Senile dementia: public policy and adequate institutional care.

Abstract:

:Increasing costs of institutional care for the aged have occasioned a variety of government cost containment measures. People with senile dementia of the Alzheimer's type (SDAT) will be the principal group to suffer from cutbacks. SDAT patients are usually eligible for Intermediate Care Facilities (ICFs), rather than Skilled Nursing Facilities (SNFs) and therefore for lower reimbursement. Because such patients require heavy care and are the ones most likely to be Medicaid-dependent, nursing homes are being provided with incentives to prevent admissions. At the same time, community services to aid overburdened caregivers are grossly inadequate. Costs to other parts of the health systems are increased by backups in acute hospitals when nursing home beds cannot be found. SDAT and Medicaid eligibility are the principal causes of such "administratively necessary" backup days, but in the main Diagnostic Related Groups (DRGs) may close even that temporary resource. Thus, virtually all avenues of care are shrinking for those who need them most.

journal_name

Am J Public Health

authors

Brody EM,Lawton MP,Liebowitz B

doi

10.2105/ajph.74.12.1381

subject

Has Abstract

pub_date

1984-12-01 00:00:00

pages

1381-3

issue

12

eissn

0090-0036

issn

1541-0048

journal_volume

74

pub_type

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