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The Accumulated Challenges Of Long-Term Care
Journal article   Peer reviewed

The Accumulated Challenges Of Long-Term Care

David Barton Smith and Zhanlian Feng
Health affairs (Millwood, Va.), v 29(1)
01 Jan 2010
PMID: 20048357

Abstract

Health Care Sciences & Services Health Policy & Services Life Sciences & Biomedicine Science & Technology
During the past century, long-term care in the United States has evolved through five cycles of development, each lasting approximately twenty years. Each, focusing on distinct concerns, produced unintended consequences. Each also added a layer to an accumulation of contradictory approaches - a patchwork system now pushed to the breaking point by increasing needs and financial pressures. Future policies must achieve a better synthesis of approaches inherited from the past, while addressing their unintended consequences. Foremost must be assuring access to essential care, delivery of high-quality services in an increasingly deinstitutionalized system, and a reduction in social and economic disparities.

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19 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
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