{"title":"Financing long-term care in Canada.","authors":"P Jacobs, C Mills, M Hollander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Financial policies relating to long-term care in Canada are changing rapidly in response to demands for health care reform. This chapter focuses on the financial structure of institutional care, primarily nursing homes, in the western provinces of Alberta and British Columbia. Community-based long-term care is discussed briefly.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"101-5"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21040899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality improvement in nursing homes.","authors":"N G Castle, J S Zinn, D Brannon, V Mor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Regulation, competition, and cost containment have focused attention on quality improvement in nursing homes. Definition, measurement, and monitoring of quality are essential components of any program designed for quality assurance or continuous quality improvement.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"39-54"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21040909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient management and use of medication in long-term care.","authors":"M M Leibovici","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pharmacotherapeutic approach to patient management in long-term care is fraught with uncertainties and perils, including overprescription, overmedication, and adverse drug events as well as escalating costs. The author argues for alternative protocols that emphasize behavior modification, exercise, supervised hydration, and well-monitored nutrition.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"77-86"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21040911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Future trends in chronic disability and institutionalization: implications for long-term care needs.","authors":"K G Manton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Demographic changes (including a healthier and aging population), trends in chronic morbidity and disability, and changes in active life expectancy have affected trends in long-term care delivery in the United States. Managed care plans face particular challenges, including creation of mix-based reimbursements and better integration of geriatric and other specialty services.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"177-91"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term care: the Australian experience.","authors":"J S Lawson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mainly because of migration of young people, the Australian population is young in comparison with the population of other economically developed countries. Fragmentation and excessive reliance on institutions of care of handicapped and elderly people have led to efforts at coordination of services, quality assurance, and a balance between institutional and community-based services.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"157-65"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21040904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of nursing in long-term care.","authors":"E L Mitty","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing services are an essential component of long-term care, whether it is based in the community and home or traditional nursing facilities. The author reviews the various demands of each type of care in terms of nursing education and specific skills as well as resident characteristics, survey findings, and staffing recommendations. Innovative nursing models in long-term care and areas for future research are also addressed.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"55-75"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21040910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transforming the long-term care system: policy and managerial challenges.","authors":"N A Miller, S B Clauser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As the need for long-term care of people with disabilities increases, the model of care faces crucial changes, including a shift from institutional to independent living, significant changeover in organizational auspices, and policies created by the Americans with Disabilities Act. Such systemic changes pose fiscal, technological, and social challenges to policymakers and managers of care delivery.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"9-22"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Italian model for long-term care.","authors":"G Ricciardi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the past decade in Italy, delivery of long-term care has undergone many changes, with introduction of the nursing homes as the central force. High-quality residential and outpatient services have become available in new community-oriented services. Among the benefits are reduction of inappropriate admissions, improved quality of life for residents and outpatients, decreased dependence on private resources, growth of voluntary services, and creation of new occupational opportunities.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"167-76"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21040906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term care in the British National Health Service: a problem of funding.","authors":"J M Kellett","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"107-14"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21040900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term care in the Danish health care system.","authors":"L Wagner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Because of a declining birth rate and increased life expectancy, emphasis in the Danish health care system has shifted from child care to care of the elderly. The author examines the social, medical, governmental, and financial implications of this shift, focusing on an experimental scheme in the rural community of Skaevinge. By shifting from institutional to community-based services, the Skaevinge project created a new interdisciplinary structure that turned a nursing home into apartments and introduced 24-hour services for the entire community.</p>","PeriodicalId":79911,"journal":{"name":"Health care management (Philadelphia, Pa.)","volume":"3 1","pages":"149-56"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21040903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}