The Long Term Care Crisis: Elders Trapped in the No-Care Zone / Edition 1

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Overview

This book examines the implementation of the prospective payment system (PPS) in the US for Medicare hospital reimbursement, which started in 1983.

The authors discuss the impact of the PPS on health care provision and conclude that rather than improving conditions for the elderly in their transition from hospital to community and decreasing escalating health costs, the PPS has restructured the system with the result that the greater financial burden is placed on informal caregivers, community and home health care agencies and the elderly themselves.

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Product Details

  • ISBN-13: 9780803939936
  • Publisher: SAGE Publications
  • Publication date: 11/25/1992
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 351

Meet the Author

Carroll L. Estes is Professor of Sociology at the University of California, San Francisco. She is the founding and former director of the Institute for Health & Aging (1979-98) and the former Chair of the Department of Social & Behavioral Sciences, School of Nursing, UCSF. Dr. Estes is a member of the Institute of Medicine and the National Academy of Sciences and past president of the Gerontological Society of America, American Society on Aging, and Association for Gerontology in Higher Education. She has served as consultant to the U.S. Commissioner of Social Security and the U.S. Senate and House committees on aging for more than two decades. Her career and theoretical perspective were firmly established with the publication of The Aging Enterprise (Jossey Bass, 1979), which became an instant classic in the field of aging research. She subsequently published two books with Sage: The Long Term Care Crisis (1993) and Social Policy and Aging (2001). In 2001, she received the Distinguished Scholars Award from the American Sociological Association Section on Aging and the Life Course (a sort of life-time achievement award) and has received other major awards such as The Distinguished Scholarship Award of the Pacific Sociological Association (1989), The Donald Kent Award of the Gerontological Society of America (1992), and The Beverly Award of the Association for Gerontology in Higher Education (1993). The original version of the proposed book has been credited as the foundation of her work in the citations for each of these awards, and her work is nationally and internationally recognized.

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Table of Contents

Introduction
PART ONE: OVERVIEW
Prospective Payment Revolution and Long Term Care
Restructuring of the Nonprofit Sector
PART TWO: FROM HOSPITAL TO COMMUNITY
Discharge Planners as Gatekeepers to Community Care
Does Out of the Hospital Mean Out of Luck?
Service Paradox
PART THREE: HOME HEALTH AND NURSING HOME CARE
Metamorphosis of Home Health Care
Nursing Homes Under Prospective Payment
Access to Nursing Home and Home Health Services
PART FOUR: ELDER CARE AND THE COMMUNITY
Informalization and Community Care
Access in Peril
Community Variation in Policy Implementation
Waves of Change
PART FIVE: THE FUTURE
Policy Elites and Fiscal Crisis
Empowerment Imperative
No-Care Zone and Social Policy
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