Journal of Applied Gerontology

 

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Journal of Applied Gerontology, Vol. 10, No. 1, 35-52 (1991)
DOI: 10.1177/073346489101000104

Assessing the Impacts of Community-Based Health Care Policies and Programs for Older Adults

Thomas T. H. Wan

Medical College of Virginia

Kenneth F. Ferraro

Purdue University

This article presents a framework for evaluating long-term care policies and programs to determine how well community-based programs benefit the older adult population. Equity, accessibility, quality, and efficiency are identified as core criteria for implementing and evaluating long-term care policy. Special problems with conducting process and/or outcome evaluation of community-based programs are noted, and findings of evaluation research on community-based health care programs are reviewed. Most previous research indicates that community-based health programs for older adults are not a substitute for institutional care and do not reduce either informal caregiving or ambulatory medical services. The article concludes with policy implications.


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