Abstract
Proposals for major reforms in the organization, delivery, and financing of long-term care for the aged and disabled increasingly dominate federal and state health-policy debates. Innovative programs and large-scale demonstration and research efforts have focused attention on expanding community-oriented long-term care (CLTC). This review examines findings from national surveys, evaluations of CLTC demonstrations, and early returns from emergent comprehensive models with a focus on the lessons and challenges presented by CLTC for health-care practitioners and clinical research. The first section summarizes the major criticisms of the current delivery system for long-term care and defines two sets of conclusions derived from studies of programs intended to improve this system.
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Capitman, J.A. (1990). Policy and Program Options in Community-Oriented Long-Term Care. In: Lawton, M.P. (eds) Annual Review of Gerontology and Geriatrics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-40455-3_11
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