4274.0: Tuesday, October 23, 2001: 4:30 PM-6:00 PM

Oral Session

Home and Community Based Care: An International Perspective

Home and community based care has been underdeveloped since the enactment of Medicare and Medicaid in the U.S. in the mid 1960’s. Both programs were modeled after a commercial insurance plan that primarily covered acute hospital and physician services. In the last three decades the population of the world’s industrialized nations has aged considerably. Chronic illness has emerged as a major public health issue. Along with various types of residential care, home and community based care, including primary medical care, is emerging as a major health and long term care policy response to the increasing prevalence of chronic illness in the aged. Panelists will trace the development of home and community based care, including primary care, over the past 3 decades leading to an assessment of the prospect for more adequate funding and increased policy attention over the next decade. Particular attention will be paid to the emergence of the older person as an active consumer of home and community based care and the impact an “empowered” consumer could have on resource allocation in the next decade
Learning Objectives: At the conclusion of the presentation, the participant should be able to demonstrate knowledge of the development of home and community-based care for the elderly in England, France, Japan, Holland, Israel, and the United States. The participant should also be able to ascertain whether prospects exist for more adequate funding and policy attention over the next decade.
Presider(s):Gerry Eggert, PHD
Panelist(s):Brenda Wamsley, MSW
Dennis L. Kodner, PhD
Bleddyn P. Davies, DPhil
Susan Hughes, PhD
Nobuo Maeda, PhD
Sponsor:Gerontological Health
Cosponsors:Community Health Planning and Policy Development; Social Work
CE Credits:CME, Nursing, Pharmacy, Social Work

The 129th Annual Meeting of APHA