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This paper updates an earlier summary of the National Long-Term Care Surveys (NLTCS) entitled "The National Long-Term Care Surveys (1982, 1984, 1989)" (1992). The NLTCS--conducted in 1982, 1984, 1989, and 1994--are nationally representative surveys of Medicare beneficiaries aged 65 or over with chronic functional disabilities (sometimes referred to as the "frail elderly").
This booklet, developed by the U.S. Department of Health and Human Services (HHS) is about informal caregiving unpaid care given voluntarily to ill or disabled persons by their families and friends. Informal caregiving by families and friends is the backbone of America's long-term care system.
In Chapter 14 (United States), the long development of long-term care policy is described, giving particular emphasis to the functioning of the main programs introduced in the 1960s, and their progressive modification up to the 1990s. Finally, an outline is given of the main reform debates of the late 1980s and 1990s. [38 PDF pages]
U.S. Department of Health and Human Services
Subacute Care: Policy Synthesis and Market Area Analysis
Proponents of subacute care claim that subacute care is a cost-effective alternative to acute care services, that is, it can be provided in lower cost settings with no diminution of quality.
After discusion about the possible approaches for conducting the international analysis, the International Collaborative Effort on Age research team concluded that the initial step in analysis should be to establish the 'context' of the research on outcomes of nursing home care.