Building Long-term Care Systems: Hearing Before the Subcommittee on Aging of the Committee on Labor and Human Resources, United States Senate, Ninety-eighth Congress, First Session, on Review of Future Directions in Nursing Home Health Care, Focusing on the Implications for the Older Americans Act of Changing Trends in Long-term Care, July 14, 1983U.S. Government Printing Office, 1983 - 276 lappuses |
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Administration on Aging adult day Adult Protective Services Agencies on Aging aging network appropriate area agencies assessment Association average Based Care Act Based Care Program based long term believe Bureau of Maine's clients Committee community based long community-based continuum coordinated cost COUNTY deinstitutionalization delivery elderly persons elderly population eligibility Federal geriatric geriatric nurse Home Based Home Based Care home health homemaker hospitals Human Services in-home increase individuals institutional institutionalization legislation long term care long-term care services Maine's Elderly Medicaid Medicare ment National nursing centers nursing home beds nursing home industry Older Americans Act older persons ombudsman program organizations patients PAULA HAWKINS percent planning problems questions regulations reimbursement RENSCHLER residents respite respite care response role Senator GRASSLEY Senator Hawkins served service providers Social Services term care services term care system tion trends waiver
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30. lappuse - ... well reported. Community services for the elderly are frequently uncoordinated. Agencies seek broadbased services to justify increased allocations; hence, in most cases, no one agency has developed a coordinated community approach to deliver geriatric services. Continuity of services is a much publicized elusive concept which does not lend itself to a "multiplicity of agencies