The perceived availability, quality, and cost of long-term care services in America

This study gathered primary data on the patterns and predictors of home-based, community-based, and institutional long-term care services for older adults residing in the United States. A stratified random sample of policymakers and agency representatives (n = 153; response rate 67.1%) completed a comprehensive mail survey to provide detailed information on the perceived availability, quality, and costs of long-term care services in their community settings. Descriptive analyses revealed that there are significant differences in perceived access, use, quality, and costs of care by service type and agency affiliation. The results present an interesting dilemma for policymakers as many of the services found to be most widely available and of the highest quality were considered too costly. Implications for public policy and suggestions for further research are highlighted.