The long term care crisis : elders trapped in the no-care zone

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Bibliographic Information

The long term care crisis : elders trapped in the no-care zone

Carroll L. Estes, James H. Swan and associates, Linda A. Bergthold ... [et al.]

Sage Publications, c1993

  • : pbk

Available at  / 28 libraries

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Includes bibliographical references and index

Description and Table of Contents

Description

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.

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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