Growing Older and Getting Wiser

2019 ◽  
Vol 33 (1) ◽  
pp. 35-41
Author(s):  
Nancy S. Jecker ◽  
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Long Term Care ◽  
Supportive Services ◽  
Term Care ◽  
Older Americans ◽  
Ethical Argument ◽  
The U.S ◽  
Ethical Perspectives

Health care reform to provide long-term care supportive services for growing numbers of older Americans presents ethical, cultural, and political challenges. This paper draws lessons from Japan, the world’s oldest nation, to develop an ethical argument in support of enacting public long-term care in the U.S. Despite cultural and political challenges, the paper shows that the ethical case for reform is strong, with broad ethical support from a range of ethical perspectives.

Health Care Reform in the 1990s: Where Does Long-Term Care Fit In?

1994 ◽  
Vol 34 (3) ◽  
pp. 402-408 ◽  
Author(s):  
J. M. Wiener ◽  
L. H. Illston
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Long Term Care ◽  
Term Care

Humane Care: Seeing the Person Behind the Patient—A Case Study

2011 ◽  
Vol 12 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Sarajane Brittis
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Cost Effective ◽  
Vital Role ◽  
Term Care ◽  
Older Americans ◽  
Care Services ◽  
Care Recipients ◽  
Adult Day Health Care

This article is about the importance of retaining a focus on the humanity of older adults while rendering care to them through community and long-term care services. It is written from my experience as a director of a community service (Adult Day Health Care [ADHC] program), a program officer at a foundation devoted to improving health care for older Americans, a researcher who spent years conducting interviews with staff workers in long-term care services, and from the perspective of a professional and personal caregiver and friend to many elders living in the community—in their own homes and in nursing homes. From these diverse professional and personal roles and perspectives, I have learned that the formation of authentic human relationships, which go beyond the routine medical, nursing, and social work approach to care, can play a vital role in healing and addressing loneliness in elders—and transform the lives of their personal and professional caregivers as well. A focus on humanity need not cost money or place a heavy demand on the worker. In fact, it can be one of the most cost-effective approaches to improving quality in health care, attracting workers to the field of long-term care, and boosting the morale of both caregivers and care recipients.

Health Care Reform and Long-Term Care

1994 ◽  
Vol 19 (3) ◽  
pp. 223-226
Author(s):  
Sharon M. Keigher
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Long Term Care ◽  
Term Care

scholarly journals Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 704-704
Author(s):  
Yuchi Young ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Systems ◽  
Long Term Care ◽  
The United States ◽  
World Population ◽  
Term Care ◽  
The Usa ◽  
Aged Society

Abstract The world population is aging. The proportion of the population over 60 will nearly double from 12% in 2015 to 22% in 2050. Global life expectancy has more than doubled from 31 years in 1900 to 72.6 years in 2019. The need for long-term care (LTC) services is expanding with the same rapidity. A comprehensive response is needed to address the needs of older adults. Learning from health systems in other countries enables health systems to incorporate best long-term care practices to fit each country and its culture. This symposium aims to compare long-term care policies and services in Taiwan, Singapore, and the USA where significant growth in aging populations is evidenced. In 2025, the aging population will be 20% in Taiwan, 20% in Singapore and 18 % in the USA. In the case of Taiwan, it has moved from aging society status to aged society, and to super-aged society in 27 years. Such accelerated rate of aging in Taiwan is unparalleled when compared to European countries and the United States. In response to this dramatic change, Taiwan has passed long-term care legislation that expands services to care for older adults, and developed person-centered health care that integrates acute and long-term care services. Some preliminary results related to access, care and patterns of utilization will be shared in the symposium. International Comparisons of Healthy Aging Interest Group Sponsored Symposium.

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.

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