The long term care crisis : elders trapped in the no-care zone
著者
書誌事項
The long term care crisis : elders trapped in the no-care zone
Sage Publications, c1993
- : pbk
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注記
Includes bibliographical references and index
内容説明・目次
内容説明
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.
目次
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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