Long term care is defined by the continuum of medical and social facilities aimed at supporting the needs of patients living with protracted health problems that affect their capability to accomplish routine activities. Long term care services comprise of the traditional medical services , social services, and housing. Over time the long term care provision was the responsibility of the family members to provide. However, in the recent times, long term care services have been led by formal care provided in nursing homes. The use of specialized home care services improved intensely through the development of the publicly maintained Medicare and Medicaid packages (Keehan et al. 2015). There is also an improvement in the private health insurance. The conflict arises amid the “medical” model, which emphasizes on the management of the patient’s health requirements, and the “social” model, which centers on providing services for the patient’s social and personal needs.
In matters to do with population and the response to long term care, there has been an improvement in the projections of the number of people that will require medical attention . Projections consider the effect of population increases and probable changes in therapeutic diagnoses, medical management, health care provision, and standard of living. The delivery of long term care has now been improved because of the development of the facilities that are used. In terms of the payment structure, there has been a dramatic change that has arisen in the private long-term care insurance market (Kahn et al. 2015). The medical insurance companies have presented long-term care (LTC) insurance policies. The development of the insurance policies has lowered medical expenditures on long-term care by decreasing the number of patients who use their assets and income and in so doing “spend down” to be entitled to Medicaid.
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References
Keehan et al. (2015). National health expenditure projections, 2014–24: spending growth faster than recent trends. Health Affairs , 34 (8), 1407-1417.
Kahn et al . (2015). The epidemiology of chronic critical illness in the United States. Critical care medicine , 43 (2), 282-287.
