Long-Term Care: Economic Issues and Policy Solutions


Book Description

Ensuring long-term care (LTC) is one of the most urgent problems in health care today. Demographic trends are expected to lead to a higher proportion of old and very old people in the global population. As a result, an increased proportion of global income will be devoted to LTC services. With this in mind, Long-term Care: Economic Issues and Policy Solutions aims to address the following important objectives: to provide a detailed analysis of the arrangements and institutions designed to protect the disabled and dependent elderly people in various countries, and to try to evaluate their respective merits. to discuss the projections of future costs of protection for dependent elderly, and to assess the impact of improvements in disability-free life expectancy on the future cost of care and choices between informal and formal care. to present empirical research on these decisions, with special consideration of primary caregivers, and on the substitution between in kind and cash benefits as well as between institutional (or formal) care and home (or informal) care. to analyze different theoretical approaches in modeling decisions referring to LTC services to be provided both within and between generations. With its mix of empirical, theoretical and policy-related contributions, Long-term Care: Economic Issues and Policy Solutions will be of interest not only to health economists, but also to social scientists, health insurers, and public policy advocates.




Long-term Care, Globalization, and Justice


Book Description

The plight of the dependent elderly and their families -- The plight of paid workers in long-term care -- Tracing injustice in long-term care -- An ecological ethic -- Realizing justice globally in long-term care.







Ethical Choices in Long-term Care


Book Description

The aim of this report is to identify key ethical considerations involved in the provision of long-term care systems for people with chronic illnesses and disabilities; a subject which presents a growing challenge for societies around the world, especially for developing countries. The report is based on the discussions of a meeting held in Chicago in July 2002, which included experts in public health, long-term care and development issues. Aspects considered include: the role of the family and other stakeholders, the caregiving relationship, social justice issues, and future options. It also includes four papers which discuss social justice values underlying long-term care provision.




Ethics, Law, and Aging Review, Volume 11


Book Description

We are now engaged in a movement that de-emphasizes the reliance on institutional forms of long-term care for disabled persons needing ongoing daily living assistance and converges on the use of non-institutional service providers abnd residential settings. In this latest edition of Ethics, Law and Aging Review , Kapp and ten expert contributors help us examine the forces and potential for changeing the long-term care industry (both positively and negatively) and address this paradigm shift from the inpersonal, public psychiatric institutions of the 1960s and 1970s to the present-day assisted living environments that have been fueled by economic, social, polictical, and legal forces. Most important ly, this volume identifies obstaclesto change and enlighten service providers, advocates, and key policy makers to the pitfalls that can largely interfere with positive outcomes as a result of long-term care deinstitutionalization. Topics explored include: Community-based alternatives for older adults with serious mental illness Failing consumer-directed alternatives to nursing homes Ethics of Medicare privatization




Dependence and Autonomy in Old Age


Book Description

Respecting the autonomy of disabled people is an important ethical issue for providers of long-term care. In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in this setting, where ethical conflict, dilemma and tragedy are inescapable. He argues that liberal accounts of autonomy and individual rights are insufficient, and offers an account of autonomy that matches the realities of long-term care. The book therefore offers a framework for carers to develop an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care, this revised edition, in paperback for the first time, takes account of recent work and develops the author's views of what autonomy means in the real world. It will have wide appeal among bioethicists and health care professionals.




Ethics and the Elderly


Book Description

In this study of gerontological ethics and long-term care, Moses offers a history of the ethics of caregiving, an analysis of the present situation vis-a-vis contemporary society and Christian perspectives, and models for future care that incorporate an ethical responsibility to care. At this historical moment where an aging population, advances in medical care, and the rising costs of such care across the board have made ethics of health care a pressing national question, Ethics and the Elderly offers timely and useful reflections for ethicists, pastoral care givers, and medical providers. Academically sound and written at an accessible level, it will be a valuable text for courses in medical ethics and Catholic moral theology, and will also appeal to non-academic audiences dealing with the growing field of eldercare. (Publisher).




Long-term Care Decisions


Book Description

Physical, mental, or social changes in the life of an elderly person may result in a loss of self-sufficiency. Deciding how to compensate for changes-a process that often involves family members, tends, or health professionals-frequently leads to consideration of long-term care. Most of the existing literature on ethics and decision making, however, focuses on acute care and does not necessarily-apply to issues involved in choosing long-term care.




Legal and Healthcare Ethics for the Elderly


Book Description

Increasingly, legislators at the state and federal levels of government are forced to evaluate and act upon the unique problems presented by an aging American public. A domino effect has occurred, evoking concern in educational circles to deal with the varied, complex issues associated with the "new" gerontology. This expanded focus brings in not only mental and public health delivery issues, but reaches and impacts on the social sciences, ethics, law and medicine as well as public policy. In response to these matters, Legal and Healthcare Ethics for the Elderly provides a balanced analytical presentation of the complicated socio-legal, medico-ethical and political perspectives which interact with gerontology as a field of study. In a straightforward and unambiguous style, it covers information on access and financing healthcare, the ethics of rationing healthcare and the inevitable link to the quality of life, guardianship issues in a nursing home setting, informed consent, living wills and durable powers of attorney, elder abuse, and death with dignity. The economics of care giving is charted and directed by the sometimes harsh realities of the marketplace. Thus, the various philosophical and ethical dilemmas which confront the process of aging are examined here both from a micro- and from a macro-economic perspective. This book exemplifies that it is vitally important to be educated now, to be prepared for the future and thereby make informed decisions - for both ourselves and our loved ones.