The Future of Long-Term Care: Social and Policy Issues

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Robert H. Binstock, Leighton E. Cluff, Otto von Mering
JHU Press, 1996 - Medical - 300 pages
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Long-term care has emerged as an important issue in American society. The population of persons with chronic illnesses and disabilities, dependent upon supportive care, has grown rapidly and will increase sharply when Baby Boomers join the ranks of old age in the early part of the twenty-first century. Yet the financing and provision of adequate supportive care is becoming increasingly problematic for individuals, families, health care organizations, and governments.

Drawing on a distinguished group of contributors, The Future of Long-Term Care looks at the full range of issues likely to affect planning and policy for this important facet of the health care system. Comprehensive and multidisciplinary in scope, it examines the developments that have brought long-term care to the forefront of nationwide concern, as well as the factors that will make it more pressing in the future. The chapters discuss the history of the issues; populations needing care and the challenges of providing it; the future of settings for care; and social and policy concerns. Health policy, gerontology, and geriatrics professionals will find this a useful book for reference, programming, and planning.

Topics and contributors include: Issues Affecting the Future of Long-Term Care Robert H. Binstock, Leighton E. Cluff, and Otto von Mering The Evolution of Long-Term Care Martha Holstein and Thomas R. Cole Forecasting the Future of Long-Term Care Dennis Kodner Older People Dependency, and Trends in Supportive Care T. Franklin Williams and Helena Temkin-Greener Trends among the Younger Persons with Disability and Chronic Disease A. E. Benjamin The Role of Technology in Long-Term Care Leighton E. Cluff Care for Persons with Complex Chronic Illness Mathy D. Mezey Care in the Nursing Home Robert L. Kane Care in the Home and Other Community Settings James J. Callahan, Jr. The Financing and Organization of Long-Term Care Mark Meiners The Politics of Enacting Long-Term Care Insurance Robert H. Binstock Ethical Issues in Long-Term Care Nancy Neveloff Dubler American Culture and Long-Term Care Otto von Mering Forecasting the Future of Long-Term Care Dennis L. Kodner

 

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Contents

The Evolution of LongTerm Care in America
19
POPULATIONS NEEDING CARE AND ISSUES
49
Four
57
Trends among Younger Persons with Disability
75
Five
96
Seven
145
Nine
191
The Politics of Enacting LongTerm Care Insurance 21 5
215
Eleven
238
Twelve
252
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About the author (1996)

Robert H. Binstock, Ph.D., is professor of Aging, Health, and Society at Case Western Reserve University. Leighton E. Cluff, M.D., is distinguished physician at the U.S. Department of Veterans Affairs in Gainesville, Florida, and clinical professor of medicine at the University of Florida.Otto von Mering, Ph.D., is professor of anthropology and professor of medicine, and director emeritus of the Center of Gerontological Studies at the University of Florida.

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