Notes that community-based care for chronic illness requires continuum of care. Identifies three aspects of organization of long-term care that are important in maintaining continuum: availability, accessibility, and acceptability. Illustrates each category by data from Missouri to demonstrate potential problems in each of three areas that can…

Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)

Notes that proposed federal long-term care reforms include eligibility criteria based on disability and cognitive impairment. Illustrates process of evaluating alternative eligibility criteria based on one possible targeting goal--serving those who need most care. Uses channeling data to construct measure of total care needs which is used to…

This Technical Committee Report concerns the adoption of public policy for the development of a comprehensive continuum of services available to all older persons. Basic values, trends, and changing patterns of living are presented along with key issues such as the interrelationships among the family, social services, and other support systems in…