Housing the Elderly: Integration of Health and Social Services : Joint Hearing Before the Subcommittee on Health and Long-Term Care and the Subcommittee on Housing and Consumer Interests of the House Select Committee on Aging, Ninety-fifth Congress, First Session, March 24, 1977 |
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95th Congress AAHA activities Administration agencies American Association assistance Association of Homes boarding homes Chairman Committee on Aging congregate housing CONGRESS THE LIBRARY cost delivery develop director eligibility environment Federal funding Geriatric Center Germantown Gerontology going grand jury Gray Panthers health services HEINZ hospital income individual institutional institutionalization intermediate care facility John Paul Hammerschmidt legislation LIBRARY OF CONGRESS living arrangements long-term long-term care meals Medicaid Medicare Medicare and Medicaid meet ment mental Miss OAKAR MUSTOKOFF nursing home nutrition older adults older Americans Older Americans Act older persons patients Pennsylvania PEPPER percent Philadelphia Corporation physical population present problems public housing public policy RAMSTEAD regulations reimbursement require residents responsibility ROYBAL senior citizens skilled nursing social services staff STERLING Subcommittee Supplemental Security Income term testimony Thank tion title XIX WEISSMAN Welfare Worley Terrace yes yes yes
Popular passages
Page 110 - Agriculture, the Department of Housing and Urban Development, and the Department of Health, Education, and Welfare have been released for obligation and expenditure.
Page 183 - An artist cannot be continually wielding his brush. He must stop at times in his painting to freshen his vision of the object, the meaning of which he wishes to express on his canvas.
Page 78 - diagnosis" is given "treatment" or "therapy" for his "disease" in a "clinic" or "hospital" by "doctors" who carry primary administrative and human management responsibility, assisted by a hierarchy of "paramedical" personnel, and "therapists" — all this hopefully leading to a "cure
Page 67 - The research and publication of this report were made possible through a research contract from the Office of Policy Development and Research of the US Department of Housing and Urban Development.
Page 86 - In addition to the physical Infirmities resulting from advanced age, the economic, social, and psychological factors associated with aging operate to exclude millions of older Americans from the full life and the place In our society to which their years of service and experience entitle them...
Page 88 - On the one hand, there are increasing numbers of the "young-old," persons in their 60's and early 70's, who are relatively healthy and vigorous, a large number of whom are retired, who seek for meaningful ways to use their...
Page 101 - American Association of Homes for the Aging 1050 17th Street, NW Washington, DC 20036...
Page 80 - ... on the acute hospital medical model appears to be the economics of long term care. We are immobilized by the lack of a public policy which defines what an older person is worth in our society. With our utilitarian bent, we invest in things with a productive future. Sick old people are consumers, no longer producers. What are they worth? How long do we support them? How open-ended is their care? The dilemma exists that as we extend life and conquer disease, as we invent pacemakers and pressure...
Page 86 - States has not been prepared for the "sudden" appearance of large numbers of older people. The aging society has brought with it a certain proportion of older persons who suffer from poverty, preventable illness, and social isolation. These persons, who can be termed the needy aged, create acute problems in the fields of social and health care. But broader issues stem from the needs of all individuals to adjust to the new rhythms of life that come I/ The Research on Aging Act of 1974, PL 93-296 •g...
Page 80 - If the hospital/medical/ acute disease model changes, a host of other inappropriate and costly consequences of the model must change. These include the use of the patient's medical chart (endless documentation) as the regulatory document, the use of medical directors (when paraprofessionals, health assistants, geriatric nurse practitioners, etc. would do as well at far less the cost) and certainly the regulatory, inspection enforcement process. All must be rethought. And, each change must be evaluated...