+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Expanding the home care concept: blurring distinctions among home care, institutional care, and other long-term-care services



Expanding the home care concept: blurring distinctions among home care, institutional care, and other long-term-care services



Milbank Quarterly 73(2): 161-186



Distinctions between home care and residentially based care are blurring because of two trends: home care providers are offering services, including personal assistance, outside of the private, self-contained family home or apartment; and a market-driven movement is underway to develop group residential settings where long-term-care (LTC) consumers with substantial disability receive personal care and nursing in their own, fully equipped, apartments where they largely control the schedule. For the customers, such boundary blurring can lead to experiences of greater power and normality in their everyday lives. State regulations will help determine the extent to which new, "residentially" oriented models of LTC are feasible. Home care providers are challenged to develop flexible and creative paradigms for service that are built on a recognition that older adults with disabilities have the right to choose risks.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 043068577

Download citation: RISBibTeXText

PMID: 7776944

DOI: 10.2307/3350255


Related references

Home care services in Israel-implications of the expansion of home care following implementation of the Community Long-Term Care Insurance Law. Journal of Cross-Cultural Gerontology 8(4): 375-390, 1993

Cognitive function, behavioral problems, and physical function in long-term care insurance beneficiaries with dementia in South Korea: comparison of home care and institutional care services. Journal of the American Geriatrics Society 62(8): 1467-1475, 2014

Home or foster home care versus institutional long-term care for functionally dependent older people. Cochrane Database of Systematic Reviews 4: Cd009844, 2017

A comparative analysis of costs to government for home care and long-term residential care services, standardized for client care needs. Canadian Journal on Aging 26(Suppl. 1): 149-161, 2007

A Profile of Patients With Traumatic Brain Injury Within Home Care, Long-Term Care, Complex Continuing Care, and Institutional Mental Health Settings in a Publicly Insured Population. Journal of Head Trauma Rehabilitation 30(6): E18-E29, 2016

Physical health and cognitive ability among married long-term-care patients and among their spouses--a comparison between home care and nursing home care. International Psychogeriatrics 5(2): 157-168, 1993

Quality of life and quality of care for people with dementia receiving long term institutional care or professional home care: the European RightTimePlaceCare study. Journal of the American Medical Directors Association 15(1): 54-61, 2014

The expanding role of home care nurses in long-term care. Hu Li Za Zhi Journal of Nursing 57(4): 23-28, 2010

An analysis of non-institutional long-term care planning methods for care in the home. Home Health Care Services Quarterly 1(4): 5, 1980

Long-term institutional care or home care? What is the best solution for the Canton of Vaud?. Health Policy 10(1): 57-63, 1988

Coordination of institutional care and home care for long term patients. Japanese Journal of Nursing 39(3): 72-81, 1987

The causal effects of home care use on institutional long-term care utilization and expenditures. Health Economics 24(Suppl. 1): 4, 2015

System Analysis of Long-Term Care: Toward Integration of Institutional and Home and Community-Based Care. Administrative Theory & Praxis 20(2): 219-230, 1998

Balancing institutional and community-based care: why some older persons can age successfully at home while others require residential long-term care. Healthcare Quarterly 12(2): 95-105, 2015

Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care. European Journal of Ageing 12(2): 95-104, 2014