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Open AccessJournal ArticleDOI

Alternatives to Institutional Care of the Elderly: Beyond the Dichotomy

Robert L. Kane, +1 more
- 01 Jun 1980 - 
- Vol. 20, Iss: 3, pp 249-259
TLDR
Much research is needed to provide the basis for examining the variety of proposed alternatives to nursing homes to allow us to compare costs and benefits in some reasonable fashion.
Abstract
cost implications have spurred strong interest in seeking alternatives to nursing homes. The rationale for such alternatives is a mixture of prevention, displacement, and deinstitutionalization; none may result. The alternative services may prove to be additive rather than substitutive. Much research is needed to provide the basis for examining the variety of proposed alternatives to allow us to compare costs and benefits in some reasonable fashion.

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Substitution between formally and informally provided care for the impaired elderly in the community

Vernon L. Greene
- 01 Jun 1983 - 
TL;DR: Results indicate a substantial tendency for formally provided care to be substituted for informal care, and that unmet need appears to be the major variable predicting both informal and formal support levels.
Journal Article

Community care demonstrations: what have we learned?

TL;DR: It is concluded that expanding public financing of community services beyond what already exists is likely to increase costs, and expanded community services appear to make people better off and not to cause substantial reductions in family caregiving.
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Risks to home care workers: Professional perspectives

TL;DR: This grounded theory study set in Northern Ireland used data from 19 focus groups and nine semi-structured interviews with a range of health and social services professionals and managers to explore perspectives on planning long term care for older people.
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The influence of stress and coping on family caregivers' perceptions of health.

TL;DR: The aim is to identify stressful aspects of caregiving and ways of coping that may be maladaptive for caregivers, placing them at risk for illness and disease.
References
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Journal ArticleDOI

Assessing the impact of planned social change

TL;DR: In this paper, the authors report on program impact assessment methodology as it is developing in the United States today, and assume that social project evaluation methodology is one of the fields of science that has enough universality to make scientific sharing mutually beneficial.
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Appropriate placement of the chronically ill and aged. A successful approach by evaluation.

TL;DR: By independent follow-up assessment, 84% of these 332 patients were appropriately placed for their needs—an improvement of more than 20% over the degree of appropriateness of long-term care found in this community in other studies.
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The 4% Fallacy: A Methodological and Empirical Critique of Extended Care Facility Population Statistics:

TL;DR: In this paper, the authors make use of population statistics which indicate that only 4% of those over 65 are in nursing homes and other extended care facilities (ECF) and show that these data are misleading, however, for t...
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The mentally ill in nursing homes. New back wards in the community.

TL;DR: Characteristics of psychiatric nursing home patients in Utah showed an increase in prescribed psychoactive medication and a decrease in activity over time, raising serious questions about the current reliance on nursing homes for the care of the psychiatric patient.