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Moving toward community-based care. Vermont's 10-year odyssey.
1Vermont Assembly of Home Health Agencies, Montpelier, Vermont, USA. vahha@together.net
Caring : National Association for Home Care Magazine
|August 14, 2001
Summary
Vermont should shift spending from nursing homes to home care services. This change aims to better support community-based services and improve long-term care.
Area of Science:
- Health Services Research
- Public Health Policy
- Gerontology
Background:
- Vermont faces challenges with healthcare spending allocation.
- There is an imbalance between institutional care and home and community-based services (HCBS) funding.
Purpose of the Study:
- To analyze healthcare spending in Vermont.
- To recommend a reallocation of funds towards HCBS.
Main Methods:
- Policy analysis of existing healthcare expenditure data.
- Review of recommendations for Vermont's General Assembly.
Main Results:
- Current spending disproportionately favors institutional care (nursing homes).
- Insufficient investment in home and community-based services.
Conclusions:
- A gradual shift in spending is recommended.
- Increased funding for home care services is advised.
- Decreased reliance on nursing home care is suggested.