ong-term health care for older adults has emerged as a significant issue, both in terms of quality and financing, during the past 30 years. This article provides an overview of long-term care in this country, highlighting why it is an issue, who uses care, what types of settings are available, and how family members play a role as caregivers. It concludes with a discussion of policy trends for ...

This overview discusses articles published in this issue of the Health Care Financing Review, entitled "Issues in Reforming Home Health Care." Articles focus on basic policy issues in the financing and delivery of home care services, illustrate how research provides insights into these issues, and report on some recent research and demonstration initiatives that are designed to further our unde...

BACKGROUND Financial protection against the cost of unforeseen ill health has become a global concern as expressed in the 2005 World Health Assembly resolution (WHA58.33), which urges its member states to "plan the transition to universal coverage of their citizens". An important element of financial risk protection is to distribute health care financing fairly in relation to ability to pay. Th...

Many low- and middle-income countries are seeking to reform their health financing systems to move towards universal coverage. This typically means that financing is based on people's ability to pay while, for service use, benefits are based on the need for health care. Financing incidence analysis (FIA) and benefit incidence analysis (BIA) are two popular tools used to assess equity in health ...

Population Aging, Elderly Migration and Education Spending: Intergenerational Conflict Revisited Elderly have been increasingly targeted as a group to enhance economic development and the tax base in communities. While recent literature on elderly migration tends to focus on how elderly migration patterns are influenced by state fiscal variables, the reverse effect from elderly population on fi...

The US Maternal and Child Health Bureau's Division of Services to Children With Special Health Care Needs has developed a national agenda for the development of systems of care of children with special health care needs. The purpose of this presentation was to discuss family activism in the care of children with special health care needs, and to explore the obstacles and successes encountered b...

background: the population of elderly in iran and in the world is increasing. it is predicted that the population of elderly reaches to 10 millions in iran by the year 2019. elderly more than other age groups are at risk of chronic diseases and health problems; and it affects their self-management and makes them feel disabled. since the knowledge of self-management for iranian elderly is not we...

The ageing of the countries’ populations, and in particular the growing number of the very old, is increasing the need for long-term care (LTC). Not surprisingly, therefore, the financing of LTC systems has become a crucial topic across the Organisation for Economic Co-operation and Development (OECD). In the last three decades, various financing policies have been carr...

This Issue Brief examines factors affecting the population's age distribution and composition, such as mortality rates, fertility rates, and immigration. In addition, it examines factors affecting labor force composition, such as immigration, increased labor force participation of women, and retirement trends, and discusses the potential impact of these changes on publicly financed programs: Me...