Medicare was enacted to provide health insurance to the elderly (and later, the disabled) population. Not only was it not intended to pay for long-term care (LTC); its statute explicitly excluded coverage for custodial care—the assistance with basic activities of daily living (ADLs) (such as bathing, dressing, and eating) that constitute LTC. Although the Federal-State Medicaid program, unlike ...

This article explores whether isolation and control observed during COVID-19 are a pandemic effect or perpetual socio-spatial feature of long-term care (LTC) culture. We use narrative analysis to foreground the experiences two women with dementia trying leave LTC: one before other pandemic. Using lens affective citizenship, we argue that spatial confinement for people living in LTC routinely ov...

Long-term care (LTC) facilities are growing in number in the province of Ontario. Typically, Canadian LTC facilities house an average of over 100 residents. Environmental concerns associated to waste management in LTC facilities have not been fully explored, and relevant information is apparently limited in the available research literature. An independent study was conducted to investigate sol...

Drawing upon an individual's needs, values, and expectations to guide decisionmaking and care giving is integral to long-term care (LTC). Articles in this issue demonstrate that client values and preferences can be elicited and used to guide decisionmaking about LTC. Service delivery and payment features can be shaped to support the patient/consumer, as well as to support and strengthen her or ...

This article explores policy implications and selected methodological topics relating to long-term care (LTC) quality. We first discuss the Teaching Nursing Home Program (TNHP), in which quality of care in teaching nursing homes (TNHs) was found to be superior to the quality of care in comparison nursing homes (CNHs). A combination of outcome and process/structural measures was used to evaluate...

The long-term care (LTC) literature has been generally associated with industrialized countries. However, LTC needs are increasing in the developing world at a rate that far exceeds than experienced by industrialized countries. Using China as a case study, the purpose of this report is to provide an example of an emerging institutional care system for rural elders in a rapidly developing countr...

Background Rural-urban inequality in long-term care (LTC) services has been increasing alongside rapid socioeconomic development. This study estimates the average spending on LTC services and identifies the factors that influence the use and cost of LTC for the elderly living in urban and rural areas of Thailand. Methods The sample comprised 837 elderly aged 60 years drawn from rural and urba...

Long-term care (LTC) is an important sector in the healthcare industry; however, the adoption of electronic health record (EHR) systems in LTC facilities lags behind that in other sectors of healthcare. This study examines the adoption and utilization of EHRs in LTC facilities in Texas and identifies the barriers preventing implementation of EHRs. A survey instrument was mailed to all Texas LTC...

Like many welfare states, France is faced with increasing demand for long term care (LTC) services. Public LTC coverage has evolved over the past 15 years, reaching a coverage depth of 70%. Nonetheless, it does not provide adequate and equitable financial protection for the growing number of frail elderly individuals, who are expected to constitute 3% of the population by the year 2060. Since 2...

OBJECTIVES Time trade-off (TTO) methods are often used for utility assessments of different health states to measure quality of life (QOL). They have not generally been used to assess social preferences with respect to options for health care delivery, although the need for quantifying these preferences is arguably just as important. Policymakers are increasingly faced with decisions about how ...