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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
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Updated: Jun 23, 2025

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The Case for Universal Long-Term Care.

Pablo Villalobos Dintrans1

  • 1Millennium Institute for Care Research (MICARE), Santiago, Chile.

Journal of the American Medical Directors Association
|June 21, 2024
PubMed
Summary
This summary is machine-generated.

Implementing universal long-term care (LTC) policies is crucial despite cost concerns. Targeted LTC initiatives may prove more expensive than beneficial, requiring a balanced approach for policy design.

Keywords:
Targeted policieslong-term carepopulation agingsocial securityuniversalism

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Area of Science:

  • Public Policy
  • Gerontology
  • Health Economics

Background:

  • Long-term care (LTC) presents a significant public policy challenge globally.
  • Rapid population aging exacerbates the demand for and complexity of LTC services.
  • Financial burdens and technical difficulties often hinder the implementation of effective LTC policies.

Purpose of the Study:

  • To present arguments for and against universal versus targeted long-term care (LTC) initiatives.
  • To analyze the economic viability and policy implications of different LTC funding models.
  • To provide guidance for policymakers designing LTC strategies in resource-constrained environments.

Main Methods:

  • Review and analysis of general arguments against targeting public policies (Amartya Sen's framework).
  • Development of LTC-specific arguments based on the concept of LTC as social security.
  • Comparative assessment of the costs and benefits of universal versus targeted LTC policies.

Main Results:

  • Financial arguments favoring targeted LTC policies may be outweighed by their actual costs.
  • Targeted approaches to LTC may not yield the expected cost-saving benefits.
  • The complexity of LTC necessitates a reconsideration of simple targeting solutions.

Conclusions:

  • Policymakers should balance universalism with resource constraints when designing LTC policies.
  • The presumed cost-effectiveness of targeted LTC benefits requires critical re-evaluation.
  • Developing sustainable and equitable LTC systems demands innovative policy designs that address both needs and constraints.