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

Overview

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.

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Overview

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

Johns Hopkins University Press

The book contains black-and-white illustrations.

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Editorial Reviews

Health Progress
This wide-ranging book discusses the history, problem, and future prospects of long-term care in America. Inspired by the 1992 National Health Forum held at the University of Florica and edited by an interdisciplinary team from medicine (Cluff), anthropology (von Mering), and social gerontology (Binstock), it contains chapters by 15 authors who represent the diverse fields of history, ethics, social welfare, nursing, health policy, and health-care administration... Unlike so much literature in gerontology, the book is clear, straightforward, and well focused on practical issues, while maintaining a high standard of scholarship throughout. Both academics and service professionals will find it extremely useful.

— Else M. Kiefer

Hastings Center Report

This book considers long-term care in the United States in a variety of contexts including accessability, needs assessment, and affected populations. The authors examine the history and evolution of long-term care through to the present and speculate about the future, asking questions such as what will future nursing home care entail, and what role will economic, political, and cultural factors play?

Aging Network News

The Future of Long-Term Care... is the product of the first National Health Forum held at the University of Florida in 1992. The book examines the developments that have brought long-term care to the fore as an area of substantial concern, as well as the factors that will likely make it even more pressing in the future. The book includes chapters written by a distinguished panel of gerontologists and health policy experts.

Ageing and Society

Provides a broad view of the history of long-term care policies and programmes in the United States, highlights current issues, and assesses future prospects... this is a readable, well-referenced volume which presents a useful overview of LTC issues and policy perspectives.

Health Progress - Else M. Kiefer

This wide-ranging book discusses the history, problem, and future prospects of long-term care in America. Inspired by the 1992 National Health Forum held at the University of Florica and edited by an interdisciplinary team from medicine (Cluff), anthropology (von Mering), and social gerontology (Binstock), it contains chapters by 15 authors who represent the diverse fields of history, ethics, social welfare, nursing, health policy, and health-care administration... Unlike so much literature in gerontology, the book is clear, straightforward, and well focused on practical issues, while maintaining a high standard of scholarship throughout. Both academics and service professionals will find it extremely useful.

Booknews
Analyzes current issues in long-term care in the US, describing history of care and the long-term care population, examining factors shaping the agenda for the future of long-term care, and predicting what the care in nursing homes and in home- and community-based settings will be like in the next few decades. Subjects include trends among younger persons with disability or chronic disease, the role of technology in long-term care, the politics of enacting long-term care insurance, and American culture and long-term care. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780801853203
  • Publisher: Johns Hopkins University Press
  • Publication date: 7/28/1996
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 320
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.01 (d)

Meet the Author

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.

Johns Hopkins University Press

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Table of Contents

List of Contributors
Preface
1 Issues Affecting the Future of Long-Term Care 3
2 The Evolution of Long-Term Care in America 19
3 Older People, Dependency, and Trends in Supportive Care 51
4 Trends among Younger Persons with Disability or Chronic Disease 75
5 The Role of Technology in Long-Term Care 96
6 Challenges in Providing Care for Persons with Complex Chronic Illness 119
7 The Evolution of the American Nursing Home 145
8 Care in the Home and Other Community Settings: Present and Future 169
9 The Financing and Organization of Long-Term Care 191
10 The Politics of Enacting Long-Term Care Insurance 215
11 Reflections on Some Ethical Issues in Long-Term Care 238
12 American Culture and Long-Term Care 252
13 Foreseeing the Future of Long-Term Care: The Highlights and Implications of a Delphi Study 275
Index 293
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