title: The medical director in non-institutional long-term care programs.
abstract: Non-institutional long-term care is a broad, poorly defined, rapidly developing field. The need for it, the technologic ability to provide it, and the amount of money spent on it are all growing. Reconciling the public's reluctance to support social programs with the inevitable overlap of social and medical needs in the care of the frail elderly presents a serious challenge in formulating policy. Medical directors of programs in non-institutional long-term care will have to face governmental constraints and will be responsible for developing and implementing new policy in the future.
authors.affiliation: Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
authors.forename: T E
authors.initials: TE
authors.lastname: Finucane
authors.forename: R D
authors.initials: RD
authors.lastname: Elon
authors.forename: J M
authors.initials: JM
authors.lastname: Keenan
mesh_terms: D000368:Aged; D016330:Frail Elderly; D006291:Health Policy; D006301:Health Services Needs and Demand; D006699:Home Care Services / Q000458:organization & administration*; D017051:Hospice Care / Q000458:organization & administration; D006801:Humans; D007587:Job Description; D008134:Long-Term Care / Q000458:organization & administration*; D016344:Medicare Part A; D008486:Physician Executives / Q000458:organization & administration*; D010819:Physician's Role; D012051:Reimbursement Mechanisms; D014481:United States