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Related Experiment Videos

How do we know how much we need? Problems in determining need for long-term care.

K Pillemer

    Journal of Health Politics, Policy and Law
    |January 1, 1984
    PubMed
    Summary

    Need-based methodologies for long-term care services are criticized for their faulty assumptions, insufficient data, and political implementation challenges. These approaches may not effectively address the long-term care system

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    Area of Science:

    • Healthcare Policy
    • Public Health Administration
    • Gerontology

    Background:

    • The long-term care system faces a significant "crisis."
    • State and local agencies are developing need-based methodologies to address this.
    • These methodologies aim to define the required amount and type of long-term care services.

    Purpose of the Study:

    • To critically evaluate need-based methodologies used in long-term care planning.
    • To identify and discuss the weaknesses inherent in these formula-driven approaches.
    • To question the efficacy of these methodologies as a primary strategy for system restructuring.

    Main Methods:

    • Focus on need-based methodologies for long-term care services.
    • Critical analysis of the assumptions underpinning these methodologies.
    • Examination of data sufficiency and the political context of implementation.

    Main Results:

    • Identified major weaknesses in need-based methodologies.
    • Highlighted faulty assumptions within the formulae.
    • Pointed to insufficient data as a significant limitation.
    • Discussed the political nature influencing the implementation process.

    Conclusions:

    • Need-based methodologies, while intended as a solution, possess critical flaws.
    • These formulae are not a sufficient primary strategy for restructuring the long-term care system.
    • The implementation of such methodologies is complex and politically influenced, limiting their effectiveness.

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