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The cross-Atlantic exchange to advance long-term care: background paper prepared for the European Commission and AARP joint conference on long-term care 13 September 2006, Brussels
- Authors:
- TSOLOVA Svetla, MORTENSEN Jorgen
- Publisher:
- Centre for European Policy Studies
- Publication year:
- 2006
- Pagination:
- 26p., bibliog.
- Place of publication:
- Brussels
This background paper begins with a discussion of the overall goal of promoting healthy and active ageing. It highlights the fact that the world’s population is ageing rapidly and with the exception of Japan, the world’s 25 oldest countries are all in Europe. However, the need for long-term care (LTC) services is not dependent on age alone; people with limitations in self-care or mobility, seniors living alone and on low income are also important indicators. Taking this into account, the overall proportion of older people in need of LTC is found to be approximately the same in the US and the EU.
An empirical typology of residential care/assisted living based on a four-state study
- Authors:
- SOOK Nan, et al
- Journal article citation:
- Gerontologist, 46(2), April 2006, pp.238-248.
- Publisher:
- Oxford University Press
Residential care/assisted living describes diverse facilities providing non–nursing home care to a heterogeneous group of primarily elderly residents. This article derives typologies of assisted living based on theoretically and practically grounded evidence. The authors obtained data from the Collaborative Studies of Long-Term Care, which examined 193 assisted living facilities in four states: Florida, Maryland, New Jersey, and North Carolina. By using mixture modeling, typologies were derived in five different ways, based on: structure; process; resident case-mix; structure and process; and structure, process, and resident case-mix. Although configurations of typologies varied as a function of criterion variables used, common themes emerged from different cluster solutions. A typology based on resident case-mix yielded a five-cluster solution, whereas a typology based on structure, process, and resident case-mix resulted in six distinct clusters. Medicaid case-mix/psychiatric illness and high resident impairment were two clusters identified by both strategies. Because of the wide variation in structure, residents, and services within assisted living facilities, typologies such as those described here may be useful in clinical practice, research, and policy. To the extent that public payment defines its own cluster, the potential for inequities in care merits careful attention.
Assisted living in all of its guises
- Author:
- HERNANDEZ Mauro
- Journal article citation:
- Generations, 29(4), Winter 2006, pp.16-23.
- Publisher:
- American Society on Aging
This article looks at different models of providing assisted living in the United States as a means of long term care.
Will Wanless inject hope?
- Author:
- SNELL Janet
- Journal article citation:
- Community Care, 13.04.06, 2006, pp.34-35.
- Publisher:
- Reed Business Information
The social care sector in England has enthusiastically welcomed the Wanless report. The author discusses how much of it the government will adopt.
The £30bn question
- Author:
- GLASBY Jon
- Journal article citation:
- Community Care, 13.04.06, 2006, pp.36-37.
- Publisher:
- Reed Business Information
This article explores how the Wanless review's findings are social care's best hope for future funding and why policy makers need to make it work.
The evaporation effect: final evaluation of the Help the Aged intermediate care programme for older people
- Authors:
- CORNES Michelle, WEINSTEIN Pauline, MANTHORPE Jill
- Publisher:
- Help the Aged
- Publication year:
- 2006
- Pagination:
- 47p.
- Place of publication:
- London
This is the final evaluation of the Help the Aged Intermediate Care Programme for Older People, drawing attention to the hardship caused by the 'evaporation' of intermediate care after a matter of weeks, when the need is clearly for continuing care.
Continuing care
- Authors:
- BURKE Stephen, KOHLER Mervyn
- Journal article citation:
- Community Care, 20.07.06, 2006, pp.28-29.
- Publisher:
- Reed Business Information
The Department of Health proposes a national framework to replace the local eligibility criteria used by individual health trusts. Many hope that the consultation will sort out the confusion that reigns across the country. In this article the first author argues for the proposals and the second author gives his opinions against.
NHS continuing health care: action following the Grogan judgement
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2006
- Pagination:
- 9p.
- Place of publication:
- London
The Queen on the application of Grogan and Bexley NHS Care Trust, SE London Strategic Health Authority(interested party), and Secretary of State for Health(interested party) challenged the refusal to provide fully funded NHS care and only paying for nursing costs. The Department of Health guidance, unlike predecessor guidance in 2001, emphasises that the question of whether a person’s primary need for care is a health need is the “overarching test” of their eligibility for continuing care. It calls on strategic health authorities to review criteria and re-assess people who may have been wrongly denied funding.
PACE: a model for providing comprehensive healthcare for frail elders
- Author:
- TRICE Laura
- Journal article citation:
- Generations, 30(3), 2006, pp.90-92.
- Publisher:
- American Society on Aging
The Program of All-Inclusive Care for the Elderly (PACE) is an innovative long-term-care model in the United States that allows frail elders to remain at home. PACE enables frail older people who are eligible for nursing home care to continue living in the community with the full spectrum of medial, social and rehabilitative services. This article provides an overview of the PACE model highlighting its practice innovations, its key outcomes, and barriers to growth.
Future demand for long-term care, 2002 to 2041: projections of demand for long-term care for older people in England
- Authors:
- WITTENBUERG Raphael, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2006
- Pagination:
- 32p., bibliog.
- Place of publication:
- London
The financing of long-term care raises a great many questions. How many older people are likely to require long-term care services in the coming decades? How much are these services likely to cost? Will the cost to public funds prove affordable? Who should pay? How should costs be divided between public expenditure and private sources of finance? In order to address these issues, reliable projections are needed of future demand for long-term care and future long-term care expenditure. This paper presents projections of demand for long-term care for older people in England to 2041 and associated future expenditure. The projections were produced using an updated and expanded version of the Personal Social Services Research Unit’s (PSSRU) long-term care projections model. The version of the model used here has a base year of 2002 and incorporates the 2004-based official population projections. The first part of the paper describes the PSSRU long-term care finance research programme and recent associated projects. The second part of the paper describes the updated and expanded PSSRU long-term care projections model, including details of the data used in this updated version. The third part presents a set of base case assumptions and the projections obtained using those assumptions. The fourth part investigates the sensitivity of the projections to changes in those assumptions. Section five discusses the findings. A final section sets out some conclusions.