Quality improvement in community-based, long-term care: theory and reality

Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all...

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Bibliographic Details
Published in:American journal of law & medicine 1994-01, Vol.20 (1-2), p.59-77
Main Authors: Kinney, E D, Freedman, J A, Cook, C A
Format: Article
Language:English
Subjects:
Aged
Community Health Services - legislation & jurisprudence
Disabled Persons - legislation & jurisprudence
Health Services for the Aged - legislation & jurisprudence
Health Services Research - legislation & jurisprudence
Home Care Services - legislation & jurisprudence
Humans
Long term care
Long term health care
Long-Term Care - legislation & jurisprudence
Long-term care of the sick
Outcome Assessment (Health Care) - legislation & jurisprudence
Physically disabled aged
Physically disabled elderly
Quality Assurance, Health Care - legislation & jurisprudence
Quality management
Quality of life
Total quality management
United States
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Summary:Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients. An ever increasing proportion of the population is in need of community-based, long-term care services. Between nine and eleven million Americans of all ages are chronically disabled and require some help with tasks of daily living. In 1990, thirty percent of the elderly with at least one impaired activity of daily living used a community-based, long-term care service. Not surprisingly, expenditures for community-based, long-term care have increased.
ISSN:0098-8588
2375-835X
DOI:10.1017/S0098858800006432