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Abstract #148217

Gerald Eggert, PhD, Rural Health Consultant, 28 Lawton Street, Rochester, NY 14607, 585-242-9325, gmeggert@aol.com

This is a Symposium with 4 papers. The moderator is Gerald M. Eggert, PhD. In the USA LTC is largely an uncoordinated system, with financing/budgeting distinct from service delivery. This fragmentation is presumed to lead to less than optimal patient outcomes and increased cost. The only comprehensive LTC systems in the US are financed by Federal/State Medicaid and the US Veterans Administration. Where are other countries going, and what is the evidence that integrated LTC is better? What are the "take home" lessons for Medicare and Medicaid? Dr. Kodner presents evidence from demonstrations in Canada, Italy, and Australia. Dr. Okamoto presents data about Japan's attempt to convert acute care beds to nursing home use. Dr. Davies present England's trials with improving the efficiency of their LTC system. The last presenter, Ms. Kathy Wilson, describes the Oregon (Medicaid) system, which has had integrated financing and service delivery for the past 25 years. Audience participation will be sought.

Learning Objectives:

• Participants will develop an appreciation of the evidence supporting integrated LTC in England, Japan, Canada, Italy, Australia, and the state of Oregon in the USA.
• Participants will be able to identify key financing and service delivery components of integrated long term care models and the evidence supporting their effectiveness and success.
• Individual papers contain more specific learning objectives.

Keywords: International Public Health, Aging

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.