effectiveness of community-based long-term care services
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effectiveness of community-based long-term care services a review of literature by Dolores A. Sands

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Published by Maryland Health Resources Planning Commission, Division of Health Systems Planning in Baltimore, Md .
Written in English



  • United States


  • Older people -- Long-term care -- United States -- Abstracts.

Book details:

Edition Notes

Statementprepared by Dolores A. Sands.
SeriesPlanning study series ;, no. 7
LC ClassificationsHV1461 .S26 1990
The Physical Object
Pagination117 p. ;
Number of Pages117
ID Numbers
Open LibraryOL1668821M
LC Control Number91621555

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Home and Community Based Services. Home and community based long term care services include a wide variety of personal care, health care, and other supportive services, provided to clients in their own homes, or in their community, to enable them to continue living at home, and to maintain as much independence as possible. Background and Objectives for the Systematic Review Background Definition of Long-term Care: LTC refers to myriad services designed to provide assistance over prolonged periods to compensate for loss of function due to chronic illness or physical or mental disability. 1 LTC varies in frequency and intensity according to the needs of the recipients, and it includes both hands-on, direct care as. This chapter presents an overview of the current home and community-based long-term-care (LTC) system and discusses some of the major trends that are influencing that system. Important changes are occurring in both home care and residential care regarding who is being served, how services are financed, who provides those services, and how they are : Community-Based Settings, Jill C. Feasley.   Results: After 12 years of implementing integrated systems for home- and community-based services in municipalities, growth in Danish long-term care expenditures has leveled off; expenditures appear to be decreasing for the over population and have dropped as a percentage of the gross domestic product. Access to and quality of long-term.

Long term care services may include the medical, social, housekeeping, or rehabilitation services a person needs over months or years in order to improve or maintain function or health. Such services are provided not only in nursing homes, but also in patients' homes or in community–based settings such as assisted–living facilities. A decade of research on home- and community-based long-term care shows that few of the assumptions behind expectations of tis potential cost-effectiveness were warranted. Few who use home- and community-based long-term care would otherwise have been long-stayers in nursing homes.   Effective Oct. 1, , the South Carolina Department of Health and Human Services (SCDHHS) will modify the Medicaid State Plan regarding non-covered, pre-eligibility medical expenses. Medicaid policy allows non-covered medical expenses to be used to reduce a beneficiary’s recurring income for long term care services. Home and community-based services (HCBS) have now become a mainstay of publicly-funded long-term services and supports (LTSS) in the United States, as the reliance on institutional long-term care is decreasing. Much of this national trend is driven by a process known as Medicaid LTSS delivery system rebalancing.

for Long-Term Care because it brings a rich new resource to nurses and health professionals who care for chronically ill and older adults in long-term care settings. This book fi lls a long exist ing gap in the literature, providing information relevant to every day com-plex situations requiring team building, leadership, change man-. long-term care as a set of varied services. The diverse services ful-fill a variety of needs. • The clients of long-term care are diverse in terms of age and clini-cal needs. The elderly, however, are the major users of long-term care services. • Enabling technology reduces the need for long-term care services for many people. To compare long-term care (LTC) for older adults delivered through Home and Community-Based Services (HCBS) with care provided in nursing homes (NHs) by evaluating (1) the characteristics of older adults served through HCBS and in NHs; (2) the impact of HCBS and NH care on outcome trajectories of older adults; and (3) the per person costs of.   5. Medicaid covers a broad range of health and long-term care services. Medicaid covers a broad range of services to address the diverse needs of the populations it serves (Figure 5).