What works? Maine's statewide uniform assessment and home care planning system tells all.

نویسندگان

  • C Gianopoulos
  • E J Bolda
  • M Baldwin
  • L Olsen
چکیده

Maine’s state-funded home-based care (HBC) program succeeds in aligning resources with the care needs of consumers. Using trained nurse assessors who develop and authorize service plans, the Maine HBC program targets home care services to those most in need. A recent analysis of the program found that authorized service plan costs increased consistently and in a linear relationship with levels of impairment. From a state policy perspective, this finding provides a basis for developing policies that more equitably distribute limited state-funded homeand community-based resources to those most in need of care.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Aging, Pensions and Long-term Care: What, Why, Who, How?; Comment on “Financing Long-term Care: Lessons From Japan”

Japan has been aging faster than other industrialized nations, and its experience offers useful lessons to others. Japan has been willing to expand its welfare state with a long-term care (LTC) insurance to finance home care and nursing home care for frail elderly. As Ikegami shows, it created new facilities and expanded specialized staffing for home care, developed a c...

متن کامل

Evidence-based family planning: finding answers to clinical questions.

Journal of Family Planning and Reproductive Health Care 2003: 29(2) Clinical scenario A busy family planning clinic (FPC) finally draws to a close, during which you demonstrated the insertion of several intrauterine devices (IUDs) to a general practitioner (GP) registrar and also supervised him inserting an IUD for the first time. Over coffee at the end of the session he tells you that his GP t...

متن کامل

Clinical networks influencing policy and practice: the establishment of advanced practice pharmacist roles for specialist palliative care services in South Australia.

OBJECTIVES To operationalise the concept of 'advanced practice roles' in pharmacy within the new integrated regionalised palliative care service model outlined in the Palliative Care Services Plan 2009-2016, SA Health. METHODS A working group was established under the auspices of the Palliative Care Clinical Network to progress the development of advanced practice pharmacist roles for regiona...

متن کامل

How to achieve the desired outcomes of advance care planning in nursing homes: a theory of change

BACKGROUND Advance care planning (ACP) has been identified as particularly relevant for nursing home residents, but it remains unclear how or under what circumstances ACP works and can best be implemented in such settings. We aimed to develop a theory that outlines the hypothetical causal pathway of ACP in nursing homes, i.e. what changes are expected, by means of which processes and under what...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Gerontologist

دوره 41 3  شماره 

صفحات  -

تاریخ انتشار 2001