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Assessing Experts' Views of the Future of Long-Term Care

^* To whom correspondence should be addressed. E-mail: edward_a_miller{at}brown.edu.

	Abstract

Consensus is growing that long-term care delivery, regulation, and financing are no longer viable, a concern that will grow more salient as the population ages. To better understand these prevailing challenges, the authors interviewed experts regarding the current state of long-term care in the United States, the attributes of an ideal long-term care system, and potential areas for reform. The findings highlight the problem of maintaining an adequate workforce despite changing demographics. They also identify commonly agreed upon attributes of an ideal system—person centered, professionally rewarding, integrated, affordable, accountable, community based, and consumer directed—in addition to less commonly identified attributes—supportive, comprehensive, dignified, culturally appropriate, innovative, responsible, and safe and secure. Areas for reform include workforce recruitment and retention, financing and insurance, quality improvement and regulation, health information technology, and organizational change and innovation. The challenges facing long-term care must be addressed by both government and private citizens alike if long-term care recipients’ lives are to improve and the increased demand for services is to be met.

First published on April 15, 2008, doi:10.1177/0164027508316607

Research on Aging 2008;30:450.

A more recent version of this article appeared on July 1, 2008


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				E. A. Miller, V. Mor, and M. Clark Reforming Long-Term Care in the United States: Findings From a National Survey of Specialists Gerontologist, July 13, 2009; (2009) gnp111v1. [Abstract] [Full Text] [PDF]