title: The non-profit sector and community-based care for the elderly in the U.S.: a disappearing resource?
abstract: Non-profit health and social service agencies have traditionally been an extremely important element of non-institutional community-based care for the elderly in the U.S. Policy shifts, commencing in 1981, increasingly concerned with medical cost containment are challenging private non-profit sector agencies delivering care to the elderly. At issue is the ability of communities to maintain a viable service sector predicated on service needs and service accessibility, as opposed to a highly discrete, medicalized, and fragmented service delivery system that is available primarily (or only) to those who can pay.
mesh_terms: D000368:Aged; D003153:Community Health Services / Q000191:economics / Q000639:trends; D006299:Health Services for the Aged / Q000191:economics / Q000639:trends; D006801:Humans; D009939:Organizations, Nonprofit; D012935:Social Justice; D012947:Social Work; D014481:United States