A contextual approach for understanding individual autonomy in managed community long-term care.
This article develops a framework for identifying community long-term care program and policy features that support or hinder client autonomy. After introducing the topic, the authors develop a contextual approach for understanding individual autonomy and discuss its relevance to community long-term care. They also illustrate how current financing, organization, and delivery of community long-term care provide clients with opportunities for meaningful choice. The authors summarize the implications that a contextual autonomy approach has for both community long-term care policy and program features and make specific policy recommendations.
Capitman
J
J
Institute for Health Policy, Florence Heller School, Brandeis University, Waltham, MA 02254-9110, USA.
Sciegaj
M
M
D000368:Aged; D019090:Case Management; D003153:Community Health Services / Q000458:organization & administration*; D005610:Freedom; D006291:Health Policy; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D010358:Patient Participation; D014481:United States