Korean J Geriatr Gerontol.
2017 Jun;18(1):1-7. 10.15656/kjcg.2017.18.1.1.
Long-term Care Practice and Health Policy in the United States
- Affiliations
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- 1Department of Medicine, University of Arizona College of Medicine, Tuscon, Arizona, USA
- 2Department of Public Health, Yonsei University College of Medicine, Seoul, Korea
- 3Department of Sociology, Anthropology, and Health Administration & Policy, University of Maryland Baltimore County, Baltimore, Maryland, USA
- 4Division of Geriatric Medicine, Department of Internal Medicine, University of Nevada School of Medicine, Las Vegas, Nevada, USA
- KMID: 2566464
- DOI: http://doi.org/10.15656/kjcg.2017.18.1.1
Abstract
- In the United States, nursing homes have evolved dramatically over the past several years, responding to a variety of government and market-driven forces. The almshouse, common at the turn of the 20 th century, has been transformed into a highly-regulated institution for people who often have severe physical and mental disabilities. Nursing homes, more than ever, present the clinician with a set of unique and complex care issues. This review will discuss United States long-term care practice and health policy in the context of population needs, government policy, and reimbursement, and staffing patterns using a patient story.
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