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