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Long-Term Care is one of the fastest-growing segments in the healthcare field. Societal changes, including the aging of the boomers and an evolution in attitudes toward aging and retirement, will continue to propel long-term care issues to the forefront.
Mary Helen McSweeney-Feld, PhD, is an associate professor in the Office of Collaborative Programs and a research associate in the Center for Productive Aging at Towson University in Towson, Maryland. She is a member of the Education Committee of the National Association of Long Term Care Administrator Boards and a member of the Academy of Long Term Care Leadership and Development of the American College of Health Care Administrators. Her work has appeared in a variety of peer-reviewed and professional publications. Reid Oetjen, PhD, is an associate professor and program director for the University of Central Florida's graduate programs in health services administration in Orlando. He teaches long-term care administration, aging of the population, human resources management, and healthcare quality management. Dr. Oetjen has authored articles for numerous peer-reviewed publications and regularly presents his research at academic and practitioner conferences.
Table of Contents
|Overview of Long-Term Care||p. 1|
|Introduction to the Dimensions of Long-Term Care||p. 3|
|The Aging Tsunami: An Overview of Older Americans||p. 4|
|Changing Definitions of Retirement||p. 4|
|What Is Long-Term Care?||p. 6|
|The History of Long-Term Care Service Delivery||p. 7|
|The Aging Process and Long-Term Care Service Delivery||p. 9|
|Models of Long-Term Care Delivery||p. 10|
|Key Aspects of Long-Term Care||p. 13|
|A Look Ahead||p. 15|
|Care Settings for Long-Term Care Services||p. 17|
|Residential Settings for Long-Term Care Services||p. 19|
|Independent Living||p. 20|
|Assisted Living||p. 25|
|Skilled Nursing Facilities||p. 27|
|Continuing Care Retirement Communities||p. 30|
|New Developments in Residential Long-Term Care Services||p. 33|
|International Perspectives on Residential Long-Term Care||p. 35|
|A Look Ahead||p. 35|
|Home and Community-Based Care Services||p. 38|
|Social Policy and the Development of Community-Based Care Services||p. 39|
|Aging Network||p. 39|
|Types of Community-Based Services||p. 41|
|Telehealth and Home Care Services||p. 46|
|Innovations in HCBS: Consumer-Directed Programs||p. 46|
|Older Adults with Disabilities: A Special Issue in HCBS||p. 48|
|A Look Ahead||p. 51|
|Technology and Delivery of Long-Term Care Services||p. 54|
|Foundations for Information Technology Systems in Long-Term Care||p. 56|
|Barriers to Information Technology Systems Adoption||p. 60|
|Technology Applications in Long-Term Care||p. 60|
|A Look Ahead||p. 61|
|Chronic Care and Alzheimer's Disease||p. 65|
|Alzheimer's Disease and Chronic Care Services Management||p. 67|
|A Look Ahead||p. 78|
|Hospice, Palliative, and End-of-Life Care||p. 81|
|Theoretical and Conceptual Foundations||p. 82|
|Core Issues in Hospice and Palliative Care||p. 84|
|A Look Ahead||p. 98|
|Diversity and the Delivery of Long-Term Care Services||p. 103|
|Long-Term Health Needs of Elders by Gender, Ethnicity, and Sexual Orientation||p. 107|
|Disparities in Healthcare Among Diverse Elders||p. 113|
|A Look Ahead||p. 115|
|Management Issues||p. 119|
|Management and Leadership in Long-Term Care Settings||p. 121|
|What Is Management?||p. 122|
|Strategic Planning||p. 125|
|Leadership Versus Management of LTC Facilities||p. 126|
|Recruitment, Hiring, and Retention||p. 130|
|A Look Ahead||p. 139|
|The Design of Long-Term Care Environments||p. 145|
|Design of Long-Term Care Facilities||p. 146|
|Regulatory Concerns||p. 151|
|Management Issues of the Physical Environment||p. 154|
|Philosophical Evolution in Environmental Design||p. 161|
|Disaster Management||p. 164|
|A Look Ahead||p. 164|
|Strategic Marketing for Long-Term Care||p. 167|
|Healthcare Marketing: The Foundation||p. 168|
|Tips for Marketing to Seniors||p. 173|
|A Look Ahead||p. 176|
|Long-Term Care Human Resources||p. 179|
|The Long-Term Care Workforce||p. 180|
|Description of LTC Human Resource Departments||p. 181|
|Goals and Functions of Human Resources||p. 182|
|Legal and Regulatory Compliance||p. 200|
|Worker Safety Law||p. 203|
|Current and Future Direction in LTC Human Resources||p. 204|
|LTC Workforce Implications||p. 207|
|A Look Ahead||p. 208|
|Legal Issues in Long-Term Care||p. 212|
|Introduction to Legal Issues||p. 214|
|Civil Law||p. 214|
|Criminal Law||p. 218|
|Ethical Issues||p. 219|
|End-of-Life Issues||p. 224|
|A Look Ahead||p. 228|
|Regulation of Long-Term Care||p. 232|
|Origins of Regulation||p. 233|
|Basics of Licensure, Certification, and Accreditation of LTC Services||p. 235|
|Assisted Living Facilities||p. 239|
|Continuing Care Retirement Communities||p. 241|
|Home and Community-Based Services||p. 242|
|Accountability and Quality in LTC||p. 244|
|A Look Ahead||p. 246|
|Financing Long-Term Care Services||p. 249|
|Demographic Trends and Financing||p. 250|
|Policy Issues: How to Pay for Long-Term Care in the Future||p. 258|
|Administrative Costs in Long-Term Care Insurance||p. 259|
|Instability of Long-Term Care Insurance Premiums||p. 259|
|Adverse Selection||p. 259|
|The Inability to Insure Against Certain Risks||p. 260|
|The Availability of Medicaid||p. 260|
|Public Long-Term Care Insurance: Germany, Japan, and the CLASS Act||p. 261|
|A Look Ahead||p. 262|
|Globalization of Healthcare||p. 265|
|Innovative Payment Systems for LTC Needs||p. 266|
|Technological Innovation||p. 266|
|Chronic Health Conditions||p. 267|
|Increased Diversity||p. 267|
|Quality-of-Care Concerns||p. 267|
|About the Contributors||p. 332|
|About the Editors||p. 336|
|Table of Contents provided by Ingram. All Rights Reserved.|