Abstract:
:This article presents a framework identifying important home care benefit design decisions and reviews existing designs that have been adopted in practice. Four basic designs were identified, based on a review of 55 home care benefits drawn from public programs in the United States and foreign countries, and from private long-term care insurance policies in the United States. Three of these designs-service entitlements, managed-service benefits, and cash disability allowances--have each been adopted by public programs in the United States and abroad, and by private insurance policies in the United States. A fourth design--individualized cash benefits--has been adopted in only one experimental program. The designs observed in practice are remarkably varied, providing evidence that many alternative designs are feasible. Experimentation, particularly with cash disability allowances, is needed to determine the relative costs and benefits of various designs.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Freedman VA,Kemper Pdoi
10.1300/J031v07n03_08subject
Has Abstractpub_date
1996-01-01 00:00:00pages
129-48issue
3-4eissn
0895-9420issn
1545-0821journal_volume
7pub_type
杂志文章,评审abstract::Health policy research analyzes urban/rural differences as a simple dichotomy. Research characterizes the rural elderly as having a higher incidence of sickness, dysfunction, disability, restricted mobility, and acute and chronic conditions than their urban counterparts. However, population density as a dichotomy may ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v08n04_02
更新日期:1996-01-01 00:00:00
abstract::Since implementation of The Omnibus Budget Reconciliation Act of 1987, restraint use in American nursing homes has reduced dramatically. The reduction in vest restraints has resulted in an increase in "least restrictive" devices such as waist restraints. Although this analysis of U.S. Food and Drug Administration Adve...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420802050967
更新日期:2008-01-01 00:00:00
abstract::The goal of this paper is to show how members of three Social HMOs use a limited entitlement for community-based long-term care to meet their needs and solve their problems. The paper is based on in-home interviews with 48 aged Medicare beneficiaries who joined Social HMOs and are eligible for the entitlement. Members...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v12n03_03
更新日期:2001-01-01 00:00:00
abstract::The paper reviews the history of the Social Security system in the United States in the twentieth century and discusses options for the twenty-first. Because of the steady aging of the U.S. population and the impending retirement of the large baby boom cohort, the Social Security program now is in long-term actuarial ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v14n01_06
更新日期:2002-01-01 00:00:00
abstract::This pilot study aimed to examine EVOLVE UK extra care housing tool in an Australian residential aged care minor refurbishment context. The tool's content validity was established with 34 subcategories (I-CVI ≥0.75) and 612 statements (n = 509 I-CVI ≥0.75) relevant. A subsequent audit indicated high concordance (Rho-C...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1851434
更新日期:2021-01-12 00:00:00
abstract::This paper examines recent trends in health insurance cost and coverage for the near-elderly population (aged 55 to 64), with particular attention directed toward the implications of the 2007 recession. We examine coverage by demographic and socioeconomic characteristics from the Current Population Survey and the Medi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959421003620996
更新日期:2010-04-01 00:00:00
abstract::In the context of providing health and human services for older individuals, modern American culture often depends on formally asserting and battling over a clashing array of rights among respective combatants as a first resort at problem-solving. A substantial impediment exists in our cultural environment that discou...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v09n02_05
更新日期:1997-01-01 00:00:00
abstract::This article discusses the generational equity debate in the United States--including its origins and the functions it serves. This debate has emerged in the context of concerns over the aging of the population, budgetary crises, growing health care costs, increased poverty among children, growing economic inequality,...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/J031v05n03_03
更新日期:1993-01-01 00:00:00
abstract::Despite recent economic gains for women, a substantial gender gap in financial security during old age remains, making women more dependent than men upon Social Security. Social Security plays an important role in providing for women's economic security. The implications for women of several proposed changes in Social...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v11n04_05
更新日期:2000-01-01 00:00:00
abstract::To ascertain the need for and to inform development of guidelines for voting in long-term care settings, we conducted a telephone survey of Philadelphia nursing (n = 31) and assisted living (n = 20) settings following the 2003 election. Substantial variability existed in procedures used for registration and voting, in...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v20n01_04
更新日期:2008-01-01 00:00:00
abstract::There has been substantial recent activity addressed at the challenge of protecting the rights and welfare of vulnerable human participants in various kinds of research protocols, on one hand, without unduly impeding the conduct of research that promises findings that may substantially improve health and quality of li...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v16n03_02
更新日期:2004-01-01 00:00:00
abstract::A commentary of the article discussing the possible reimagining of long-term care (LTC) is provided. The reimagining article examines how to diminish the role of nursing homes in the LTC system. The text is provocative. It is also thought-provoking. In this commentary I provide a further opinion that we could do bette...
journal_title:Journal of aging & social policy
pub_type: 评论,杂志文章
doi:10.1080/08959420.2010.508995
更新日期:2010-10-01 00:00:00
abstract::This article describes an award program sponsored by the U.S. Environmental Protection Agency for excellence in smart growth and active aging. Having examined qualitative and quantitative data, we suggest that any community can foster changes to improve the health and well-being of its aging population. Diverse winner...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2014.854648
更新日期:2014-01-01 00:00:00
abstract::This article examines the challenges experienced by very old individuals and their consequences for well-being and mental health. In order to capture unique issues experienced in very old age, 75 participants of the population-based Fordham Centenarian Study answered open-ended questions on everyday challenges. Theme-...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1163652
更新日期:2016-07-01 00:00:00
abstract::This article examines how trial courts should address complex issues of an aging society. More older people, living longer, will enter courthouses with underlying problems that will impede effective access and court processes and will require judges to enhance linkages with community health, mental health, and social ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v18n02_03
更新日期:2006-01-01 00:00:00
abstract::The United States Department of Veterans Affairs (VA) is facing pressures to rebalance its long-term care system. Using VA administrative data from 2004-2011, we describe changes in the VA's nursing homes (called Community Living Centers [CLCs]) following enactment of directives intended to shift CLCs' focus from prov...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2017.1414538
更新日期:2018-03-01 00:00:00
abstract::A rapidly expanding number of baby boomers provide care to aging parents. This study examines associations between caregiver status and outcomes related to awareness and anticipation of future long-term care (LTC) needs using 2007 Connecticut Long-Term Care Needs Assessment survey data. Baby boomers who were adult chi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.630905
更新日期:2012-01-01 00:00:00
abstract::Jobs are changing in ways that will reduce benefits for retirees. This paper explores the variety of pressures that will tend to produce this result. One major factor is that employers have been responding to cost pressures and the need for flexibility by redesigning jobs. There has been a trend--which is likely to co...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v03n01_04
更新日期:1991-01-01 00:00:00
abstract::This study examined forces leading Korean cities to join the WHO Global Network of Age-Friendly Cities and Communities (AFCC) and implement the WHO guidelines, from the perspectives of multiple streams theory and policy transfer theory. We conducted interviews with stakeholders from six member cities and identified re...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2019.1707057
更新日期:2020-01-05 00:00:00
abstract::Rural and small town places in developed economies are aging. While attention has been paid to the local transportation needs of rural seniors, fewer researchers have explored their regional transportation needs. This is important given policies that have reduced and regionalized many services and supports. This artic...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.683329
更新日期:2012-01-01 00:00:00
abstract::We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1430413
更新日期:2018-03-01 00:00:00
abstract::This study examines the scope and range of existing resources for family caregivers from the perspective of the Area Agencies on Aging (AAAs), which are charged with implementing Title III-E of the reauthorized Older Americans Act. California is used as a case example because of its substantial experience in providing...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v17n01_03
更新日期:2005-01-01 00:00:00
abstract::Voting is a fundamental right for all United States citizens, one that usually continues for elderly people as long as they are alive. As adults age, certain issues regarding voting warrant deeper consideration than in previous years, especially those presenting as a result of impaired sight, hearing difficulty, demen...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420902739170
更新日期:2009-04-01 00:00:00
abstract::Dramatic growth in Assisted Living (AL) has resulted in increasing research and policy interest. This analysis compares smaller and larger AL facilities in four states to determine whether extant measures of four key concepts, used to distinguish the AL sector, give advantage to larger facilities. Quantitative compari...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v16n04_01
更新日期:2004-01-01 00:00:00
abstract::This article is based upon research in Florida of the older population and its projected need for services. It includes discussion of the method and findings of the study. The focus, however, is on the policy implications for state government that emerged from the research. The data has enabled Florida to examine the ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v04n01_07
更新日期:1992-01-01 00:00:00
abstract::We examined the relationships between nursing home (NH) resident satisfaction and NH organizational characteristics, while controlling for the effect of resident characteristics within facilities. We used a stratified, random sample of NHs (N = 72) from two states and a prescreened and randomized sample of 1496 reside...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v19n02_07
更新日期:2007-01-01 00:00:00
abstract::Informal (i.e., unpaid) long-term care for disabled older adults is often chronic, but it is only recently that research has considered the longitudinal implications of family caregiving. In particular, investigators have conceptualized caregiving as a "career," and within the caregiving career, a number of diverse tr...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v18n03_10
更新日期:2006-01-01 00:00:00
abstract::This article describes the fragmented array of financial supports for family caregivers currently provided by the federal government, the states, and private employers-provisions that range from direct payments to tax allowances, dependent-care tax credits, and unpaid leave. It highlights the uneven pattern of support...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v06n01_05
更新日期:1994-01-01 00:00:00
abstract::Pairs of testers, one aged 57 and one aged 32, applied for 102 entry-level sales or management jobs in the Washington, DC, metropolitan area. Although their credentials described them as equally qualified, the older applicants received less favorable responses from employers 41.2% of the time. Three quarters of these ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v10n04_02
更新日期:1999-01-01 00:00:00
abstract::The empirical evidence regarding the implementation and impact of the federal Patient Self-Determination Act is examined in this article. The Act was designed to increase the use of advance medical directives in light of the U.S. Supreme Court's Cruzan decision. Research shows that the law has had little effect and th...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/j031v09n04_03
更新日期:1997-01-01 00:00:00