| Literature DB >> 22720886 |
Julie Robison1, Noreen Shugrue, Martha Porter, Richard H Fortinsky, Leslie A Curry.
Abstract
A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.Mesh:
Year: 2012 PMID: 22720886 DOI: 10.1080/08959420.2012.676315
Source DB: PubMed Journal: J Aging Soc Policy ISSN: 0895-9420