LEADER 04896nam 2200613Ia 450 001 9910451813103321 005 20200520144314.0 035 $a(CKB)1000000000450877 035 $a(EBL)3377514 035 $a(SSID)ssj0000260541 035 $a(PQKBManifestationID)11194742 035 $a(PQKBTitleCode)TC0000260541 035 $a(PQKBWorkID)10224211 035 $a(PQKB)10756800 035 $a(MiAaPQ)EBC3377514 035 $a(Au-PeEL)EBL3377514 035 $a(CaPaEBR)ebr10071550 035 $a(OCoLC)923271144 035 $a(EXLCZ)991000000000450877 100 $a20050328d1986 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aToward a national strategy for long-term care of the elderly$b[electronic resource] $ea study plan for evaluation of new policy options for the future : report of a committee of the Institute of Medicine 210 $aWashington, D.C. $cNational Academy Press$d[1986] 215 $a1 online resource (173 p.) 300 $a"April 1986." 300 $a"Publication IOM-85-05"--T.p. verso. 311 $a0-309-57732-2 320 $aIncludes bibliographical references (p. 133-146). 327 $a""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"" 327 $a""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"" 327 $a""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"" 327 $a""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"" 327 $a""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"" 327 $a""EXHIBIT B-2 INCREASING THE RANGE OF LONG-TERM CARE OPTIONS: OPPORTUNITIES AND ISSUES IN INTEGRATING EXISTING FUNDING STREAMS"" 606 $aLong-term care of the sick$zUnited States 606 $aOlder people$xMedical care 606 $aLong-term care facilities$zUnited States 608 $aElectronic books. 615 0$aLong-term care of the sick 615 0$aOlder people$xMedical care. 615 0$aLong-term care facilities 676 $a362.160973 712 02$aInstitute of Medicine (U.S.) 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910451813103321 996 $aToward a national strategy for long-term care of the elderly$92256682 997 $aUNINA LEADER 05670oam 2200937 c 450 001 9910287940703321 005 20260102090118.0 010 $a9783839426111 010 $a3839426111 024 7 $a10.14361/9783839426111 035 $a(CKB)3360000000515370 035 $a(MiAaPQ)EBC5085774 035 $a(DE-B1597)427624 035 $a(OCoLC)979853942 035 $a(DE-B1597)9783839426111 035 $a(ScCtBLL)47b6edef-717a-4a48-9eec-f2838b4a3829 035 $a(transcript Verlag)9783839426111 035 $a(MiAaPQ)EBC6986319 035 $a(Au-PeEL)EBL6986319 035 $a(oapen)https://directory.doabooks.org/handle/20.500.12854/38732 035 $a(Perlego)1796820 035 $a(oapen)doab38732 035 $a(EXLCZ)993360000000515370 100 $a20260102d2017 uy 0 101 0 $ager 135 $aurcnu|||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aImprovisation und Organisation$eMuster zur Innovation sozialer Systeme$fWolfgang Stark, David Vossebrecher, Christopher Dell, Holger Schmidhuber 205 $a1st ed. 210 $aBielefeld$ctranscript Verlag$d2017 215 $a1 online resource (391 pages) $cillustrations 225 0 $aKultur und soziale Praxis 300 $aFormalized work routines and fossilized structures often are unhelpful for operating in and actively shaping complex and dynamic environments. We need a performative, fluent understanding of organization that is no longer entirely based on rational planning: the often hidden experience-based knowledge (tacit knowing) is the foundation of today's necessary »art« of improvisation. The contributions show how implicit and intuitive anticipatory knowledge along with experimental, playful actions provide the basis for innovation and agile learning in organizations and social systems. In the analysis of »organizational patterns« and »musical thinking«, a new understanding of more flexible and agile organizations emerges. 311 08$a9783837626117 311 08$a3837626113 320 $aIncludes bibliographical references. 327 $aFrontmatter 1 Inhalt 5 Vorwort 9 Innovationsmuster und Improvisation in Organisationen 17 Organisation musikalisch denken 31 Reflexivita?t und Kreativita?t 47 Improvisation durch objektivierendes und subjektivierendes Handeln 73 Rhythm, Time and Improvisation 93 Organisationskultur revisited 109 Technologie der Improvisation 131 From a Pattern Language to a Field of Centers and Beyond 143 The Shape of Tacitness to Come 167 Ein Muster fu?r die Zukunft 193 Organisationspartituren 207 Phoenix aus der Asche 225 Innovation und kreatives Denken als Produkt 253 Musik und Markenentwicklung 291 Organisationspatterns entdecken und in der Praxis nutzen 307 Eine Mustersprache fu?r die Didaktik 325 Wenn das die Lo?sung ist, will ich mein Problem zuru?ck 341 Silence, Patterns, Structures 355 Erfolgsmuster, ku?nstlerische Zuga?nge und Improvisation - ein Glossar 379 Die AutorInnen 389 330 $aUm in komplexen und dynamischen Umwelten agieren und diese aktiv gestalten zu können, sind formalisierte Arbeitsabläufe und geronnene Strukturen oft nicht hilfreich. Wir benötigen ein performatives, fließendes Verständnis von Organisation und die Beherrschung agiler Prozesse: Das oft versteckte Erfahrungswissen (tacit knowing) wird zur Grundlage der heute benötigten »Kunst« der Improvisation. Die Beiträge zeigen: Implizites und intuitives, vorausschauendes Wissen und experimentierend-spielerisches Handeln sind die Grundlage für Innovation und agiles Lernen in Organisationen und sozialen Systemen. In der Analyse von »organizational patterns« und »musikalischem Denken« entsteht ein neues Verständnis flexibler und dynamischer Organisationen. 330 1 $a»Ein Gewinn für alle, die viel Zeit mitbringen und Lust am Begreifen der Materie verspüren.« 410 0$aKultur und soziale Praxis. 517 2 $aStark et al. (Hg.), Improvisation und Org.$eMuster zur Innovation sozialer Systeme 606 $aOrganisation 606 $aImprovisation 606 $aTacit Knowledge 606 $aInnovation 606 $aAgile Processing 606 $aSociety 606 $aSociology of Organizations 606 $aPerformativität 606 $aAgilität 606 $aSociology 606 $aGesellschaft 606 $aOrganisationssoziologie 606 $aSoziologie 615 4$aOrganisation 615 4$aImprovisation 615 4$aTacit Knowledge 615 4$aInnovation 615 4$aAgile Processing 615 4$aSociety 615 4$aSociology of Organizations 615 4$aPerformativität 615 4$aAgilität 615 4$aSociology 615 4$aGesellschaft 615 4$aOrganisationssoziologie 615 4$aSoziologie 676 $a302.35 702 $aStark$b Wolfgang$p

Wolfgang Stark, Universität Duisburg-Essen, Deutschland

$4edt 702 $aVossebrecher$b David$p

David Vossebrecher, Rosa-Luxemburg-Stiftung Berlin, Deutschland

$4edt 702 $aDell$b Christopher$p

Christopher Dell, Bergen School of Architecture, Norwegen

$4edt 702 $aSchmidhuber$b Holger$p

Holger Schmidhuber, Fuenfwerken Design AG, Wiesbaden/Berlin, und Hochschule Mainz, Deutschland

$4edt 712 02$aOGeSoMo$4fnd$4http://id.loc.gov/vocabulary/relators/fnd 801 0$bDE-B1597 801 1$bDE-B1597 906 $aBOOK 912 $a9910287940703321 996 $aImprovisation und Organisation$94293498 997 $aUNINA