Care ◽  
Educational Preparation ◽  
Income Gap ◽  
The Face ◽  
Multiple Issues

The issue of homelessness symbolizes and incorporates some of the most urgent public concerns in the United States today, and for the next several decades. Homelessness represents an intersection of five major public policy areas: first, the issue of growing poverty in the face of industrial prosperity, a widening income gap between rich and poor, and the disparity between educational preparation and occupational requirements; second, the issues raised by lifestyle-related health epidemics such as drug addiction and multi-substance abuse; third, the issue of mental health, which stubbornly remains one of America's major unrecognized health problems, with literally millions of organic, cognitive, personality, and affective disorders left untreated; fourth, the issue of housing, and whether and how the provision of dwellings is central to American requirements for "a human community" and a basic right to "the pursuit of happiness"; and fifth, the multiple issues raised by aging and long-term care, because as the nation's population ages, more and more of the elderly will be at risk for becoming homeless and will exert enormous pressure on government to provide long-term care.

No more nursing homes? Changes in consumer preferences for long-term care facilities following COVID-19

2020 ◽  
Vol 26 (11) ◽  
pp. 276-280
Author(s):  
Amber F Schultz ◽  
Jia Yu
Keyword(s):  
Nursing Homes ◽  
Long Term Care ◽  
Consumer Preferences ◽  
Care Facility ◽  
The Elderly ◽  
Term Care ◽  
Long Term Care Facility ◽  
Medical Disorders ◽  
Care Facilities

Since the first COVID-19 case was discovered in December 2019, over 12.1 million cases have been reported in more than 188 countries and territories. In the USA, the Centers for Disease Control and Prevention has confirmed almost 3.05 million COVID-19 cases, with more than 132 000 deaths. The COVID-19 pandemic has had a particularly dramatic impact on the elderly and those with chronic underlying medical disorders. Before the second outbreak in July, long-term care facilities were the most severely affected in terms of case numbers, especially nursing homes. This article provides information and insight into the potential changes in consumer preferences toward long-term care facility selection and the possible structural change of the long-term care industry in three aspects; structure, conduct and performance.

Long-Term Care of the Elderly: Public Policy Issues.

1986 ◽  
Vol 15 (2) ◽  
pp. 306
Author(s):  
Nancy N. Eustis ◽  
Charlene Harrington ◽  
Robert J. Newcomer ◽  
Carroll L. Estes
Keyword(s):  
Public Policy ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Policy Issues

Long Term Care of the Elderly: Public Policy Issues

1986 ◽  
Vol 7 (4) ◽  
pp. 554
Author(s):  
Harry T. Phillips ◽  
Charlene Harrington ◽  
Robert J. Newcomer ◽  
Carroll L. Estes
Keyword(s):  
Public Policy ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Policy Issues

Psychotropic Drug Utilization in Long-Term-Care Facilities for the Elderly in Ontario, Canada

1999 ◽  
Vol 11 (3) ◽  
pp. 223-233 ◽  
Author(s):  
David K. Conn ◽  
Ian Ferguson ◽  
Krystyna Mandelman ◽  
Carol Ward
Keyword(s):  
Nursing Homes ◽  
Long Term Care ◽  
The Elderly ◽  
The United States ◽  
International Studies ◽  
Prescription Data ◽  
Homes For The Aged ◽  
Term Care ◽  
Care Facilities

Objective: Despite considerable data from a number of countries regarding psychotropic utilization in long-term-care facilities for the elderly, there has been a lack of similar data from Canada. The purpose of this study was to gather prescription data from a series of institutions in Ontario and to compare the results to those of other international studies. Method: Single-day surveys were carried out in six homes for the aged, four nursing homes, two retirement homes, and a veterans' center. The results were compared to those of recent studies from other countries. Results: The data revealed considerable differences in rates of prescription between different classes of institutions and between similarly classified institutions. The prescription rate of neuroleptics ranged from 11.8% (of patients) in retirement homes to 29.8% in nursing homes. Antidepressant use ranged from 12.2% in nursing homes to 24.6% in homes for the aged, and benzodiazepine use ranged from 22.5% in nursing homes to 36.4% in retirement homes. Conclusions: The overall rate of prescription for psychotropic medications was somewhat lower than in most international studies. The rate of prescription of neuroleptics in nursing homes fell in the midrange of studies, somewhat higher than in recent studies from the United States and an earlier Italian study, but lower than in recent reports from Sweden, Austria, and Australia. The rate of neuroleptic use in homes for the aged was comparable to the rate in the U.S. studies. The overall rate of prescription of antidepressants and benzodiazepines appears to be comparable to that in recent studies from other countries.

Dementia Syndromes in Nursing Home Patients

1992 ◽  
Vol 4 (2) ◽  
pp. 241-252 ◽  
Author(s):  
M. Andersson ◽  
C. G. Gottfries
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Depressed Mood ◽  
Long Term Care ◽  
Psychiatric Symptoms ◽  
The Elderly ◽  
Minor Importance ◽  
Term Care ◽  
Nursing Home Patients

Patients (n = 191) living in four comparable somaic nursing homes (NH) (nursing homes for physical illness) were studied in order to evaluate dementia syndromes. Dementia and symptoms of depressed mood occurred frequently (72% and 63%, respectively). Dementia was often undiagnosed at admittance. Neither the length of time spent in institutions, nor marital status, age, or sex seemed to be of more than minor importance to the prevalence of dementia syndromes. Concerning functional impairment, convergence of findings across the societies studied indicates that psychiatric symptoms and psychopathology are intrinsic parts of long-term care of the elderly.

Sign in / Sign up

Export Citation Format

Share Document