Abstract:
:A social health maintenance organization (SHMO) integrates acute and long-term care and provides an extended-care benefit for elderly who are at risk of institutionalization. This article reports findings from a case study of the termination of the Group Health SHMO in Minnesota. Interviews were conducted with social workers and at-risk elderly who had been receiving long-term care through the SHMO. The case study examines the post-SHMO transition and the process of replacing SHMO care coordination and longterm care services. Most of the elderly and their caregivers indicated they were "losing ground"--that is, they were paying more or getting less care. Some were paying more for less care. Because they tended to switch to private-pay arrangements and to rely more on informal care, it appears that their care system became much less stable after the closing of the SHMO.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Fischer LR,Leutz W,Miller A,von Sternberg TL,Ripley JMsubject
Has Abstractpub_date
1998-01-01 00:00:00pages
57-75issue
1eissn
0895-9420issn
1545-0821journal_volume
10pub_type
杂志文章abstract::Social security for older people in China today has been established institutionally. However, there are substantial problems such as coverage, affordability, fund management, and corruption. This paper aims to provide a general picture of China's social security system for older people and to argue that the inequalit...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
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更新日期:2013-01-01 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
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journal_title:Journal of aging & social policy
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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::The availability of data from the Current Population Survey for each year makes it possible to monitor the migration behavior of the population on a year-to-year basis and facilitates efforts to detect changes in long-standing patterns of behavior. The data used in this article come from the published reports summariz...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
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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
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journal_title:Journal of aging & social policy
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v19n04_06
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journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/j031v09n04_03
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pub_type: 杂志文章
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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abstract::On August 22, 1996, President Clinton signed the welfare reform law that ended eligibility for all immigrants to federal means tested entitlements. Poor elderly immigrants on Supplemental Security Income were specifically targeted. This article documents how the print media responded to these policy changes. The follo...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v13n04_02
更新日期:2001-01-01 00:00:00
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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更新日期:2013-01-01 00:00:00
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v03n03_04
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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journal_title:Journal of aging & social policy
pub_type: 评论,杂志文章
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journal_title:Journal of aging & social policy
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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journal_title:Journal of aging & social policy
pub_type: 杂志文章
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journal_title:Journal of aging & social policy
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