Leutz and his colleagues offer the most practice-oriented and
realistic assessment of how chronically ill elders are being served
at the community level. They analyze options and opportunities open
to policy makers and practitioners relative to long-term care in
the community environment where so many elders want to be. In the
process, the authors evaluate the range of needs, the importance of
gender and cultural differences, and the effectiveness of Medicare
and Medicaid as entitlement strategies.
Community care constitutes a major gap in the nation's
health-care system. The authors show that there are many persuasive
reasons to build, staff, manage, and pay for high quality
community-care systems. Such programs are demonstrated to be
affordable and to meet better the needs of a large percentage of
elders who require long-term care. The authors set forth goals for
community-care systems and criteria for assessment. This timely
analysis, coupled with practical, socially compelling
recommendations, responds effectively to the realities of an aging
population and the great public policy and related fiscal
concerns.
General
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