TY - JOUR
T1 - The development of community care policy for the elderly
T2 - A comparative perspective
AU - Litwin, Howard
AU - Lightman, Ernie
PY - 1996
Y1 - 1996
N2 - A comparison of the development of community care for the elderly in the province of Ontario, Canada, and in the State of Israel is presented in the light of the economic constraints currently challenging the expansion of welfare state services. The inquiry identified several common issues regarding the nature of the policy mandate for long-term care delivered in the home, the structure of the service delivery system, and matters concerning funding arrangements for community care. Issues that emerged in both settings include the relationship between health and social services in the delivery of care at the local level; the separation of purchaser and provider functions; the question of needs-driven versus service-driven social care provisions; accessibility concerns and the aspiration for one-stop entry to the delivery system; the growing involvement of the private sector in the delivery of domiciliary-based personal care services; and the relative paucity of current efforts to address the needs of family caregivers.
AB - A comparison of the development of community care for the elderly in the province of Ontario, Canada, and in the State of Israel is presented in the light of the economic constraints currently challenging the expansion of welfare state services. The inquiry identified several common issues regarding the nature of the policy mandate for long-term care delivered in the home, the structure of the service delivery system, and matters concerning funding arrangements for community care. Issues that emerged in both settings include the relationship between health and social services in the delivery of care at the local level; the separation of purchaser and provider functions; the question of needs-driven versus service-driven social care provisions; accessibility concerns and the aspiration for one-stop entry to the delivery system; the growing involvement of the private sector in the delivery of domiciliary-based personal care services; and the relative paucity of current efforts to address the needs of family caregivers.
UR - http://www.scopus.com/inward/record.url?scp=0029660558&partnerID=8YFLogxK
U2 - 10.2190/387A-F71L-QADX-9BP7
DO - 10.2190/387A-F71L-QADX-9BP7
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C2 - 8906446
AN - SCOPUS:0029660558
SN - 0020-7314
VL - 26
SP - 691
EP - 708
JO - International Journal of Health Services
JF - International Journal of Health Services
IS - 4
ER -