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Expanding the home care concept: blurring distinctions among home care, institutional care, and other long-term-care services.
Milbank Q. 1995; 73(2):161-86.MQ

Abstract

Distinctions between home care and residentially based care are blurring because of two trends: home care providers are offering services, including personal assistance, outside of the private, self-contained family home or apartment; and a market-driven movement is underway to develop group residential settings where long-term-care (LTC) consumers with substantial disability receive personal care and nursing in their own, fully equipped, apartments where they largely control the schedule. For the customers, such boundary blurring can lead to experiences of greater power and normality in their everyday lives. State regulations will help determine the extent to which new, "residentially" oriented models of LTC are feasible. Home care providers are challenged to develop flexible and creative paradigms for service that are built on a recognition that older adults with disabilities have the right to choose risks.

Authors+Show Affiliations

Kane RA
Institute for Health Services Research, School of Public Health, University of Minnesota, Minneapolis 55455, USA.

MeSH

AgedCommunity Health NursingCost-Benefit AnalysisHealth Services for the AgedHome Care AgenciesHome Care ServicesHome NursingHousing for the ElderlyHumansLong-Term CareModels, OrganizationalNursing HomesPolicy MakingUnited StatesWorkforce

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

7776944

Citation

Kane, R A.. "Expanding the Home Care Concept: Blurring Distinctions Among Home Care, Institutional Care, and Other Long-term-care Services." The Milbank Quarterly, vol. 73, no. 2, 1995, pp. 161-86.
Kane RA. Expanding the home care concept: blurring distinctions among home care, institutional care, and other long-term-care services. Milbank Q. 1995;73(2):161-86.
Kane, R. A. (1995). Expanding the home care concept: blurring distinctions among home care, institutional care, and other long-term-care services. The Milbank Quarterly, 73(2), 161-86.
Kane RA. Expanding the Home Care Concept: Blurring Distinctions Among Home Care, Institutional Care, and Other Long-term-care Services. Milbank Q. 1995;73(2):161-86. PubMed PMID: 7776944.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Expanding the home care concept: blurring distinctions among home care, institutional care, and other long-term-care services. A1 - Kane,R A, PY - 1995/1/1/pubmed PY - 1995/1/1/medline PY - 1995/1/1/entrez SP - 161 EP - 86 JF - The Milbank quarterly JO - Milbank Q VL - 73 IS - 2 N2 - Distinctions between home care and residentially based care are blurring because of two trends: home care providers are offering services, including personal assistance, outside of the private, self-contained family home or apartment; and a market-driven movement is underway to develop group residential settings where long-term-care (LTC) consumers with substantial disability receive personal care and nursing in their own, fully equipped, apartments where they largely control the schedule. For the customers, such boundary blurring can lead to experiences of greater power and normality in their everyday lives. State regulations will help determine the extent to which new, "residentially" oriented models of LTC are feasible. Home care providers are challenged to develop flexible and creative paradigms for service that are built on a recognition that older adults with disabilities have the right to choose risks. SN - 0887-378X UR - https://www.unboundmedicine.com/medline/citation/7776944/Expanding_the_home_care_concept:_blurring_distinctions_among_home_care_institutional_care_and_other_long_term_care_services_ L2 - https://medlineplus.gov/homecareservices.html DB - PRIME DP - Unbound Medicine ER -