title: The challenges to long-term care: a personal account.
abstract: The challenges to long-term care come from many directions. In this article, the focus is on the changing nature of expectations and experiences of aging in three generations of a middle class family. This personal account details the way in which these generational expectations have changed, and what the long-term care system provides. Continuing care communities provide a setting for the older generation, but changing economic circumstances raise questions about how society will provide adequate long-term care for the next cohort of elders.
authors.affiliation: University of Massachusetts Boston, College of Nursing and Health Sciences, 100 Morrissey Boulevard, Boston, MA 02125, USA. frances.portnoy@umb.edu
authors.forename: Frances L
authors.initials: FL
authors.lastname: Portnoy
mesh_terms: D000368:Aged; D000375:Aging / Q000523:psychology*; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology; D005190:Family / Q000523:psychology*; D005544:Forecasting; D006301:Health Services Needs and Demand / Q000458:organization & administration; D016852:Housing for the Elderly / Q000458:organization & administration; D006801:Humans; D016901:Intergenerational Relations; D008134:Long-Term Care / Q000458:organization & administration / Q000523:psychology; D011158:Population Growth; D012922:Social Change; D014481:United States