THIS IS NOT YOUR "PARENTS" LONG-TERM CARE SYSTEM
2016
The gerontologist
infrastructure for the dissemination of evidence-based falls prevention programs in Massachusetts. This partnership consists of more than ninety (90) community-based organizations and operates as a centralized provider network. As such, HLCE allows for consistent delivery of evidence-based programs in all parts of the state, as well as ease of contracting for healthcare partners across multiple geographies. This session will highlight key elements necessary for such a network to be developed
more »
... grow and will further focus on the appropriate value proposition cases to make to a variety of health care partners. Specifically, an executed contract with a managed care plan will be reviewed and explored, with particular attention to how to replicate elements of the relationship that have led to success. Access to appropriate long-term care (LTC) is essential to the quality of life in old age. The actual place of LTC delivery ranges from private homes to sheltered housing and nursing homes. It is determined by disability and social characteristics of older persons but also by the degree of availability of services matching older populations' expectations. Little is known on the views of older citizens regarding the appropriate place of LTC for the large spectrum of disability. To fill this gap, 3'133 randomly selected community-dwelling persons aged 68 years and over participated in a population-based survey on care conducted in 2012 in Vaud, Switzerland. They were asked for the most appropriate place of care in increasingly severe disability situations exposed in 10 vignettes, taking into account the presence or absence of a valid spouse. Most participants (95.3%) expressed their opinion. The population's choice for nursing home ranged from 0.8% (95% CI [0.3%-1.4%]) for the mildest disability vignette of a person living with a valid spouse to 78.8% [76.1%-81.6%] for the most severe disability case of a person living alone. One fifth (21.6% [19.0%-24.2%]) of the population never considered nursing homes as the most appropriate setting, even in severe situations cumulating somatic and cognitive troubles. BADL disability implying needs for help along the day, urinary and fecal incontinence, aggressiveness and cognitive problems all influenced choices for the care setting. Older citizens' opinions can be elicited; their integration in health services planning is likely to improve the quality of LTC. This study focuses on the choices and demographics for four basic conditions of long-term care insurance (LTCI)
doi:10.1093/geront/gnw162.2590
fatcat:pnleea7yovh6bn5clx5whxqy2e