Toward a National Strategy for Long-Term Care of the Elderly A Study Plan (1986) / Chapter Skim
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Exhibit D: Planning Study Material
Exhibit D: Planning Study Material
Pages 147-165
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From page 147... ...
The low rate among consumer groups - 26 percent - is consistent with other experiences; these agencies tend to have very limited staffs who have the time or training to handle survey questions. The relatively low response rate among provider groups is probably due to a similar explanation; many of the smaller national associations of this type have only modest staffing.
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From page 148... ...
Responses Percent Professional Associations 43 30 - 70 Provider Groups 25 11 44 Disease-Oriented Associations 24 17 71 Consumer Organizations 19 Public Officials Groups 11 5 7 26 64 Educational Groups 4 2 50 Business Groups 3 3 100 Other ~ 5 62 Total 137 80 58 -148
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From page 149... ...
TABLE ~ Distribution of Responses Type of Organization Professional Associations 30 No. Responses Percent .
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From page 150... ...
TABLE 3 Frequency and Intensity of Comments Issue No. Comments Intensity Index Financing long-term care 50 - 2.5 Ensuring continuity of care 32 2.1 Development of community-based services 26 2~3 Extension of professional education 20 2.0 Expansion of needs assessments 18 2.6 Expansion of research 18 2.0 Adequacy of facilities 16 2.0 Ensuring quality of care 15 1.9 Maximizing roles of family members 14 2.3 \ Improvement of public regulation 8 Strengthening coordination mechanisms 8 Expansion of prevention services 7 Extension of public education activities 7 Extension of rehabilitation services Impact of new technologies Rationalization of responsibilities 5 Advancement of public and professional attitudes Enhancement of program management Clarification of ethical issues 6 5 3 2.1 1.9 2.0 2.0 2.0 2.3 2.2 1.8 2.6 2.5 -150
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From page 151... ...
The financing of long-term care was identified as a high priority issue by more than 60 percent of the respondents e Most noted shortcomings of Medicare, Medicaid and other existing health care financing programs. The problems of indigent medical care and the roles of state and local governments in supporting long-term care were highlighted in some responses.
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From page 152... ...
The Next Three Issues Three issues that were also identified rather often are: - Extension of professional education - Refinement of needs assessments - Expansion of research Selected comments on these issues are included in Attachment 3, in which a broad selection of illustrative comments received is presented. The extension of health professional education activities was identified as an essential step to enlarge the cadre of personnel with knowledge and skills in long-term care.
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From page 153... ...
Some items addressed particular health care services: - Expansion of prevention services - Extension of rehabilitation services - Impact of new technologies Others were concerned with organization and management topics: - Improvement of public regulation - Strengthening coordination mechanisms - Rationalization of responsibilities - Enhancement of program management Still others were more general: - Extension of public education activities - Advancement of public and professional attitudes - Clarification of ethical issues. The intensity scores for certain issues, such as enhancement of program management and clarification of ethical issues, are relatively high; the few agencies which identified these subjects as priority concerns tended to be strongly committed to addressing them.
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From page 154... ...
Hospital Assn Lung Assn Medical Care & Review Assn Medical Directors Assn Medical Peer Review Assn Mental Health Counselors Assn Neurological Assn Occupational Therapy Assn Orthopsychiatric Assn Osteopathic Assn Osteopathic Hospital Assn Physical Therapy Assn Podiatry Assn Psychiatric Assn Psychological Assn Public Health Assn Public Welfare Assn Red Cross Soc. of Allied Health Professionals Soc.
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From page 155... ...
Natl Assn of State Mental Retardation Program Directors Natl Assn of State Units on Aging Natl Caucus and Cntr on Black Aged Natl Citizen's Coalition for Nursing Home Reform Natl Coalition of Hispanic Mental Health and Human Services Orgns * Natl Conf of State Legislatures Natl Consumers League Natl Council of Community Mental Health Cntrs *
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From page 156... ...
- American Academy of Physician Assistants The lack of adequate financing arrangements represents the most significant barrier to receipt of dental care by the indigent, the elderly and disabled population of this country e - American Dental Association Long term care insurance is an idea whose time has come. The Federal government needs to support the private sector in stimulating the development of long-term care insurance.
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From page 157... ...
- Catholic Health Association Health maintenance and preservation systems should be comprehensive enough to include translation of the present fragmentary health care delivery system into a visionary system of encouragement and support of virtual continuums of care that extend from the health implications of independent living and congregate housing through the full array of health and medical care options ... - Federation of American Hospitals High quality of long-term care assumes continuity of care and coordination with other segments of the health care provider network.
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From page 158... ...
- Health Industry Manufacturers Association Critical issues ... are long-term home care for infants and children with physical disabilities requiring equipment and close medical and nursing supervision, e.g., the ventilator dependent child ...
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From page 159... ...
insufficiency and inappropriateness of long-term care service options currently available to persons with multiple sclerosis. - National Multiple Sclerosis Society (The Institute should consider)
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From page 160... ...
- American Psychiatric Association An issue of particular interest is the need to demonstrate impact or value of health promotion and disease prevention efforts on the health and long-term medical expenditures and care needs of the elderly. - American Red Cross Maintaining and supporting the involvement of families in meeting the long-term care needs of their family members is a critical issue.
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From page 161... ...
- National Alliance for the Mentally Ill The multi-discipline role in long-term care - it seems essential not only to define these roles more clearly ... but also to find ways to alleviate the turf problems which hinder the effectiveness of a comprehensive care plan.
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From page 162... ...
American Psychiatric Association Last year the AUPHA identified the improvement of management of long-term care services a priority responsibility for our ... faculties.
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From page 163... ...
Hughes, D.S.W. Director Program in Gerontological Health Assistant Professor Department of Community Health and Preventive Medicine The Medical School Northwestern University Evanston, Illinois Robert L
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From page 164... ...
of Social & Behavioral Sciences San Francisco, California Sponsor Liaison Participants Thomas Ault Acting Director for Division of Medicaid & Long Term Care Policy Health Care Financing Administration Washington, D.C. Cynthia Cieplik, R.N., M.S.N.
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From page 165... ...
Director, Division of Health Care Services Kathleen Drennan Research Assistant -165
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