Improving the Quality of Long-Term Care


Book Description

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.







Status Report


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Developments in Aging


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Studies of the Aged and Aging


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Managed Care Quality


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Studies of the Aged and Aging


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Committee Prints


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Handbook of Home Health Care Administration


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Professional reference for Nurses on Home Health Care




Cutting Health Care


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"Rationing can be defined as a way of limiting products in short supply in order to assure equal distribution." World History has examples of rationing. Examples have included the USA during World War II and Cuba since 1961. Recent examples in Medicine have included Oregon and the Czech Republic. Recently, Great Britain [with its National Health System] has considered rationing. According to the BBC News Article: "Rationing: 'Only Option' for NHS" [dated February 7, 2001], the representatives of the British Medical Association, Royal College of Nursing, Patients, Private Health Care Providers, and the Pharmaceutical Industry concluded: "Increased rationing is the only way to go forward." BBC Look North of East Yorkshire/Lincolnshire [UK Local TV News Program] [on January 14, 2005] had a segment on how "Doctor Visits have been replaced by Paramedics."