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Livable communities for adults with disabilities. 为成年残疾人提供宜居社区。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2006-01-01
Mia Oberlink
{"title":"Livable communities for adults with disabilities.","authors":"Mia Oberlink","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2004, the National Council on Disability (NCD) commissioned the Center for Home Care Policy and Research to research and prepare a report on the topic of \"livable communities\" for adults with disabilities. The following is a summary of the major findings in the report and the priority action steps that communities should take to become more livable for people with disabilities. The report was published by the National Council on Disability in December 2004. The National Council on Disability is an independent federal agency making recommendations to the President and Congress to enhance the quality of life for all Americans with disabilities and their families. The full report, entitled Livable Communities for Adults with Disabilities, includes numerous examples of communities that have made improvements in their livability for people with disabilities. It is available on the Council's website, www.ncd.gov.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 29","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26259852","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}
引用次数: 0
Home health care quality conferences: promoting change through dialogue. 家庭保健质量会议:通过对话促进变革。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2006-01-01
Danylle Rudin
{"title":"Home health care quality conferences: promoting change through dialogue.","authors":"Danylle Rudin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following brief is based on the results of two conferences on home care quality hosted by the Center for Home Care Policy and Research of the Visiting Nurse Service of New York. For more information about the conference outcomes and proceedings please see: Feldman, P.H.,Peterson, L.E., Reische, L., Bruno, L., & Clark, A. (2004). Charting the course for home healthcare quality: Action steps for achieving sustainable improvement. Conference proceedings. Home Healthcare Nurse, 22(12): 841-850; and Feldman, P.H., Clark, A., & Bruno, L. (2006). Advancing the agenda for home healthcare quality: Conference proceedings and findings. Home Healthcare Nurse, 24(5): 282-290.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 28","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26254706","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}
引用次数: 0
Perspectives on the recent decline in disability at older ages. 对最近老年残疾率下降的看法。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2006-01-01
Kate Stewart
{"title":"Perspectives on the recent decline in disability at older ages.","authors":"Kate Stewart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This brief summarizes a recent study exploring the decline in disability observed among the elderly population in national, longitudinal surveys between 1982 and 1999. The brief outlines survey design features that may contribute to reports of declining disability. In addition, the brief explores social trends, such as reduced availability of informal care, increased use of assistive technologies and changes in respondents' perceptions of \"disability\" over time that may be important contributors to declining disability. Finally, the brief presents the results of a reanalysis of the National Long Term Care Survey (NLTCS) to evaluate the role of several survey design and social factors on reported declines in disability. Using alternative measures of disability, this reanalysis confirmed that disability declined among the elderly population. However, the study found a more gradual decline in any disability compared to previous analyses of the NLTCS. These results point to the importance of survey design features and societal trends in interpreting recent declines in disability among the elderly.Further, the effects of survey design and societal factors on disability estimates make it difficult to extrapolate current disability trends into the future and to predict costs to Medicare, Medicaid and other public programs that serve the elderly.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 27","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26254821","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}
引用次数: 0
Public funding for long-term care services for older people in residential care settings. 为居住在住宿护理机构的老年人提供长期护理服务的公共资金。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2005-01-01
Joann Ahrens
{"title":"Public funding for long-term care services for older people in residential care settings.","authors":"Joann Ahrens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Provision of long-term care (LTC) services to older adults in group settings that are less institutional than nursing homes may be more economical than providing services in individual homes. This brief addresses a number of questions about how states can provide access to residential care through Medicaid.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 23","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25861213","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}
引用次数: 0
Homes of choice: towards more effective linkages between housing and services. 住房选择:实现住房和服务之间更有效的联系。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2005-01-01
{"title":"Homes of choice: towards more effective linkages between housing and services.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Housing--especially when viewed in combination with the availability of long-term care services--is an important issue for older adults. This policy brief summarizes recent research on the potential of service-enriched housing, as well as the barriers that impede its development. Strategies to expand and improve service-enriched housing are analyzed along with the barriers and trade-offs that states may face.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 24","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25632151","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}
引用次数: 0
Managed care and long-term care: a potential solution? 管理式医疗和长期护理:一个潜在的解决方案?
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2005-01-01
Pamela Nadash, Joann Ahrens
{"title":"Managed care and long-term care: a potential solution?","authors":"Pamela Nadash,&nbsp;Joann Ahrens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This brief summarizes research by Sparer (2003) and Hughes (2002) on managed care issues for people with long-term care needs. Managed care has been proposed as a solution to the difficult problem of managing the health of this complex population. Sparer's research examines the reasons behind the failure of states' attempts to encourage commercial managed care plans to take on this task. He argues that understanding these reasons can yield important lessons for the mostly provider-sponsored plans that currently serve the long-term care population, as well as for states, that aim to save money and better serve this population. Hughes' evaluation of a small, provider-sponsored organization found that when the organization became a managed care provider, it faced significant organizational challenges that forced it to become more efficient. Importantly, it showed that the use of capitation reimbursed the plan more effectively than fee for service, increased the range of services provided to clients, and maintained client satisfaction; however, capitation did not affect the rate of nursing home admission.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 20","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25199685","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}
引用次数: 0
Long-term care: an overview. 长期护理:概述。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2005-01-01
Pamela Nadash, Joann Ahrens
{"title":"Long-term care: an overview.","authors":"Pamela Nadash,&nbsp;Joann Ahrens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This brief provides an overview of long-term care (LTC), a term that refers to a broad range of health and supportive services delivered in a variety of service settings, including people's own homes and nursing homes. People of all ages and with many different health conditions may need LTC. Although the demand for these services is increasing, funding sources for LTC remain unstable. Moreover, lack of societal agreement about the goals of LTC makes it difficult to establish an effective LTC policy for the future. This brief discusses these issues and reviews the key challenges that must be confronted in order to build a strong infrastructure for LTC.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 22","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25859177","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}
引用次数: 0
Public funding for long-term care services for older people in residential care settings. 为居住在住宿护理机构的老年人提供长期护理服务的公共资金。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2005-01-01 DOI: 10.4324/9780203051191-9
Joann Ahrens
{"title":"Public funding for long-term care services for older people in residential care settings.","authors":"Joann Ahrens","doi":"10.4324/9780203051191-9","DOIUrl":"https://doi.org/10.4324/9780203051191-9","url":null,"abstract":"Provision of long-term care (LTC) services to older adults in group settings that are less institutional than nursing homes may be more economical than providing services in individual homes. This brief addresses a number of questions about how states can provide access to residential care through Medicaid.","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":"5 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76547337","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}
引用次数: 4
The impact of Medicare home health policy changes on Medicare beneficiaries: part II. 医疗保险家庭健康政策变化对医疗保险受益人的影响:第二部分。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2005-01-01
Joann Ahrens
{"title":"The impact of Medicare home health policy changes on Medicare beneficiaries: part II.","authors":"Joann Ahrens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This brief presents the results of a follow-up study (Murtaugh et al., 2003) on the effects of the Balanced Budget Act of 1997 on Medicare home health service use and beneficiary outcomes.[The results of the initial study (McCall et al., 2001) were discussed in a Spring 2003 policy brief and fact sheet.] The 2003 study found that the new payment systems have had a significant impact on the Medicare home health benefit: utilization declined, aggregate payments and payments per visit decreased (and then increased), the mix of services shifted, and the types of patients served appears to have changed. These results show that policy goals-in this case attempting to limit the use of the Medicare home health benefit while shifting services towards skilled care-can be instituted through changes in the payment system, though it is important to examine the impact of changes for possible unintended effects. Further study on the sustained impact of the current payment system-particularly on quality of care-is still needed.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 19","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25199682","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}
引用次数: 0
Creating more choices for older adults: financing LTC through an integrated income and disability annuity. 为老年人创造更多选择:通过综合收入和残疾年金为长期养老保险提供资金。
Policy brief (Center for Home Care Policy and Research (U.S.)) Pub Date : 2005-01-01
Joann Ahrens, Chris Murtaugh
{"title":"Creating more choices for older adults: financing LTC through an integrated income and disability annuity.","authors":"Joann Ahrens,&nbsp;Chris Murtaugh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 21","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25199686","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}
引用次数: 0
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