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Home and community-based care: recent accomplishments and new challenges
1Department of Social Welfare Policy, Boston University School of Social Work, MA 02215, USA.
Journal of Aging & Social Policy
|December 9, 1995
Summary
Home and community-based care services have gained policy legitimacy and organizational capacity. These services should be prioritized in long-term care and social insurance policy for greater efficacy.
Area of Science:
- Health Policy
- Social Policy
- Long-Term Care
Background:
- The evolution of home and community-based care (HCBC) services.
- The current landscape of health and social policy.
- The increasing demand for long-term care solutions.
Purpose of the Study:
- To trace the development and current status of HCBC.
- To argue for the increased prominence of HCBC in policy.
- To explore the potential of HCBC to address broader social policy challenges.
Main Methods:
- Policy analysis.
- Historical tracing of service development.
- Argumentation based on policy legitimacy and organizational capacity.
Main Results:
- HCBC services have achieved significant policy legitimacy.
- These services possess established organizational capacity.
- HCBC demonstrates potential policy efficacy.
Conclusions:
- HCBC services warrant a more central role in long-term care policy.
- Long-term care issues should be integrated into social insurance policy.
- Successful HCBC models may offer a counterbalance to current social policy challenges.
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