scholarly journals LONG TERM CARE IN THE U.S.: FROM COMMUNITY TO CORPORATE CONTROL

2016 ◽  
Vol 56 (Suppl_3) ◽  
pp. 456-456
Keyword(s):  
Long Term Care ◽  
Corporate Control ◽  
Term Care ◽  
The U.S

Prevalence and Correlates of Gray Market Use for Aging and Dementia Long-Term Care in the U.S

2021 ◽  
pp. 073346482110236
Author(s):  
Regina A. Shih ◽  
Esther M. Friedman ◽  
Emily K. Chen ◽  
Grace C. Whiting
Keyword(s):  
Rural Areas ◽  
Long Term Care ◽  
Term Care ◽  
Unpaid Care ◽  
Gray Market ◽  
Sociodemographic Correlates ◽  
Nationally Representative ◽  
National Prevalence ◽  
The U.S

Objectives To estimate the national prevalence and sociodemographic correlates of gray market utilization, consisting of paid providers who are unrelated to the recipient, not working for a regulated agency, and potentially unscreened and untrained, for aging and dementia-related long-term care. Methods We surveyed a nationally representative sample of 1,037 American Life Panel respondents aged 18 years and older. Results Nearly a third of Americans who arranged paid care sought gray market care for persons with dementia, and most (65%) combined it with unpaid care. Respondents who arranged gray market care had 66% lower odds of currently working, and those living in rural areas had an almost 5-times higher odds of arranging dementia gray market care. Discussion Gray market care represents a substantial proportion of paid, long-term care for older adults and may fill gaps in access to care.

Long-Term Care Spending Relevant to U.S. Medicaid Expansion

2018 ◽  
pp. 46-70
Author(s):  
Mary Schmeida ◽  
Ramona Sue McNeal
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
The U.S

The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.

scholarly journals Trends in Antipsychotic and Mood Stabilizer Prescribing in Long-Term Care in the U.S.: 2011–2014

2020 ◽  
Vol 21 (11) ◽  
pp. 1629-1635.e8 ◽  
Author(s):  
Lauren B. Gerlach ◽  
Helen C. Kales ◽  
Hyungjin Myra Kim ◽  
Julie P.W. Bynum ◽  
Claire Chiang ◽  
...  
Keyword(s):  
Long Term Care ◽  
Mood Stabilizer ◽  
Term Care ◽  
The U.S

scholarly journals EAST MEETS WEST: IMPROVING HEALTH AND LONG-TERM CARE FOR OLDER ADULTS IN THE U.S. AND CHINA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S243-S244
Author(s):  
Bei Wu ◽  
Jie Hua Lu
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Long Term Care ◽  
Panel Discussion ◽  
Community Dwelling ◽  
Term Care ◽  
Spousal Caregiving ◽  
Pragmatic Clinical Trials ◽  
The U.S

Abstract As the number of older adults in the U.S. and China continues to increase, promoting healthy aging is essential for individuals, family, and society. Both countries face many similar issues due to their aging populations, including prolonging healthy life expectancy and providing quality of care. However, the change in demographics brings with it unique challenges for both the U.S and China. This forum invites scholars and researchers from these two countries to share their knowledge and insights on promoting healthy aging and improving care for older adults. This forum includes five presentations and one-panel discussion. Two presentations will focus on long-term care (LTC) in China, one is to forecast the needs of LTC in the next five decades, and the other is to evaluate the current LTC needs and discuss LTC policy. Using the data from the Health and Retirement Study, the third presentation aims to re-conceptualize spousal caregiving as a dyad-level phenomenon and provides a dynamic view of the spousal caregiving experiences. The last two presentations will focus on promoting healthy aging through clinical interventions. The fourth one is to evaluate the effectiveness of adaptive computer-based cognitive training among community-dwelling older adults in China. The last presentation provides some examples of using pragmatic clinical trials to improve the care of older adults in skilled nursing facilities in the U.S. After the five presentations, the three panelists will provide feedback to the presentations and share their views on healthy aging with the audience.

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