PMID: 2113549Jun 1, 1990Paper

Rethinking long-term care

Journal of the American Geriatrics Society
R L Kane

Abstract

In the context of several proposals for financing long-term care (LTC), this article suggests three areas in which reform of the structure of LTC is needed to create more appropriate incentives for better care. The interfaces between short- and long-term care can be addressed by either a number of specific changes or more global approaches, such as one or another form of capitated care. Using the ratio of achieved/expected outcomes as a prominent part of a regulatory strategy offers a means to increase the flexibility of regulation to encourage innovation while retaining meaningful accountability. New combinations of housing and nursing care offer a way for both a better and more flexible way of living in the context of an approach that guarantees universal coverage of care together with an incentive to save to afford better accommodations.

References

Feb 1, 1990·Journal of the American Geriatrics Society·R M Ball
Jun 1, 1990·Journal of the American Geriatrics Society·L G Pawlson, R J Lavizzo Mourey
Mar 2, 1989·The New England Journal of Medicine·R G EvansG W Torrance
Aug 24, 1989·The New England Journal of Medicine
Dec 1, 1989·Journal of the American Geriatrics Society·M Moon
Jan 5, 1989·The New England Journal of Medicine·D M Berwick
Jun 1, 1987·Archives of Dermatology·R RubensteinJ D Fine
Jun 1, 1986·The Gerontologist·R L KaneS Z Riegler
May 23, 1985·The New England Journal of Medicine·R A Kane, R L Kane
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Apr 1, 1983·The Gerontologist·R L KaneE Keeler
Jul 1, 1983·Journal of Gerontology·R L KaneR A Kane

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Citations

Nov 1, 1994·Journal of the American Geriatrics Society·J G Ouslander
Nov 1, 1994·Journal of the American Geriatrics Society·S R CounsellG M Sullivan
Feb 1, 1993·Journal of the American Geriatrics Society·B BernardiniA Guaita
Jan 1, 1997·Journal of the American Geriatrics Society·D R BerlowitzH K Brand
May 8, 1992·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·R Chapin, G Silloway
Apr 7, 1997·Journal of Aging and Health·D R MehrB E Fries
Sep 1, 1990·Journal of the American Geriatrics Society·L G Pawlson

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