This article explores how rebalancing efforts can support the needs of individuals aging with a lifelong disability. The National Balancing Indicator project examined the overall long-term supports and services system (LTSS) progress in five indicators within the Sustainability, Coordination and Transparency, and Prevention principles toward a balanced LTSS system for those aging with a lifelong disability. In assessing state efforts to create a balanced participant-directed LTSS system with the National Balancing Indicators, the findings suggest states are better equipping the system to handle a burgeoning population of individuals aging with a lifelong disability, but more progress is still needed. Overall, states need to continue to create a seamless system that allows individuals with lifelong disabilities to transition smoothly through the life course.
Tapia-Cruz JA, Urdapilleta O, Gómez-Dantés O, Garrido-Latorre F. Expenditure evaluation of the construction of health units: Example of community participation. Salud Publica Mex 2003;45:483-491. The English version of this paper is available at: http://www.insp.mx/salud/index.html Abstrac Objective. Demonstrate the economic benefits that community participation may render in the construction of health units. Materials and Methods. The purpose of this study was to analyze the efficiency in the construction of 21 auxiliary health units and 81 rural health built through the Program to Support the Development of Health Services for the Non-Insured Population (PASSPA) through three different construction models (national public bidding, restricted invitation and community participation). Comparisons were also made with the units built through regular construction procedures of the Ministry of Health and other institutions. To evaluate the expenditure/m 2 , a univariate analysis using non-parametric statistics and a mathematical model of bootstrapping were used. Results. The median expenditure/m 2 and the delivery times for auxiliary health units, and the median expenditure/m 2 for rural health units were smaller when using community participation. The expenditure/m 2 of those units built through PASSPA was considerably lower than that of health units built through regular construction procedures. Conclusions. The use of community participation in the construction of auxiliary health units and rural health units may impact positively the resource investment and the delivery times when compared with units built through national public biddings and restricted invitations. The possibility of using community parti-Tapia-Cruz JA, Urdapilleta O, Gómez-Dantés O, Garrido-Latorre F. Evaluación del gasto en la construcción de unidades de salud: ejemplo de participación comunitaria. Salud Publica Mex 2003;45:483-491. El texto completo en inglés de este artículo está disponible en: http://www.insp.mx/salud/index.html
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