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Toward a National Strategy for Long-Term Care of the Elderly A Study Plan (1986) / Chapter Skim
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Section II: Study Concept
Pages 11-14

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Select key terms on the right to highlight them within pages of the chapter.


From page 11...
... Study Focus Three fundamental problems characterize current long-term care arrangements: · inadequate range of services and choice of setting · poor quality of much of the care available · fundamentally flawed financing arrangements that place about one-half of the entire elderly population, including many not previously below "poverty" classification thresholds, at risk of financial impoverishment within a year of the onset of a severely disabling chronic condition. Most studies of long-term care have focused primarily on trying to explicate or solve these problems.
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From page 12...
... The optimal long-term care system, however, varies somewhat according to the perspectives of individuals needing care, their families, and the larger society. The planning committee identified the following goals as important from three alternative perspectives: · From the perspective of the functionally dependent individual, the long-term care system should: - maximize functional independence maximize the opportunity for rehabilitation maximize personal choice of services and settings - ensure dependable and acceptable levels of quality simplify procedures for obtaining services ~ provide protection against impoverishment due to illness.
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From page 13...
... Arguments in favor of such an approach include the fact that the disabled of all ages currently compete for the same resources -- particularly Medicaid' public housing assistance, and income supports such as SSI. Many of the service programs effective in meeting the needs of the functionally impaired elderly are applicable to younger populations as well.
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From page 14...
... ~ ~ —~ ~ —O ~ ——~—, Time Frame The study will focus both on the near-term future from 1990 to the year 2000, and on a longer-range period to the year 2020. The committee believes that today's most critical issues, such as those centering on cost-containment and alternative financing mechanisms, will persist into the l990s, notwithstanding the possibility of public or private sector actions to resolve them before then.
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Key Terms

  • functionally impaired
  • planning committee
  • financing mechanisms
  • resource depletion
  • special service

  • personal choice
  • optimal balance
  • mentally retarded
  • considerable promise
  • flawed financing

  • obtaining services
  • financial feasibility
  • care facilities
  • financing arrangements
  • care population

  • intermediate care
  • care insurance
  • critical issues
  • ensure dependable
  • directly relevant

  • provide services
  • effective gatekeeping
  • impoverishment due
  • halfway houses
  • elderly population

  • maximize personal
  • achieving desirable
  • serious consideration
  • strategies hold
  • income supports


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