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OCR for page R1
TOWARD A NATIONAL STRATEGY FOR LONG-TERM CARE OF 1~E ELDERLY
A STUDY PLAN
FOR
EVALUATION OF NEW POLICY OPTIONS FOR THE FUTURE
Report of a committee
of the Institute of Medicine
April 1986
INSTITUTE OF MEDICINE
NATIONAL ACADEMY OF SCIENCES
OCR for page R2
NOTICE The project that is the subject of this report was approved by
the Governing Board of the National Research Council, whose members are
drawn from the Councils of the National Academy of Sciences, the
National Academy of Engineering, and the Institute of Medicine. The
members of the Committee responsible for the report were chosen for
their special competencies and with regard for appropriate balance.
This report has been reviewed by a group other than the authors
according to procedures approved by a Report Review Committee
consisting of members of the National Academy of Sciences, the National
Academy of Engineering, and the Institute of Medicine.
The Institute of Medicine was chartered in 1970 by the National Academy
of Sciences to enlist distinguished members of appropriate professions
in the examination of policy matters pertaining to the health of the
public. In this, the Institute acts under both the Academy's 1863
congressional charter responsibility to be an advisor to the Federal
Government, and its own initiative in identifying issues of medical
care, research, and education e
This volume is the final report of a planning study conducted under
grants from the American Medical Association, the American Nurses'
Association, and the Henry J. Kaiser Family Foundation, contracts with
the Health Care Financing Administration, the National Institute on
Aging, and support from the National Research Council Fund, a pool of
private, discretionary, nonfederal funds that is used to support a
program of acadPmy-initiated studies of national issues in which
science and technology figure significantly. The NRC Fund consists of
contributions from a consortium of private foundations including the
Carnegie Corporation of New York, the Charles E. Culpeper Foundation,
the William and Flora Hewlett Foundation, the John D. and Catherine T.
MacArthur Foundation, the Andrew W. Mellon Foundation, the Rockefeller
Foundation, and the Alfred P. Sloan Foundation; the Academy Industry
Program, which seeks annual contributions from companies that are
concerned with the health of U.S. science and technology and with
public policy issues that have technological content; and the National
Academy of Sciences and the National Academy of Engineering endowments.
2101 Constitution Ave., N.W.
Washington, D.C. 20418
Publication IOM-85-05
OCR for page R3
TOM Committee to Plan
A Major Study of National Long-Term Care Policies
Linda H. Aiken, (Chairman), Vice President, The Robert Wood
Johnson Foundation, Princeton, New Jersey
Patricia G. Archbold, Professor, The Oregon Health Sciences
University, School of Nursing, Portland, Oregon
Robert M. Ball, Visiting Scholar, Center for the Study of Social Policy
Washington, D.C.
Walter M. Bortz II, Palo Alto Medical Foundation, Palo Alto, California
Rhetaugh G. Dumas, Dean and Professor, School of Nursing, University of
Michigan, Ann Arbor, Michigan
Rev. Msgr. C. J. Fahey, Marie Ward Doty Professor of Aging Studies and
Director, Third Age Center, Fordham University, New York, New York
Amasa B. Ford, Associate Dean for Geriatric Medicine, Case Western
Reserve University, School of Medicine, Cleveland, Ohio
Margaret M. Hastings, Executive Director, Illinois Commission on Mental
Health and Developmental Disabilities, Kenilworth, Illinois
Susan L. Hughes, Director, Program in Gerontological Health, Assistant
Professor, Department of Community Health and Preventive Medicine,
The Medical School, Northwestern University, Evanston, Illinois
Robert L. Kane, Dean, School of Public Health, University of Minnesota,
Minneapolis, Minnesota
Frank B. McGlone, Denver, Colorado
William A. Morrill, President, Mathematica Policy Research, Inc.,
Princeton, New Jersey
Alicia H. Munnell, Senior Vice President and Director of Research
Federal Reserve Bank of Boston, Boston, Massachusetts
Robert F. Phillips, Secretary of Life and Disability, Fireman's Fund
Life Insurance Company, San Rafael, California
Edward Re Pierce, Dean for Allied Health Sciences, Associate Dean,
Indiana University, School of Medicine, Division of Allied Health
Sciences, Indianapolis, Indiana
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Dorothy P. Rice, Professor, Aging Health Policy Center, University
of California, Department of Social and behavioral Sciences, San
Francisco, California
John C. Rather, Associate Director, Division of Legislation, Research
and Developmental services, American Association of Retired Persons.
Washington, D.C.
William J. Scanlon, Co-Director, Center for Health Policy Studies,
Georgetown University, Washington, D.C.
Raymond J. Struyk, Senior Research Associate, Center for Housing and
Community Development, The Urban Institute, Washington, D.C.
John A. Talbott, Professor and Chair, Department of Psychiatry,
University-of Maryland, School of Medicine, Baltimore, Maryland
Stanley S. Wallack, Director, Health Policy Center, Heller School,
Brandeis University, Waltham, Massachusetts
TOM Staff
Karl D. Yordy, Director, Division of Health Care Services
William A. Lybrand, Principal Staff Officer
Leopold G. Selker, NRC Fellow-In-Residence
Kathleen Drennan, Research Assistant
H. Don Tiller, Senior Secretary
iv
