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5 CONCLUSIONS
Pages 53-56

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From page 53...
... Some observers have already begun voicing concerns about imminent calamity: care that is provided in a "black box," out of the public's sight; a vulnerable population that is growing rapidly; caregivers pressured to provide more care with fewer resources; fraudulent companies and abusive workers exploiting defenseless consumers; the rapid move to managed care with clear financial incentives to underserve consumers and restrict access to services; and already-limited LTC services that are being cut back further or eliminated altogether. Other observers see the opportunity for vast improvement over today's situation.
From page 54...
... Consumers and their families have an obvious role in defining and achieving quality LTC services, and efforts need to be undertaken to ensure that their needs and preferences are at the heart of the evolving quality assurance and improvement system. Yet, families must also be considered in another dimension in their roles as providers of care.
From page 55...
... So, too, do the opportunities to create meaningful differences in the way care is provided to countless older and disabled individuals and their families.


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