Document Detail

Trading places: Real Choice Systems Change grants and the movement to community-based long-term care supports.
MedLine Citation:
PMID:  17542106     Owner:  HSR     Status:  MEDLINE    
The Real Choice Systems Change grant program was created to help states transform their long-term care service systems from ones that rely on institutions to ones that are more community-based. The grants are intended to help states develop the infrastructure needed for seniors and individuals with disabilities to live in integrated community settings. This issue brief provides information about Systems Change grants and the kinds of activities state Medicaid agencies have undertaken to transform their institutionally based systems. In addition, this paper reports on some of the qualitative and quantitative responses to the changes. This brief also raises critical policy questions related to public spending for long-term care in different settings that might be considered in tandem with future grant funding decisions.
Cynthia Shirk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Issue brief (George Washington University. National Health Policy Forum)     Volume:  -     ISSN:  -     ISO Abbreviation:  Issue Brief Natl Health Policy Forum     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-06-03     Completed Date:  2007-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9888076     Medline TA:  Issue Brief Natl Health Policy Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-21     Citation Subset:  T    
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MeSH Terms
Community Health Services / economics*,  legislation & jurisprudence,  manpower
Consumer Satisfaction
Deinstitutionalization / economics*,  legislation & jurisprudence
Disabled Persons / legislation & jurisprudence
Eligibility Determination
Financing, Government / economics*
Long-Term Care / economics*,  legislation & jurisprudence
Medicaid / economics*
Quality of Health Care
Social Support
State Government
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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