Toward a National Strategy for Long-Term Care of the Elderly A Study Plan (1986) / Chapter Skim
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Section I: Background and Study Rationale
Section I: Background and Study Rationale
Pages 3-10
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From page 3... ...
· Between 1980 and 2000, the total Ue S ~ population is projected to grow 18 percent and the number of functionally dependent elderly is likely to increase by 57 percent to a total of about 9 million.* The functionally dependent population aged 75 and over is likely to grow to 6.5 million, an 80 percent increase from 1980; their needs for long-term care are more extensive and intensive than those of persons aged 65-74.
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From page 4... ...
(See Exhibits A-1 and B-1 for more information on the numbers of functionally dependent nonelderly and on problems in the current system of long-term care affecting these groups.) · In 1980, about 2.8 million developmentally disabled persons required the assistance of others in everyday living, as well as specialized services related to their disabilities.
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From page 5... ...
Long-Term Care Costs Annual Costs and Personal Income About one in five of those who live to be 65 years of age will spend time in a nursing home or require intensive home health care services before they die. ~ The average annual cost of nursing home care currently exceeds $20,000 nationally; the average length of stay is about two years.
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From page 6... ...
For example, total Medicare expenditures for nursing home costs in 1983 were $0.5 billion, about 1.9 percent of national expenditures for nursing homes; private insurance paid $0.3 billion, about one percent. During that same year, Medicare expenditures for home health care services were about $1.3 billion, roughly three percent of all Medicare expenditures, even though this has been a rapidly increasing expenditure category since about 1980.6 National Long-Term Care Expenditures7 National expenditures for care of the elderly will continue to grow, even if no changes are made in long-term care financing.
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From page 7... ...
Formal community-based and in-home long-term care services, such as transportation, home-health, homemaker/chore, and meal preparation services are provided nationally under Title XX of the Social Security Act and Title III of the Older Americans Act (OAA) , as well as under Medicare and Medicaid.
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From page 8... ...
· Quality of care and quality of life in nursing homes varies widely around the country, with many very good homes operating with competent, caring staff who provide health and support services in a conscientious and sensitive manner and where the dignity, privacy and other psychosocial needs of the residents are respected. However, although nationwide objective comparative data are not available, professional experts conclude that poor homes outnumber good homes and that generally the quality of care in many nursing homes is only marginally acceptable.
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From page 9... ...
In many communities, health programs and other types of support are fragmented and frequently neither are adequately coordinated with primary and acute health care. The result is critical problems in timeliness and continuity of care for the functionally dependent.
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