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Handbook of Social Work in Health and Aging$
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Barbara Berkman and Sarah D'Ambruoso

Print publication date: 2006

Print ISBN-13: 9780195173727

Published to Oxford Scholarship Online: April 2010

DOI: 10.1093/acprof:oso/9780195173727.001.0001

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Policies Affecting Long-Term Care and Long-Term Care Institutions

Policies Affecting Long-Term Care and Long-Term Care Institutions

(p.867) 81 Policies Affecting Long-Term Care and Long-Term Care Institutions
Handbook of Social Work in Health and Aging

Li-Mei Chen

Oxford University Press

In recent decades, the development of the long-term care (LTC) policies in the United States has lagged behind the growing care needs of older persons with chronic illnesses and mental or physical disabilities, and their families. In most industrialized societies, the responsibilities for social policy and service delivery are seen as shared by the household, the state, and the marketplace. In these societies, an assurance of government involvement to protect an individual's minimum standard of living when the market fails to do so, is an important policy principle. A policy based on a balanced and complementary system between the private (market and household) and public sectors is often sought by progressive reformers. However, in the United States, LTC polices are lopsided, with the responsibility for LTC provision primarily placed on the elder's household. This chapter examines the development of federal and state policies affecting LTC, namely, nursing homes and other providers of such care. It presents relevant issues surrounding LTC vis-à-vis the political, social, and economic changes in U.S. society.

Keywords:   long-term care, health care services, social work practice, elderly, health care policy

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