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Future directions for community-based long-term care research
1University of Southern California.
The Milbank Quarterly
|January 1, 1988
Summary
Community service supply for the elderly is often insufficient. Local income sources and political factors significantly influence a community's ability to meet care demands, impacting financial support attraction.
Area of Science:
- Gerontology
- Public Health
- Urban Studies
Background:
- Recognized gap between community-based care needs and service availability.
- Limited research on factors influencing the supply of community care services.
- Previous assumption of uniform community effort in meeting elderly care demands.
Purpose of the Study:
- To investigate the factors influencing the supply of community-based care services.
- To examine how community characteristics affect the ability to meet elderly care demands.
- To understand the role of financial and political factors in service allocation.
Main Methods:
- Analysis of urban service allocation decisions.
- Examination of community income sources (governmental and voluntary).
- Assessment of community political characteristics.
Main Results:
- Communities make service allocation decisions based on unique financial and political profiles.
- Individual community characteristics are crucial for attracting additional financial support.
- Federal refinancing alone does not guarantee adequate service supply.
Conclusions:
- Community-specific factors, not just federal funding, determine the capacity to supply elderly care services.
- Understanding local economic and political landscapes is key to addressing care gaps.
- Tailored strategies are needed to enhance community-based care supply.