Older people who would prefer to stay in their homes and states whose funds are being depleted by the rising costs of Medicaid payments to nursing homes find the current system of long-term care unsatisfactory. From Nursing Homes to Home Care arms educators , policymakers, public health professionals, gerontologists, and advocacy groups with the information they need to participate knowledgeably in the debate about aging and long-term care needs. The book shows readers where things are, where they are going, and where they need to be in changing the system of long-term care.

Cowart, Marie E; Quadagno, Jill

Contents
Nursing Homes to Home Care

• Foreword: Health Care Reform, Long-Term Care, and the Future of an Aging Society
• Part I: Population Aging and the Risk of Disability
• Ways of Thinking About the Long-Term Care of the Baby Boom Cohorts
• Changes in Health, Mortality, and Disability and the Impact on Long-Term Care Needs
• Part II: Access vs. Need in Long-Term Care Today
• Home and Community-Based Care: Recent Accomplishments and New Challenges
• Informal Care vs. Formal Services: Changes in Patterns of Care Over Time
• Race and Gender Differences in the Distribution of Medicaid Home and Community-Based Services in Florida
• Part III: Planning our Future Long-Term Care Policy
• Financing Reform for Long-Term Care: Strategies for Public and Private Long-Term Care Insurance
• Designing Home Care Benefits: The Range of Options and Experience
• Home Health Care: Moving Forward With Continuous Quality Improvement
• Long-Term Care Policy and the American Family
• Index
• Reference Ntoes Included