Financing Long-Term Care: How Much Public? How Much Private?

Wiener, Joshua M.; Hanley, Raymond J.; Illston, Laurel Hixon

doi:10.1215/03616878-17-3-425

Cited by 11 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Such options would involve formal systems that complement, rather than replace, the family as the main source of long-term care for older persons. If the objective of long-term care policy is to optimize well-being while containing costs, we must take individual and family preferences into account (Wiener, Hanley, & Illston, 1992).…”

Section: Discussionmentioning

confidence: 99%

Nativity, Declining Health, and Preferences in Living Arrangements Among Elderly Mexican Americans: Implications for Long-term Care

Angel

McClellan

et al. 1996

The Gerontologist

View full text Add to dashboard Cite

This study employs data from the 1993-94 Hispanic Established Population for Epidemiological Studies of the Elderly (H-EPESE) to assess the impact of nativity on preferences in living arrangements for a sample of 3,046 Mexican American individuals over the age of 65. Our results reveal great differences between the native and foreign-born in their desire to live with their children. A larger fraction of the foreign-born than native-born currently live with their children and state that they would care to continue living with their children in the event that they could no longer care for themselves. The data also reveal that the foreign-born face more serious economic constraints than the native-born and suggest that living with children may be motivated in part by economic need. We end by speculating on the implications of these findings for community-based care for elderly Mexican Americans.

show abstract

Section: Discussionmentioning

confidence: 99%

Nativity, Declining Health, and Preferences in Living Arrangements Among Elderly Mexican Americans: Implications for Long-term Care

Angel

McClellan

et al. 1996

The Gerontologist

View full text Add to dashboard Cite

show abstract

“…In theory, private insurance for LTC is based on the assumption that an individual's total income is distributed over their entire life; buying insurance thus allows them to defer some income to later in life when LTC services are required (Diamond & Mirlees, 1976). In practice, private insurance can cover only a relatively small proportion of LTC requirements (Rivlin & Wiener, 1988;Wittenberg, 1989;Moon, 1989); it is costly and inadequate (Wiener, Hawley, & Hixon Illstar, 1992), and elderly people do not purchase sufficient coverage (Rice, 1987). Mixed funding systems, private insurance and government, are complex (Kantor & Martin, 1988), and part of the middle class often falls between the cracks: excluded from the public system on the basis of income and unable to pay for private services (Moon, 1989).…”

Section: D) Resourcesmentioning

confidence: 99%

Conceptual Framework for Development of Long-Term Care Policy 1. Constitutive Elements

Béland

Arweiler

1996

Can. J. Aging

View full text Add to dashboard Cite

RÉSUMÉLes éléments pour la conception d'un schéma conceptuel pour la planification des services de longue durée (SLD) sont élaborés en se fondant sur deux courants de pensée. L'un, plus pratique d'orientation, emprunte aux réflexions sur la démarche de planification, l'autre, théorique, est celui des théories sociologiques de l'action. La planification est définie comme une action qui vise le développement d'un plan, c'est-à-dire qu'à partir à la fois de valeurs et de désirs et de ressources et de contraintes, des objectifs opérationnels sont défïnis et des moyens sont choisis. La planification s'articule done autour de quatre thémes: (1) l'établissement d'un ordre de priorités, (2) la mise en place d'organisations sous la forme d'établissements, (3) le choix d'objectifs et (4) la détermination des ressources. Ces quatre thémes sont analysés tour à tour pour donner chacun quatre éléments qui définissent 16 thèmes, dilemmes, problèmes ou enjeux propres aux SLD. Les rapports entre ces éléments, normatifs par définition, formeront l'essentiel de notre proposition de modèle pour la planification des SLD.

show abstract

“…Tableau 6 Les quatre dilemmes sur les ressources cycle de vie, il y a report des revenus sur la periode ou il y a utilisation de SLD (Diamond & Mirlees, 1976). En pratique, l'assurance privee ne saurait couvrir qu'une partie relativement peu importante des besoins en SLD (Rivlin & Wiener, 1988;Wittenberg, 1989;Moon, 1989); elle est couteuse et inadequate (Wiener, Hawley, & Hixon Illstar, 1992), alors que les personnes ag£es ne se procurent pas une couverture suffisante (Rice, 1987). Les systemes mixtes de financement, assurance privee et etatique, sont complexes (Kantor & Martin, 1988) et laissent souvent une partie de la classe moyenne entre deux chaises: exclue du systeme public sur la base des revenus et incapables de payer les services prives (Moon, 1989).…”

Section: Codesunclassified

Cadre de référence pour l'élaboration de politiques de services de longue durée 1. Éléments constitutifs

Béland

Arweiler

1996

Can. J. Aging

View full text Add to dashboard Cite

The elements of a conceptual scheme for long-term care (LTC) were developed based on two lines of thought. The first, more practical, borrows from planning. The second, which is more theoretical, reflects sociological action theories. Planning is defined as an action that targets the development of a plan. Using values, desires, resources and constraints as a starting point, operational objectives are defined and means chosen. Planning focuses on four themes: (1) establishment of priorities, (2) setting up organizations in the form of agencies, (3) choosing objectives and (4) defining resources. These four themes are analyzed in turn, with each producing four elements defining a total of 16 themes, dilemmas, problems or issues specific to LTC. The relationships between these elements, which are by definition prescriptive, form the core of our proposal for an LTC planning model.

show abstract

Financing Long-Term Care: How Much Public? How Much Private?

Cited by 11 publications

References 3 publications

Nativity, Declining Health, and Preferences in Living Arrangements Among Elderly Mexican Americans: Implications for Long-term Care

Nativity, Declining Health, and Preferences in Living Arrangements Among Elderly Mexican Americans: Implications for Long-term Care

Conceptual Framework for Development of Long-Term Care Policy 1. Constitutive Elements

Cadre de référence pour l'élaboration de politiques de services de longue durée 1. Éléments constitutifs

Contact Info

Product

Resources

About