Suchergebnisse

Intro -- LONG-TERM CARE: BACKGROUND AND ISSUES -- LONG-TERM CARE: BACKGROUND AND ISSUES -- CONTENTS -- PREFACE -- Chapter 1 LONG-TERM CARE (LTC): FINANCING OVERVIEW AND ISSUES FOR CONGRESS -- SUMMARY -- INTRODUCTION -- WHAT IS LTC? -- SOURCES OF FINANCING FOR LTC -- Public Sources of Financing for LTC -- Medicaid -- Eligibility -- Eligibility Criteria: Group One -- Eligibility Criteria: Group Two -- Other Requirements -- Services -- Mandatory Services -- Optional Services -- Medicare -- Home Health Services -- Skilled Nursing Facility (SNF) Services -- Other Public Payers -- Private Sources of Financing for LTC -- Private LTC Insurance -- Out-of-Pocket Spending -- Other Private Funds -- LTC ISSUES FOR CONGRESS -- Barriers to Public and Private Coverage -- Strain on Federal, State, and Local Budgets -- Better Coordinating Care across Medicaid, Medicare, and Other Public Programs -- Better Coordinating Care across Provider Settings -- Medicaid Spending Still Dominated by Institutional Care -- Navigating the Current LTC System Is Complex -- Limited Supply of the LTC Workforce -- Limited Access to Affordable Housing -- Guaranteeing Quality Can Be Challenging -- End Notes -- Chapter 2 FACTORS AFFECTING THE DEMAND FOR LONG-TERM CARE INSURANCE: ISSUES FOR CONGRESS -- SUMMARY -- INTRODUCTION -- PRIVATE LONG-TERM CARE INSURANCE -- Current Financing of LTC Services -- LTC Insurance Industry Trends -- FACTORS AFFECTING THE DEMAND FOR PRIVATE LTCI -- Cost and Complexity of Long-Term Care Insurance -- The Type of Coverage -- Dollar Amount of Coverage and Annual Inflation Adjustments -- Duration of the Benefit -- Elimination Period -- Adequacy of Consumer Protections For LTCI Policyholders -- State Oversight -- Federal Oversight -- Premium Instability -- Inappropriate Sales Practices -- Inappropriate Denial of Claims -- Solvency of LTC Insurers

The fourth volume in the prestigious Advances in Long-Term Care Series continues to address the challenges of long-term care with innovation and practical insight. Highlighting the dynamic nature of long-term care, the authors share their practical insight and explore issues linked to the cost and process of delivering care to an increasing number of clients. Topics include transitions between acute and long-term care, geriatric day hospitals, subacute care, and more. Contributors from a range of gerontologic disciplines use new research as bases to develop care solutions under the mandates of

The increasing life expectancy and the alarming growth in the incidence of chronic illness make long term care services in high demand and in dire need of change and innovation. As part of the ANCIEN initiative, which aims to comprise a database of European approaches for dealing with long term care, this document creates an overview of the health systems organized in Romania which target individuals with long term care needs. The method of governance, the people's needs and the available services are presented herein. For the most part, the services provided in this field are covered through the efforts of the family of those in need and are therefore difficult to quantify or analyze. Public services are either insufficient (in terms of quality or accessibility) and the moral stigma associated to using them prevents families from making this choice. However, due to a high demand and a low supply of high quality LTC services, the private market of nursing homes has exploded in the last few years, funded either privately, through NGOs or external donations. The quality and number of available services has greatly improved but the accessibility is still low. At this moment, Romania still does not have an integrated long term care system neither from the legal or the organization of services being offered. There are social and medical services that are run, provided and legislated independently. The current national strategy is to coordinate these services and to create an integrated system with multidisciplinary teams which would include different types of medical specialists and nurses but still maintain and improve the services offered formally or informally as a home based care package.

The increasing life expectancy and the alarming growth in the incidence of chronic illness make long term care services in high demand and in dire need of change and innovation. As part of the ANCIEN initiative, which aims to comprise a database of European approaches for dealing with long term care, this document creates an overview of the health systems organized in Romania which target individuals with long term care needs. The method of governance, the people's needs and the available services are presented herein. For the most part, the services provided in this field are covered through the efforts of the family of those in need and are therefore difficult to quantify or analyze. Public services are either insufficient (in terms of quality or accessibility) and the moral stigma associated to using them prevents families from making this choice. However, due to a high demand and a low supply of high quality LTC services, the private market of nursing homes has exploded in the last few years, funded either privately, through NGOs or external donations. The quality and number of available services has greatly improved but the accessibility is still low. At this moment, Romania still does not have an integrated long term care system neither from the legal or the organization of services being offered. There are social and medical services that are run, provided and legislated independently. The current national strategy is to coordinate these services and to create an integrated system with multidisciplinary teams which would include different types of medical specialists and nurses but still maintain and improve the services offered formally or informally as a home based care package.

Epidemiology of psychiatric conditions in nursing homes / Ann L. Gruber-Baldini, Hannah Day, and Jay Magaziner -- Dementia in nursing home patients : assessment and management / Solasinee Hemrungrojn and Jeffrey L. Cummings -- Delirium in the nursing home setting / Steven F. Huege and Joel E. Streim -- Mood disorders / Ashok J. Bharucha and Soo Borson -- Anxiety disorders / Art Walaszek and Timothy Howell -- Schizophrenia and other psychotic disorders / Gauri N. Savla ... [et al.] -- Sleep-wake disorders in long-term care facility residents / Yohannes Endeshaw -- Sexual disorders / Peggy A. Szwabo -- Personality disorders / Marc E. Agronin -- Mental retardation / C. Michael Henderson -- Substance use disorders / Kenneth Schwartz -- General approaches to behavioral disturbances / Lisa L. Boyle, Anton P. Porsteinsson, and Pierre N. Tariot -- Principles of geriatric psychopharmacology / Adrian Leibovici and Laurie Daiello -- Insight-oriented, interpersonal, and integrative psychotherapy / Richard A. Zweig, Patricia Marino, and Gregory A. Hinrichsen -- Cognitive and behavioral therapy / Lurgis Karuza and Paul Katz -- Family interventions / Lee Hyer, Shailaja Shah, and Amanda Sacks -- Environmental and milieu interventions / Jiska Cohen-Mansfield and Rene Laje -- Staff education in long-term care facilities / David K. Conn and Joy Richards -- Psychiatric consultation and liaison / Gary S. Moak -- An overview of residents, care providers, and regulation of medical practice in the long-term care continuum / Suzanne Gillespie and Paul R. Katz -- Ethical and medicolegal issues / Marshall B. Kapp -- Mental health in the assisted living setting / Quincy M. Samus and Adam Rosenblatt

""Long-Term Care Medicine: A Pocket Guide"" lessens the uncertainty involved in caring for patients in a long-term care facility. This practical pocket guide is divided into four sections: Introduction, Common Clinical Conditions, Psychosocial Aspects, and Special Issues in Long-Term Care. The chapters address all the varied components of the LTC system as well as how to take care of the patients and residents living within it. The contributors to this easy-to-read guide are passionate about LTC and many have worked within the American Medical Directors Association to create and disseminate a

The findings of a study of long-term care policies in 18 countries are reported in this article. Initial data were collected by a questionnaire survey under the auspices of the International Social Security Association. These data were supplemented by published documents and government statistics obtained while researching long-term care for the International Social Security Association and, subsequently, for the Organization for Economic Cooperation and Development. The principal focus is a cross-national comparison of institutionalization rates for the elderly. Differences in use rates for medically oriented facilities are less than those for nonmedical residential long-term care facilities. Only a small amount of variation is related to demographic differences, such as older or more female elderly populations in those countries with higher institutionalization rates. Included also is a description of the modes of financing long-term care.

__Abstract__ Long-term care (ltc) aims to help individuals to cope with their impairments. In my thesis, I describe ltc financing alternatives and their consequences for the allocation of ltc. This thesis consists of two parts. In the first part, I investigate how alternative ways of financing and organizing ltc are associated with differences in ltc use. In the second part of this thesis, I study how the government may intervene to keep ltc affordable and efficient.

Reforming Long-term Care in Europe offers the most up-to-date analysis of the features and developments of long-term care in Europe. Each chapter focuses on a key question in the policy debate in each country and offers a description and analysis of each system. Offers the very latest analysis of long-term care reform agendas in Europe Compares countries comparatively less studied with the experiences of reform in Germany, the UK, Netherlands and Sweden Each chapter focuses on a key question in the policy debate in each country and portrays a description and analysis of each system Contributions from a wide range of European scholars for an exceptionally broad perspective.