INTEGRATING ACUTE AND LONG-TERM-CARE

被引:21
|
作者
LEUTZ, WN [1 ]
GREENLICK, MR [1 ]
CAPITMAN, JA [1 ]
机构
[1] KAISER PERMANENTE CTR HLTH RES,PORTLAND,OR
关键词
D O I
10.1377/hlthaff.13.4.58
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Advocates of health system reform are striving to assure that a valuable new benefit for home, and community-based long-term care is included. Yet in many legislative proposals, a long-term care benefit is kept separate from the rest of the benefit package. Experience from the social health maintenance organization (social HMO) demonstration shows that for the elderly at least, community long-term care can be integrated with acute care, at a manageable cost. Acute and chronic disease and disability are experienced concurrently. Moreover, disability is not confined to a small group of permanently disabled persons but affects many other persons for short periods. Integration of long-term and acute care in a managed care model serving a broad population may promote more effective acute care and more efficient and affordable long-term care.
引用
收藏
页码:58 / 74
页数:17
相关论文
共 50 条