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The Cost Effectiveness Of Community Based Long Term Care Services For The Elderly Compared To Residential Care
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Book Synopsis The Cost-effectiveness of Community Based Long Term Care Services for the Elderly Compared to Residential Care by : Marcus J. Hollander
Download or read book The Cost-effectiveness of Community Based Long Term Care Services for the Elderly Compared to Residential Care written by Marcus J. Hollander and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Growth in the elderly population and restraint in the health sector have led to decision makers placing an increasing priority on home care services. In Canada, there are three models of home care: a preventive and maintenance model which is designed to reduce the rate of deterioration for persons with relatively low level care needs; an acute care substitution model where home care substitutes for hospital care; and a long term care substitution model which uses home care as a substitute for facility care. This study focuses on the long term care substitution model. The research question is: In the British Columbia continuing care sector, is home care for the elderly a cost-effective alternative for government funders to care in long term care facilities, by level of care? To answer this question, data were obtained on three cohorts of clients for one year prior to initial assessment and three years post-assessment. The cohorts were new admissions to the British Columbia continuing care system in the 1987/88, 1990/91 and 1993/94 fiscal years. Costs to government for home care services, residential services, pharmaceuticals, fee-for-service physician services and hospital services were analyzed. The central finding of this study was that, on average, the overall health care costs to government for clients in home care are about one half to three quarters of the costs for clients in facility care, by level of care. A related finding was that costs differ by the type of client. The lowest home care costs were for individuals who were stable in their type and level of care. For clients who died the costs for home care were higher, compared to clients in long term care facilities. It was also found that some one half of the overall health care costs for home care clients were attributable to their use of acute care hospital services and that a significant portion of the health costs for home care clients occur at transition points, that is, when there is a change in the client's type, and/or level, of care. These findings are compared to the American literature which indicates that home care is not a cost-effective substitute for residential care. Possible reasons for the differences in findings are discussed. The study concludes with a discussion of the implications of the findings for a series of potential, future, policy agendas regarding: the organization and management of continuing care services; legislation and administrative policy; service delivery; resource allocation; information systems; and research.
Book Synopsis The Cost-effectiveness of Community Based Long Term Care Services for the Elderly Compared to Residential Care, a British Columbia Perspective by :
Download or read book The Cost-effectiveness of Community Based Long Term Care Services for the Elderly Compared to Residential Care, a British Columbia Perspective written by and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Best at Home written by Jill C. Feasley and published by National Academies. This book was released on 1996 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Effectiveness of Community-based Long-term Care Services by : Dolores A. Sands
Download or read book The Effectiveness of Community-based Long-term Care Services written by Dolores A. Sands and published by . This book was released on 1990 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Successful Models of Community Long Term Care Services for the Elderly by : Eloise H Killeffer
Download or read book Successful Models of Community Long Term Care Services for the Elderly written by Eloise H Killeffer and published by Routledge. This book was released on 2019-05-23 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn about the exciting possibilities for maintaining elderly residents in their own homes by marshalling available resources to pay for needed support services. Experienced practitioners provide examples of successful community-based long-term care service programs for the elderly, programs that are supported by a mix of public funds and private resources. They explore the role of service providers in developing successful models of community-based long-term care services--housing, home care services, comprehensive senior centers, and day care, among others--and discuss not only the successes of the particular programs but the obstacles and barriers that had to be overcome as well. Chapters focus on policies for the development of effective models, from the perspectives of municipal, county, state, and federal governments involved in community service provision, and the role of colleges and universities in training personnel to develop and implement community-based long term care services. Taken together, this tutorial, taught by practitioners who offer wisdom and insight based on their hands-on experience, is indeed a unique contribution to the field of long-term care.
Book Synopsis The Elderly Should Benefit from Expanded Home Health Care But Increasing These Services Will Not Insure Cost Reductions by : United States. General Accounting Office
Download or read book The Elderly Should Benefit from Expanded Home Health Care But Increasing These Services Will Not Insure Cost Reductions written by United States. General Accounting Office and published by . This book was released on 1982 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment Publisher : ISBN 13 : Total Pages :252 pages Book Rating :4.F/5 ( download)
Book Synopsis Community-based Long Term Care by : United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment
Download or read book Community-based Long Term Care written by United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1980 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid : Determining Cost-effectiveness of Home and Community-based Services by : United States. General Accounting Office. Human Resources Division
Download or read book Medicaid : Determining Cost-effectiveness of Home and Community-based Services written by United States. General Accounting Office. Human Resources Division and published by . This book was released on 1987 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Improving the Quality of Long-Term Care by : Institute of Medicine
Download or read book Improving the Quality of Long-Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Book Synopsis Community-Based Systems of Long-Term Care by : Rick T. Zawadski
Download or read book Community-Based Systems of Long-Term Care written by Rick T. Zawadski and published by Routledge. This book was released on 2014-04-23 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: An enlightening review of the successes and failures of several federally funded community-based projects that offered elderly persons an alternative to nursing home care. Policymakers, caregivers, and students of public administration and gerontology must read this valuable book.
Book Synopsis Community-based Home Health and Social Services for California's Elderly by : Meredith Minkler
Download or read book Community-based Home Health and Social Services for California's Elderly written by Meredith Minkler and published by Institute of Governmental Studies Press. This book was released on 1982 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Costs and Benefits of In-home Supportive Services for the Elderly and Persons with Disabilities by : Candace Howes
Download or read book Costs and Benefits of In-home Supportive Services for the Elderly and Persons with Disabilities written by Candace Howes and published by . This book was released on 2010 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: California's Medicaid (called Medi-Cal in California) long-term care program currently places it among the top 5 states in terms of coverage, balance between nursing home and home- and community-based care, and cost effectiveness. Yet, Governor Schwarzenegger, in his proposed Budget for 2010-2011, has recommended cutting the In-Home Supportive Services (IHSS) program for 444,000 people, leaving IHSS recipients with two options: to rely on unpaid family care or to enter a nursing facility. In a January 2010 report, the California Legislative Analyst's Office (LAO) argued that IHSS is just barely cost effective to the state (by keeping people out of more expensive nursing homes) and that the state could increase the fiscal benefits of IHSS if it implemented a 3-tiered targeting proposal in which only the most impaired IHSS recipients would receive IHSS services while services for the other two thirds would be reduced or eliminated altogether. This Briefing Paper summarizes the conclusions of the LAO report, and shows that some of the LAO's assumptions are unrealistic. It presents a more realistic set of assumptions and then re-estimates the relative benefits of the IHSS program. Finally, it considers the savings to the state if, instead of cutting all or part of the IHSS program, the state transitioned one-third of nursing home residents back into the community.
Book Synopsis Long-term Care for the Elderly in Europe by : Bent Greve
Download or read book Long-term Care for the Elderly in Europe written by Bent Greve and published by Taylor & Francis. This book was released on 2016-12-01 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: Long-term care is an increasingly important issue in many contemporary welfare states around the globe given ageing populations. This ground-breaking book provides detailed case studies of 11 EU-member states’ welfare regimes within Europe to show how welfare states organize, structures and deliver long-term care and whether there is a social investment perspective in the delivery of long-term care. This perspective is important because the effect of demographic transitions is often used as an argument for the existence of economic pressure on welfare states and a need for either direct retrenchment or attempts to reduce welfare state spending. The book’s chapters will look specifically into how different welfare states have focussed on long-term care in recent years and what type of changes have taken place with regard to ageing populations and ambitions to curb increases in public sector spending in this area. They describe the development in long-term care for the elderly after the financial crisis and also discuss the boundaries between state and civil society in the different welfare states' approaches to the delivery of care.
Book Synopsis Long-term Care for the Elderly by : United States. General Accounting Office
Download or read book Long-term Care for the Elderly written by United States. General Accounting Office and published by . This book was released on 1988 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Long-Term Care in the 21st Century by : Iris Chi
Download or read book Long-Term Care in the 21st Century written by Iris Chi and published by Routledge. This book was released on 2013-08-27 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Who pays for long-term care? Discover the unique approaches of seven countries around the Pacific Rim! Long-Term Care in the Twenty-First Century discusses policies and programs for long-term care in seven countries around the Asia-Pacific Rim: the United States, Canada, Japan, Australia, Singapore, Hong Kong, and Taiwan. Each country is covered in two chapters, one to examine the philosophy and values that underlie its approaches to long-term care, the second to discuss its systems of service delivery. These thoughtful analyses, backed up with facts and figures, explain program successes and failures in the context of demographic and social trends and with reference to the differing political systems across the region. Its breadth of perspective and insightful examination of cultural differences make Long-Term Care in the Twenty-First Century an important contribution to the international comparative study of aging. The programs in the United States, Australia, and Canada offer a fascinating contrast with the longer-established and very different programs in the Asian countries, including Japan, the world’s oldest country. Long-Term Care in the Twenty-First Century provides practical information on essential gerontological issues for each country, including: financing arrangements development of client classification systems case management in both residential and community-based systems key source documents, references, and Web sites political and cultural influences home-based and family caregiving This valuable book provides a critical record of developments in the current transition period. This multicultural perspective contributes a chance for all countries to learn from the experience of others in dealing with a problem that is increasingly important as the world population ages. Long-Term Care in the Twenty-First Century is an essential resource for scholars, service providers, policymakers, and anyone concerned with care of the aged, not only in Pacific Rim countries but around the world.
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :492 pages Book Rating :4.3/5 (91 download)
Book Synopsis Health Care Reform by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Health Care Reform written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1993 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Long-Term Care written by John Pratt and published by Jones & Bartlett Learning. This book was released on 2010-01-12 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: Long-Term Care: Managing Across the Continuum, Third Edition is an ideal introduction to management in this dynamic industry. Concise, yet complete, it defines the various segments of the system, describes how the system developed to its current state, compares it to an ideal system, and projects future trends. Adopted as a reference for the national licensing examination prepared by the National Association of Long-Term Care Administrator Boards (NAB), this book covers the full continuum of long-term care. The Third Edition is a comprehensive revision reflecting the changes in regulations, financing methods, forms of service delivery, and management methods in this dynamic field. The increasingly important topics of the aging of American society, the impact of the baby-boomers, consumer choice, and the growing diversity in long-term care are covered extensively and from a variety of perspectives. The final chapters address the future of long-term care and include recommendations for dealing with it proactively.
