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Toward a Continuum of Caring Alternatives

Community Based Care for the Elderly

Datos Bibliográficos

ID10219812
AutoresStephen R Blum (University of California, Berkeley, autor de correspondencia), Meredith Minkler (0000-0002-7269-1221, University of California, Berkeley)
Año1980
Volumen36
Número2
Páginas133-152
Fecha de publicación1980-04-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Social Issues (JOURNAL)
Identificadores de la revistaISSN: 0022-4537 • E-ISSN: 1540-4560
EditorialWiley (PUBLISHER • GB)
DOI10.1111/j.1540-4560.1980.tb02026.x
OpenAlexW2052721857
IdiomaEN
Citas recibidas1
Referencias citadas6

This paper examines the roots and consequences of the “medicalization” of aging in America. The present set of programs under Medicare, Medicaid and Title XX are described, with particular attention given to the unproductive “dichotomy” created between health and medical needs (addressed primarily under Medicare and Medicaid) and the interrelated social needs of the elderly, provided for, albeit inadequately, through Title XX. The present medically and institutionally based approach to care for the elderly in America is contrasted with approaches that seek to create environments that increase self‐reliance for the elderly. Programmatic redesign strategies providing a full continuum of care are premised on such concepts as “normalization” and the “least restrictive alternative.” Particular attention is focused on the area of community based home health and social services. The experiences of several states in providing more comprehensive community based services are explored. One such program—California's recently initiated Multi‐Purpose Senior Services Project—is described. It potentially provides a wide range of services that previously were unavailable through more narrowly designed categorical programs. The importance of broader programs of community based care for the elderly, and important research directions, are examined

Continuum of care · Health care · Medicaid · Medicalization · Normalization (sociology · Political science · Psychiatry · Public relations · Set (abstract data type · Social science · Sociology · Computer Science · Geriatric Care and Nursing Homes · Grief, Bereavement, and Mental Health · Health disparities and outcomes · Medicine · Nursing · Psychology · Gerontology

  • Reevaluating the Place of Evaluation in Planning for Alternatives to Institutional Care for the Elderly

    Open Access•Barry J Gurland, Barry Gurland et al.•Journal of Social Issues•1981

  • Physical and mental health effects of involuntary relocation and institutionalization on the elderly--a review

    S V Kasl, Kasl Sv•American Journal of Public Health•1972

  • The fastest growing minority

    Herman B Brotman•American Journal of Public Health•1974

  • Home Health Cost Effectiveness

    Judith LaVor, Marie Callender•Medical Care•1976

  • In-Home Health Services in California

    Katherine L Ricker-Smith, Katherine Ricker-Smith et al.•Medical Care•1978

Obras citantes distintas1
Citas por año0,02
Intervalo de citas1981 - 1981 (1)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 1
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