Care for Elders With Chromic Disease and Disability
Hastings Center Report. 1994 Sep-Oct; 24(5): 18-20.
Recommendations: The unique medicosocial principles of long-term care should be embodied in both health care and welfare policies to maintain complexity, continuity, coordination, and integrity of care. Although priority should be given to home care, a good balance between institutional and home or community care must be achieved. The lower the quality and supply of formal long-term care services, the greater the burden on families. New policies toward caregiving families should be adopted and responsibility shared between the formal and informal sectors. Without a proper balance, careful planning, and placing long-term care in a broad sociopolitical context, we will only play the game of shifting resources from one sector to another and replacing one kind of service with another. The total number of needy people and the societal resources spent for their care will remain unchanged. If we want to have good societies, we must expend the necessary resources -- and our time and affection -- to provide decent just, and accessible care to all.
Aged; Autonomy; Chronically Ill; Community Services; Disability; Disease; Economics; Family Members; Government; Government Regulation; Health; Health Care; Health Care Delivery; Health Facilities; Home Care; Institutionalized Persons; Life; Long-Term Care; Nursing Homes; Patient Care; Private Sector; Public Policy; Public Sector; Regulation; Residential Facilities; Resource Allocation;
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