04896nam 2200613Ia 450 991045181310332120200520144314.0(CKB)1000000000450877(EBL)3377514(SSID)ssj0000260541(PQKBManifestationID)11194742(PQKBTitleCode)TC0000260541(PQKBWorkID)10224211(PQKB)10756800(MiAaPQ)EBC3377514(Au-PeEL)EBL3377514(CaPaEBR)ebr10071550(OCoLC)923271144(EXLCZ)99100000000045087720050328d1986 uy 0engur|n|---|||||txtccrToward a national strategy for long-term care of the elderly[electronic resource] a study plan for evaluation of new policy options for the future : report of a committee of the Institute of MedicineWashington, D.C. National Academy Press[1986]1 online resource (173 p.)"April 1986.""Publication IOM-85-05"--T.p. verso.0-309-57732-2 Includes bibliographical references (p. 133-146).""TOWARD A NATIONAL STRATEGY FOR LONG-TERM CARE OF THE ELDERLY""; ""Copyright""; ""Contents""; ""PREFACE""; ""OVERVIEW""; ""SECTION I BACKGROUND AND STUDY RATIONALE""; ""FUTURE GROWTH IN LONG-TERM CARE NEEDS""; ""The Elderly""; ""The Population Under Age 65""; ""The Composite Picture""; ""LONG-TERM CARE COSTS""; ""Annual Costs and Personal Income""; ""Misconceptions About Insurance Coverage of Costs""; ""NATIONAL LONG-TERM CARE EXPENDITURES7""; ""Nursing Home Expenditures""; ""Noninstitutional Care Expenditures""; ""FINANCING LONG-TERM CARE""""AVAILABILITY, APPROPRIATENESS, AND QUALITY OF LONG-TERM CARE""""SECTION II STUDY CONCEPT""; ""STUDY FOCUS""; ""Components of an Optimal Long-Term Care System""; ""Achieving Desirable Outcomes""; ""STUDY SCOPE""; ""Study Population""; ""Time Frame""; ""SECTION III STUDY APPROACH""; ""(1) DEFINING THE PROBLEM""; ""(2) NARROWING THE GAP BETWEEN THE DESIRABLE AND THE ACTUAL""; ""(3) FINANCING LONG-TERM CARE""; ""(4) MAKING LONG-TERM CARE AFFORDABLE""; ""(5) CROSS-NATIONAL COMPARISONS: LESSONS FOR THE U.S.""; ""(6) IMPLICATIONS FOR THE NONELDERLY DISABLED""; ""GENERAL ISSUES""""ANTICIPATED STUDY OUTCOMES""""SECTION IV PROPOSED BUDGET - LONG-TERM CARE STUDY""; ""ASSUMPTIONS""; ""Duration""; ""Staff""; ""Committee Meetings""; ""Subcontracts, Commissioned Papers, and Consultants""; ""Dissemination""; ""Other Costs""; ""REFERENCES AND NOTES""; ""EXHIBIT A-1 THE CHALLENGE: AN ACCELERATING GROWTH IN LONG-TERM CARE NEEDS""; ""THE ELDERLY""; ""THE UNDER AGE 65 POPULATION""; ""The Developmentally Disabled""; ""The Chronically Mentally Ill""; ""Other Disabled Persons Under Age 65""; ""Future Needs of Under Age 65 Functionally Dependent""""ESTIMATED OVERALL GROWTH - 1980 TO 2000""""EXHIBIT A-2 HEALTH STATUS, LIFE EXPECTANCY AND LONG-TERM CARE UTILIZATION BY THE ELDERLY""; ""THE CHANGING DEMOGRAPHICS""; ""Mortality""; ""Health Status and Use of Medical Care Services""; ""Expenditures for Medical Care""; ""Future Morbidity Patterns""; ""National Projections""; ""Regional Projections""; ""Conclusion""; ""REFERENCES""; ""EXHIBIT B-1 OVERVIEW OF MAJOR PROBLEMS AND ISSUES IN THE EXISTING LONG-TERM CARE SYSTEM""; ""INFORMAL CARE""; ""Costs and Financing""; ""State Initiatives""; ""FORMAL INSTITUTIONAL CARE""; ""Access and Quality""""Costs and Financing""""State Initiatives""; ""FORMAL COMMUNITY SERVICE PROGRAMS""; ""Access and Quality""; ""Costs and Financing""; ""Federal, State and Private Initiatives""; ""LONG-TERM CARE FOR THE UNDER AGE 65 POPULATION""; ""Chronically Mentally Ill""; ""Developmentally Disabled, Including Mentally Retarded""; ""Physically Disabled Adults""; ""RAPID CHANGES IN THE NATION'S HEALTH CARE STRUCTURE""; ""SUMMARY OF CRITICAL ISSUES""; ""FRAGMENTATION OF THE SYSTEM: A MAJOR CROSS-CUTTING PROBLEM""; ""PROPOSED NEW LONG-TERM CARE FINANCING ALTERNATIVES""""EXHIBIT B-2 INCREASING THE RANGE OF LONG-TERM CARE OPTIONS: OPPORTUNITIES AND ISSUES IN INTEGRATING EXISTING FUNDING STREAMS""Long-term care of the sickUnited StatesOlder peopleMedical careLong-term care facilitiesUnited StatesElectronic books.Long-term care of the sickOlder peopleMedical care.Long-term care facilities362.160973Institute of Medicine (U.S.)MiAaPQMiAaPQMiAaPQBOOK9910451813103321Toward a national strategy for long-term care of the elderly2256682UNINA