Long-Term Care

  • Robert L. Kane
  • Rosalie A. Kane


As with many social programs, long-term care (LTC) was not planned; most countries drifted into programmatic responses to an aging society. It is now necessary to rationalize what has evolved in bits and pieces. LTC poses a special problem because it covers so many aspects of life. It is essentially care in response to chronic dependency. It crosses many boundaries: physical and mental health care, health and social care, social services and housing, formal services, and family care.


Nursing Home Home Care Acute Care Informal Care Nursing Home Resident 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    World Health Organization International Classification of Impairments, Disabilities, and Handicaps: A Manual of Classification Relating to the Consequences of Disease. Geneva, Switzerland: World Health Organization; 1980.Google Scholar
  2. 2.
    Kane RA, Kane RL. Assessing the Elderly: A Practical Guide to Measurement. Lexington, Mass: DC Heath and Co, 1981.Google Scholar
  3. 3.
    McDowell I, Newell C. Measuring Health: A Guide to Rating Scales and Questionnaires. New York, NY: Oxford University Press; 1987.Google Scholar
  4. 4.
    Katz S, Ford AB, Moskowitz RW, et al. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA 1963; 185: 914–919.PubMedCrossRefGoogle Scholar
  5. 5.
    Lawton MP, Fulcomer M, Kleban, MH. A research and service oriented multilevel assessment instrument. J Gerontol 1982; 32: 91–99.CrossRefGoogle Scholar
  6. 6.
    Kane RL, Kane RA. Transitions in Long-term care. In Ory MG, Bond K, eds. Aging and Health Care. London: Routledge; 1989;pp 217–243.Google Scholar
  7. 7.
    Verbrugge LM. Longer life but worsening health? trends in health and mortality of middle-aged and older persons. Milbank Mem Fund Q 1984; 62: 475–519.CrossRefGoogle Scholar
  8. 8.
    Crimmins EM. Evidence on the compression of morbidity. Gerontologica Perspecta 1987; 1: 45–49.Google Scholar
  9. 9.
    Kane RL, Radosevich D, Vaupel JW. Compression of morbidity: issues and irrelevancies. In: Kane R, Evans JG, Macfadyen DM, eds. Improving Health in Older People: A World View. New York, NY: Oxford University Press. In press.Google Scholar
  10. 10.
    Kane RA, Kane RL. Long-Term Care: Principles, Programs, and Policies. New York, NY: Springer Publishing Co Inc; 1987.Google Scholar
  11. 11.
    Kane RA. The noblest experiment of them all: learning from the national channeling evaluation. Health Sery Res 1988; 23: 189–198.Google Scholar
  12. 12.
    Carcagno GJ, Kemper P. The evaluation of the National Long-term Care Channeling Demonstration, I: an overview of the channeling demonstration and its evaluation. Health Sery Res 1988; 23: 1–22.Google Scholar
  13. 13.
    Kane RL, Kane RA. A Will and A Way: What Americans Can Learn About Long-Term Care From Canada. New York, NY: Columbia University Press; 1985.Google Scholar
  14. 14.
    Rodin J. Aging and health: effects of the sense of control. Science 1986; 233: 1271–1276.PubMedCrossRefGoogle Scholar
  15. 15.
    US Bureau of the Census. Statistical Abstract of the United States: 1988. 108th ed. Washington, DC:, 1987. 16. Berkely Planning Associates. Evaluation of Coordinated Community Long-term Care Demonstration Projects: Final Report. Berkeley, Calif: Berkeley Planning Associates; 1985.Google Scholar
  16. 17.
    Kane RA, Kane RL. The feasibility of universal longterm care benefits: ideas from Canada. New Engl J Med 1985; 12: 1357–1363.CrossRefGoogle Scholar
  17. 18.
    Lewis MA, Cretin S, Kane RL. The natural history of nursing home patients. Gerontologist 1985; 25: 382–388.PubMedCrossRefGoogle Scholar
  18. 19.
    Rubenstein LZ, Josephson KR, Wieland GD, et al. Effectiveness of a geriatric evaluation unit: a randomized clinical trial. New Engl J Med 1984; 311: 1664–1670.PubMedCrossRefGoogle Scholar
  19. 20.
    Kane RL. Beyond caring: the challenge to geriatrics. J Am Geriatr Soc 1988; 36: 467–472.PubMedGoogle Scholar
  20. 21.
    Kane RL, Jorgensen LA, Teteberg B, et al. Is good nursing-home care feasible? JAMA 1976; 235: 516–519.PubMedCrossRefGoogle Scholar
  21. 22.
    Master RI, Feltin M, Jainchill J, et al. A continuum of care for the inner city: assessment of its benefits for Boston’s elderly and high-risk populations. N Engl J Med 1980; 302: 1434–1440.PubMedCrossRefGoogle Scholar
  22. 23.
    Gornick M, Hall MJ. Trends in Medicare utilization of SNFs, HHAs, and rehabilitation hospitals. Health Care Financing Rev. 1988; annual supplement:27–38.Google Scholar
  23. 24.
    Kane RL, Kane RA. Posthospital care: a mystery and an opportunity. In: Vladeck BC, Alfano GJ, eds. Medicare and Extended Care: Issues, Problems, and Prospects. Owings Mills, Md: Rynd Communications; 1987, pp. 37–43.Google Scholar
  24. 25.
    Holahan, J, Liu K. Cost containment in long-term care. Presented at the International Symposium on Controlling Costs While Maintaining Health: The Experience of Canada, the US and the FR of Germany With Alternative Cost-Containment Strategies; June 1988; Bonn, West Germany.Google Scholar
  25. 26.
    Rivlin AM, Wiener JM. Caring for the Disabled Elderly: Who Will Pay? Washington, DC: Brookings Institution; 1988.Google Scholar

Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • Robert L. Kane
  • Rosalie A. Kane

There are no affiliations available

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