Management and Financing of Long-Term-Care Services

A new approach is needed for organizing and financing the delivery of long-term services, which are defined as the full spectrum of medical, rehabilitative, and maintenance/custodial services required by disabled adults and the vulnerable elderly. In spite of sizable expenditures, past and present approaches for providing long-term care have been inadequate, as evidenced by a pervasive discontent with the facilities, services, and problem-solving mechanisms available for meeting the needs of such persons.1 2 3 4 5 In particular, there is discontent over the lack of alternative community-based services, over the inefficiency of available mechanisms for allocating services and housing resources, and over the high . . .