Long-term care represents a significant burden to the approximately 7 million elderly in need, their families, and the Medicaid program. Concerns exist about access, quality, cost, and the distribution of the burden of care. In this article each area is discussed, highlighting the principal issues, identifying the unique aspects that pertain to long-term care, and exploring the implications for...

PURPOSE This paper is to distribute first results of the EU Fifth Framework Project 'Providing integrated health and social care for older persons-issues, problems and solutions' (PROCARE-http://www.euro.centre.org/procare/). The project's first phase was to identify different approaches to integration as well as structural, organisational, economic and social-cultural factors and actors that c...

This book contains a series of chapters by various authors, which describe the challenges associated with integrating community care services across professional boundaries and potential methods of addressing those challenges. The book also addresses to a limited degree integration across the health and long-term care sectors. The evidence the authors tap for their observations comes from a lar...

THE NEW Royal Commission on long-term care is about to start hearing evidence and is expected to deliver its verdict in a year's time. After this there is likely to be considerable public and political pressure for government action, for feelings continue to run high about why some care is free and some must be paid for, and about the variations across the country in the types and quality of lo...