Rethinking long-term care.
In the context of several proposals for financing long-term care (LTC), this article suggests three areas in which reform of the structure of LTC is needed to create more appropriate incentives for better care. The interfaces between short- and long-term care can be addressed by either a number of specific changes or more global approaches, such as one or another form of capitated care. Using the ratio of achieved/expected outcomes as a prominent part of a regulatory strategy offers a means to increase the flexibility of regulation to encourage innovation while retaining meaningful accountability. New combinations of housing and nursing care offer a way for both a better and more flexible way of living in the context of an approach that guarantees universal coverage of care together with an incentive to save to afford better accommodations.
Kane
R L
RL
University of Minnesota School of Public Health, Minneapolis 55455.
D001294:Attitude to Health; D008134:Long-Term Care / Q000191:economics / Q000458:organization & administration*; D009735:Nursing Homes / Q000458:organization & administration; D010043:Outcome and Process Assessment, Health Care; D011785:Quality Assurance, Health Care; D011788:Quality of Life; D014481:United States