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Chapter 1. Long-Term Care Today: Turbulent Times

Chapter 1. Long-Term Care Today: Turbulent Times . Long-Term Care: Managing Across the Continuum (Second Edition). Learning Objectives. Define the current long-term care system, including how it developed, and key strengths and weaknesses of the system. Define the term "continuum of care."

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Chapter 1. Long-Term Care Today: Turbulent Times

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  1. Chapter 1. Long-Term Care Today: Turbulent Times Long-Term Care: Managing Across the Continuum (Second Edition)

  2. Learning Objectives • Define the current long-term care system, including how it developed, and key strengths and weaknesses of the system. • Define the term "continuum of care." • Identify and define the consumers and providers of long-term care. • Define institutional and non-institutional care, and the strengths and shortcomings of each approach. • Identify the changes taking place in long-term care today.

  3. Defining the Long-Term Care System • Long-Term Care: • “Care of those persons requiring health care, personal care, social, and supportive services over a sustained period of time”

  4. Factors Contributing to Development of the Long-Term Care System • Financing:Growing role of government • The impact of regulations • The results of past successes • Cost-reduction efforts

  5. Components of the Long-Term Care System • Consumers: • Elderly users of long-term care • The elderly as a political force • Nonelderly long-term care users • The physically handicapped • The mentally ill/mentally retarded • The baby boomers: future long-term care consumers

  6. Components of the Long-Term Care System • Providers: • Nursing Facilities • Assisted Living/Residential Care • Subacute Care • Adult Day Care • Home Health Care • Hospice Care

  7. Institutional vs. Non-Institutional Care • Institutional: Non-Institutional: • Nursing Facilities • Adult Day Care • Assisted Living • Home Health Care • Subacute Care • Hospice Care

  8. Long-Term Care as Part of a Continuum • The Continuum of care is: • Client-Oriented • Comprehensive • Integrated

  9. Strengths and Weakness of The Long-Term Care System • Strengths: • Response to changing needs • Uniquely American nature • Dedication of caregivers • Focus on customer service • Innovative types of care • Integration efforts

  10. Strengths and Weakness in The Long-Term Care System • Weaknesses: • Reimbursement-driven • Inequitably distributed services • Fragmented and uncoordinated • Mix of health and social services • Multiple entry points

  11. Strengths and Weakness in The Long-Term Care System • Weaknesses (continued): • Overshadowed by the acute system • Poor public image • Inadequate support for informal caregivers • Confusing and “user-unfriendly” system

  12. Summary • The long-term care system has taken years to develop, and is still evolving. It is a critical part of the overall continuum of care, and has both strengths and weaknesses

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