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The accumulated challenges of long-term care.
Health Aff (Millwood). 2010 Jan-Feb; 29(1):29-34.HA

Abstract

During the past century, long-term care in the United States has evolved through five cycles of development, each lasting approximately twenty years. Each, focusing on distinct concerns, produced unintended consequences. Each also added a layer to an accumulation of contradictory approaches--a patchwork system now pushed to the breaking point by increasing needs and financial pressures. Future policies must achieve a better synthesis of approaches inherited from the past, while addressing their unintended consequences. Foremost must be assuring access to essential care, delivery of high-quality services in an increasingly deinstitutionalized system, and a reduction in social and economic disparities.

Authors+Show Affiliations

Center for Health Equality, School of Public Health, at Drexel University, in Philadelphia, Pennsylvania, USA. david.b.smith@drexel.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

20048357

Citation

Smith, David Barton, and Zhanlian Feng. "The Accumulated Challenges of Long-term Care." Health Affairs (Project Hope), vol. 29, no. 1, 2010, pp. 29-34.
Smith DB, Feng Z. The accumulated challenges of long-term care. Health Aff (Millwood). 2010;29(1):29-34.
Smith, D. B., & Feng, Z. (2010). The accumulated challenges of long-term care. Health Affairs (Project Hope), 29(1), 29-34. https://doi.org/10.1377/hlthaff.2009.0507
Smith DB, Feng Z. The Accumulated Challenges of Long-term Care. Health Aff (Millwood). 2010 Jan-Feb;29(1):29-34. PubMed PMID: 20048357.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The accumulated challenges of long-term care. AU - Smith,David Barton, AU - Feng,Zhanlian, PY - 2010/1/6/entrez PY - 2010/1/6/pubmed PY - 2011/8/23/medline SP - 29 EP - 34 JF - Health affairs (Project Hope) JO - Health Aff (Millwood) VL - 29 IS - 1 N2 - During the past century, long-term care in the United States has evolved through five cycles of development, each lasting approximately twenty years. Each, focusing on distinct concerns, produced unintended consequences. Each also added a layer to an accumulation of contradictory approaches--a patchwork system now pushed to the breaking point by increasing needs and financial pressures. Future policies must achieve a better synthesis of approaches inherited from the past, while addressing their unintended consequences. Foremost must be assuring access to essential care, delivery of high-quality services in an increasingly deinstitutionalized system, and a reduction in social and economic disparities. SN - 1544-5208 UR - https://www.unboundmedicine.com/medline/citation/20048357/The_accumulated_challenges_of_long_term_care_ L2 - https://www.healthaffairs.org/doi/10.1377/hlthaff.2009.0507?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -