Long-Term Care of the Elderly

Position Paper1 May 1984Long-Term Care of the ElderlyHEALTH AND PUBLIC POLICY COMMITTEEHEALTH AND PUBLIC POLICY COMMITTEESearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-5-760 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLong-term care refers to the medical and support services needed to attain an optimal level of physical, social, and psychological functioning by persons who are frail and dependent due to chronic physical or mental impairments. It includes services to prevent avoidable deterioration of health, to treat acute exacerbations of chronic illness, to maintain the greatest possible independence, and to restore the person to the optimal level of functioning that can be sustained. Long-term care is often mistakenly seen as only nursing home care or home health care. It, nevertheless, includes diagnostic, preventive, therapeutic, rehabilitative, supportive, and maintenance services in both...References1. WHITE HOUSE CONFERENCE ON AGING. Final report. vol. 1. Washington, D.C.: White House Conference on Aging, 1982. Google Scholar2. Proceedings of the Conference on the Changing Needs of Nursing Home Care. Philadelphia: American College of Physicians; 1980:30-41. Google Scholar3. A Guide for Planning Long Term Care Health Services for the Elderly. Washington, D.C.: American Health Planning Association; 1982:5. Google Scholar4. Health—United States. Hyattsville, Maryland: Department of Health and Human Services; 1981:15. (DHHS publication no. 82-1232). Google Scholar5. Working Papers on Long Term Care. Washington, D.C.: Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services; 1981:16-27. (DHHS publication no. 1981-341-155/144). Google Scholar6. The Elderly Should Benefit from Expanded Home Health Care But Increasing These Services Will Not Insure Cost Reductions: report of the chairman of the Committee on Labor and Human Resources, United States Senate. Washington, D.C.: General Accounting Office; 1982. (Publication no. GAO/IPE-83-1). Google Scholar7. Your Medicare Handbook. Hyattsville, Maryland: Health Care Financing Administration, Department of Health and Human Services; 1984:6. (HCFA publication no. 1050). Google Scholar8. SOMERS A. Long-term care for the elderly and disabled: a new health priority. N Engl J Med. 1982;307:221-6. CrossrefMedlineGoogle Scholar9. The Need for Long Term Care: Information and Issues. Washington, D.C.: Federal Council on the Aging, Office of Human Development Services, U.S. Department of Health and Human Services; 1981:50-1. (DHHS publication no. (OHDS) 81-20704). Google Scholar10. SCHLEITERTARLOV MA. Physician Practice Study Final Report: First Level Analysis. Chicago: University of Chicago; 1982:54. Google Scholar11. Geriatric medicine: a statement from the Federated Council of Internal Medicine. Ann Intern Med. 1981;95:372-6. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: AMERICAN COLLEGE OF PHYSICIANS Philadelphia, Pennsylvania*Members of the Health and Public Policy Committee for the 1983-1984 term were Edwin P. Maynard, III, M.D., Chairman; Arthur J. Atkinson, Jr., M.D.; Steven C. Beering, M.D.; Richard G. Farmer, M.D.; Paul F. Griner, M.D.; John R. Hogness, M.D.; Charles E. Lewis, M.D.; Donald E. Olson, M.D.; Malcolm L. Peterson, M.D.; Theodore B. Schwartz, M.D.; and Helen L. Smits, M.D. Richard J. Reitemeier, M.D., and Francis J. Sweeney, Jr., M.D., were ex officio members. This paper was drafted by Jack Ginsburg, staff, and was developed for the Health and Public Policy Committee by the Subcommittee on Aging: Theodore B. Schwartz, M.D., Chairman; Peter E. Dans, M.D.; Russell A. Del Toro, M.D.; Boy Frame, M.D.; Leslie S. Libow, M.D.; and Knight Steel, M.D. This position paper was adopted by the Executive Committee of the Board of Regents on 16 January 1984. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPatient Transfer from Nursing Home to Emergency Department: Outcomes and Policy ImplicationsRehabilitation in the Nursing HomeThe effect of coordinated, multidisciplinary ambulatory care on service use, charges, quality of care and patient satisfaction in the elderlyNursing Home Patients Transferred by Ambulance to a VA Emergency DepartmentThe Nursing Home Medical DirectorFinancing Long-Term CarePaul J. Friedman, MDFinancing Long-Term CareLong-term careAssessment in the Nursing HomeHome Health CareHEALTH AND PUBLIC POLICY COMMITTEECare of the elderly in the emergency departmentRelationship of Long-Term and Acute-Care Facilities: The Problem of Patient Transfer and Continuity of CareThe Nursing Home Resident with Dementia Clinical Care, Ethics, and Policy ImplicationsNICHOLAS RANGO, M.D. 1 May 1984Volume 100, Issue 5Page: 760-763KeywordsAgingElderlyHealth careLong-term careNursing homesPrevention, policy, and public healthPublic policy Issue Published: 1 May 1984 PDF downloadLoading ...