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Long-Term Care Trends

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2007 Virginia Member Survey  / Research Report
January 2008— The views of Virginia AARP members on health care quality, long-term care, caregiving, payday lending, and transportation are explored in this series of six reports, which are based on a July-August mail survey of 790 members in the state aged 50 and older.

In Brief: Comparing Long-Term Care in Germany and the United States  / Research Report
October 2007— This brief summary of a similarly titled AARP Public Policy Institute Issue Paper by Mary Jo Gibson and Donald L. Redfoot examines developments in the long-term care (LTC) systems in Germany and the United States to understand their impact on financing and coverage, consumer options and choice, family caregivers, the LTC workforce, and the quality of services. It also provides a brief overview of LTC reform proposals in both countries. (2 pages) (Publication ID: INB150)

Comparing Long-Term Care in Germany and the United States: What Can We Learn from Each Other?  / Research Report
October 2007— This AARP Public Policy Institute Issue Paper by Mary Jo Gibson and Donald L. Redfoot examines developments in the long-term care (LTC) systems in Germany and the United States to understand their impact on financing and coverage, consumer options and choice, family caregivers, the LTC workforce, and the quality of services. It also provides a brief overview of LTC reform proposals in both countries. (68 pages) (Publication ID: 2007-19)

Long-Term Care  / Research Report
October 2007— Long-term care is an array of long-term services and supports used by people who need assistance to function in their daily lives. This AARP Public Policy Institute Fact Sheet by Ari Houser describes the population needing long-term care, the types of services, their costs, and how they are paid for. (2 pages) (Publication ID: FS27R)

Aging at Home: Long-Term Care in Kentucky  / Research Report
October 2007— This survey shows that age 55+ AARP members in Kentucky want a choice in where and how they receive long-term care and that they support state funding of services that will allow them to stay in their own homes as they age. (14 pages)

In Brief: Assisted Living In Unlicensed Housing: The Regulatory Experience Of Four States  / Research Report
April 2007— A succinct summary of the similarly titled AARP Public Policy Institute Issue Paper by Bernadette Wright about the experiences of Connecticut, Minnesota, New Jersey and North Carolina with a new services model in which assisted living services are provided in unlicensed housing and its implications for consumers. (2 pages) (Publication ID: INB138)

Women & Long-Term Care  / Research Report
April 2007— The need for long-term care among older women, their ability to pay for care, and the special challenges they face in their roles as caregivers are reviewed in this AARP Public Policy Institute Fact Sheet by Ari Houser. (2 pages) (Publication ID: FS77R)

Assisted Living In Unlicensed Housing: The Regulatory Experience Of Four States  / Research Report
April 2007— In a growing number of states, a new services model has emerged, in which assisted living services are provided in unlicensed housing. This AARP Public Policy Institute Issue Paper by Bernadette Wright describes the experiences of Connecticut, Minnesota, New Jersey and North Carolina with this model and the implications for consumers. (43 pages) (Publication ID: 2007-08)

AARP Segunda Juventud Assisted Living and Long-Term Care Study  / Research Report
March 2007— Few 40-plus Hispanics have experienced long-term care in a professional facility for themselves or their family. However, many have had someone in their family who required care at home from a family member, friend, or health care professional, according to this March 2007 AARP telephone survey of 551 age 40+ Hispanics. (12 pages)

Long-Term Care Preferences: A Survey of Alabama Residents Age 35+  / Research Report
March 2007— Being able to remain in their own homes while receiving long-term care services is very important to 89 percent of age 35+ Alabamians, and this December 2006 AARP telephone survey finds that 85 percent would support creating a Money Follows the Person program to allow individuals to decide where they receive the care they need. (28 pages)

The State of 50+ America 2007  / Research Report
January 2007— AARP’s fourth annual “report card” on the quality of life of age 50+ Americans finds them somewhat better off now than a few years ago, but there is still much room for improvement. The report examines changes in various economic, health, social and lifestyle indicators over the most recent year, as well as multi-year periods. (60 pages) (Publication ID: D18779)

Across the States 2006: Profiles of Long-Term Care and Independent Living  / Research Report
December 2006— This important resource for policymakers and others provides easy access to up-to-date data on multiple aspects of long-term care and independent living in each state and the District of Columbia. This edition, the seventh by AARP’s Public Policy Institute, presents data for 150 indicators from a wide variety of sources. (350 pages) (Publication ID: D18763)

2006 Survey of AARP New Mexico Members  / Research Report
November 2006— Findings from a 2006 mail survey exploring and measuring the opinions of AARP members on legislative issues and personal concerns are presented in five individual topical reports concerning affordable housing, consumer financial privacy, long-term care, transportation, and utilities.

Rebalancing: Ensuring Greater Access to Home and Community-Based Services  / Research Report
September 2006— Medicaid long-term care (LTC) financing and the progress of state efforts to provide more options for consumers to receive these services in their homes and communities are examined in this AARP Public Policy Institute Fact Sheet by Wendy Fox-Grage, Barbara Coleman and Marc Freiman. States have been “rebalancing” the way Medicaid LTC is delivered to allocate a higher proportion of dollars to home and community-based services. (2 pages) (Publication ID: FS132)

Consumer-Directed Home and Community-Based Services  / Research Report
May 2006— The growing trend toward “consumer direction” (CD) in the delivery of home and community-based long-term care services is described in this AARP Public Policy Institute Fact Sheet by Enid Kassner. Examining the program’s use among older people with disabilities, the report identifies issues policymakers should consider as its use continues to grow. (2 pages) (Publication ID: FS128)

Interview with Mr. Tatsuo Honda  / News Release
April 2006— An interview with Tatsuo Honda of Japan's National Institute of Population and Social Security Research about the recent long-term care policy initiatives in Japan.

Long-Term Care Insurance in Japan  / Event
May 2006— AARP Global Aging Program Idea Exchange with Naoki Ikegami, Professor and Chair of the Department of Health Policy & Management, Keio University School of Medicine in Japan.

Staying the Course: Trends in Family Caregiving  / Research Report
November 2005— This AARP Public Policy Institute Issue Paper by Brenda C. Spillman and Kirsten J. Black of the Urban Institute examines trends in informal (unpaid) and formal (paid) care for persons 65 or older with disabilities. While the use of formal care declined between 1994 and 1999, the number of spouses and children providing informal care increased and family caregivers continue to provide the vast majority of the long-term care received by older persons in the United States. (40 pages) (Publication ID: 2005-17)

In Brief: Staying the Course: Trends in Family Caregiving  / Research Report
November 2005— A summary of the AARP Public Policy Institute Issue Paper in which Brenda C. Spillman and Kirsten J. Black of the Urban Institute examine trends in informal (unpaid) and formal (paid) care for persons 65 or older with disabilities. Family caregivers continue to provide the vast majority of the long-term care received by older persons in the United States. (2 pages) (Publication ID: INB107)

Medicaid Managed Long-Term Care  / Research Report
November 2005— Amid federal and state budget pressures, policymakers in many states are either planning to start new managed care programs for Medicaid beneficiaries with long-term care needs or expanding existing programs. This AARP Public Policy Institute Issue Brief by Paul Saucier and Wendy-Fox Grage reviews the limited but important experience of states that have implemented such programs to date, identifies key policy issues, and assesses the likelihood of future growth in these programs. (16 pages) (Publication ID: IB79)

In Brief: Medicaid Managed Long-Term Care  / Research Report
November 2005— A succinct summary of the AARP Public Policy Institute Issue Brief by Paul Saucier and Wendy-Fox Grage which examines the limited but important experience of states that have implemented Medicaid managed long-term care programs, identifies key policy issues, and assesses the likelihood of future growth in these programs. (2 pages) (Publication ID: INB108)

Racial and Ethnic Differences Among Older Adults in Long-Term Care Service Use  / Research Report
June 2005— The demographics of older persons with different racial and ethnic backgrounds, disability rates among racial and ethnic groups, and the formal and informal long-term supportive service use among these groups are discussed in this AARP Public Policy Institute Fact Sheet by Sheel M. Pandya. (2 pages) (Publication ID: FS119)

Oklahoma Long-term Care: A Survey of AARP Members  / Research Report
January 2005— AARP MEMBER OPINION RESEARCH: Preferences and concerns of 1,146 AARP members in Oklahoma are examined in this 2004 mail survey about long-term care services, including home care, adult day care centers, assisted living facilities, and nursing homes. (24 pages)

Across the States: Profiles of Long-Term Care 2004  / Research Report
December 2004— Key facts and findings from AARP’s Public Policy Institute to help policymakers and others assess state long-term care systems. Mary Jo Gibson, Steven Gregory, Ari Houser and Wendy Fox-Grage present a national overview of key long-term care issues, as well as state profiles with 85 indicators for each state and the District of Columbia. (268 pages) (Publication ID: D18202)

Health and Long-Term Care: A Survey of Mississippi AARP Members  / Research Report
December 2004— AARP MEMBER OPINION RESEARCH: How the state might generate money for health and long-term care services and the importance of restoring health care coverage for the low-income elderly and people with disabilities are explored in this telephone survey of 800 AARP members in Mississippi. (17 pages)

AARP Pennsylvania Legislative Issues Survey Executive Summary: Long-Term Care Issues  / Research Report
October 2004— AARP MEMBER OPINION RESEARCH: Their understanding and impressions of assisted living in comparison to other long-term care alternatives; the importance to them of staying in assisted living residences rather than going to a nursing home should their needs change, and their support for legislation defining and regulating such facilities is explored in this 2003 survey of AARP members in Pennsylvania. (13 pages)

In Brief: Long-Term Care Workers in Five Countries: Issues and Options  / Research Report
July 2004— A succinct synopsis of the similarly titled AARP Public Policy Institute Issue Paper by Sophie Korczyk, examining the working conditions of long-term care paraprofessionals (such as nurse’s aides) in Denmark, France, the Netherlands, Canada, and Australia. (2 pages) (Publication ID: INB86)

Long-Term Care Workers in Five Countries: Issues and Options  / Research Report
June 2004— Issues that affect the long-term care paraprofessional workforce in five countries—Denmark, France, the Netherlands, Canada, and Australia—are examined in this AARP Public Policy Institute Issue Paper by Sophie Korczyk.(41 pages) (Publication ID: 2004-07 )

Japan's Long-term Care Insurance System Faces Overhaul: Straining to Meet Demand, Lawmakers Set to Make Changes  / Research Report
May 2004— Andy Saidel, President of Dynamic Strategies Asia, LC, discusses Japan's Long-term Care Insurance System , scheduled to take effect in April 2006, but will most likely be the subject of heated political debate.

Perceptions and Opinions of Long-Term Care: A Survey of AARP Members in Pennsylvania  / Research Report
April 2004— AARP MEMBER OPINION RESEARCH: This study explored the experiences and opinions of 1,197 AARP members in Pennsylvania concerning long term care. The survey also included questions about assisted living, nursing homes, long term care insurance, and related state legislative issues. (23 pages)

Long-Term Care: A Survey of New York AARP Members  / Research Report
March 2004— AARP MEMBER OPINION RESEARCH: New York AARP members' preference for receiving long-term care (LTC) services at home and their opposition to Medicaid eligibility proposals which would inhibit access to Medicaid LTC services in their preferred setting are gauged in this March 2004 telephone survey. (18 pages)

Experiences with and Opinions of Long-Term Care: A Survey of AARP Members in Delaware  / Research Report
March 2004— AARP MEMBER OPINION RESEARCH: AARP members in Delaware shared their opinions and experiences related to long term care in this November-December 2003 survey. Although most Delaware members would prefer to receive care at home with the help of health care professionals, the majority receive it in a nursing home. (40 pages)

2003 AARP Alabama Member Opinion Survey: Long-Term Care  / Research Report
February 2004— AARP MEMBER OPINION RESEARCH: Being able to receive long-term care services at home is important to Alabama AARP members who support increasing funding for services that would allow persons to stay in their own homes longer, even if it meant reducing funds for nursing homes. (24 pages)

Survey of AARP Members in Mississippi on Consumer Issues and Long-Term Care  / Research Report
February 2004— Quality of nursing home care, pension and retirement benefit safety, consumer protection against predatory lending, affordable prescription drugs, and staying at home as they age are among the top concerns expressed in this mail survey of AARP members in Mississippi. (27 pages)

International Forum on Long-Term Care: Executive Summary  / Research Report
October 2003— This is the executive summary of the proceedings from the AARP International Forum on Long-Term Care held on October 22, 2003.

AARP International Forum on Long-Term Care  / News Release
October 2003— This forum, sponsored by AARP’s Global Aging Program, will focus on how other developed nations are addressing access, cost, and quality issues through growth in community-based services, consumer-directed care, universal public programs, and other approaches and best practices.

The Challenge of Long-Term Care: A Search for Solutions  / Speech
October 2003— Remarks by Joanne Disch, Member, AARP Board of Directors at the International Forum on Long-Term Care.

Iowa Long-Term Care: A Synthesis of Consumer and Provider Research  / Research Report
October 2003— Findings from a series of research activities conducted during 2003 to elicit information from long-term care service consumers and providers about the efficacy of Iowa’s current system, their experiences with it, and their opinions about streamlining the system. (88 pages)

Long-Term Care in Developed Nations: A Brief Overview  / Research Report
October 2003— Key long-term care policy trends in developed nations, such as encouraging home and community services, providing support for family caregivers, and insuring individuals against the high costs of long-term care, are reviewed in this AARP Public Policy Institute Issue Paper by Mary Jo Gibson, Steven R. Gregory and Sheel M. Pandya. (41 pages) (Publication ID: 2003-13)

Long-Term Care in New Hampshire: A Survey of AARP Members (Executive Summary)  / Research Report
February 2003— AARP MEMBER OPINION RESEARCH: AARP members in New Hampshire would strongly support a law allowing people who qualify for Medicaid coverage of nursing home care to receive their long-term care at home, if they choose to, instead of in a nursing home. (8 pages)

Across the States 2002: Profiles of Long-Term Care  / Research Report
December 2002— A snapshot of the long-term care landscape in every state and the District of Columbia by Steven R. Gregory and Mary Jo Gibson of AARP’s Public Policy Institute. Using the most recent data sources available, the chartbook’s 2002 edition provides information, including state rankings and maps, on 70 indicators that are otherwise difficult to obtain from a single source. (282 pages) (Publication ID: D17794)

Minnesota Long-Term Care Survey: An AARP Survey of Minnesotans  / Research Report
December 2002— If they were to need long-term care, nearly all age 35+ Minnesotans consider remaining in their own homes as long as possible important. They also support strengthening enforcement of nursing home health and safety standards and 70 percent favor increasing the state’s cigarette tax from 48 cents a pack to $1.48 a pack to fund health and long-term care services. (17 pages)

2002 AARP Colorado Member Opinion Survey: Long-Term Care  / Research Report
December 2002— AARP MEMBER OPINION RESEARCH: 34 percent of AARP members in Colorado think they are likely to need long-term care in the next five years while 88 percent say it is important to them to be able to stay and be cared for at home should they become ill or disabled. (21 pages)

South Dakota Long-Term Care: An AARP Survey  / Research Report
September 2002— AARP MEMBER OPINION RESEARCH: Of 1,169 AARP members surveyed in South Dakota, 53 percent think it is very important for them to remain in their own homes and receive care there for as long as possible. Many, however, are not confident that they could afford a one-year stay in a nursing home or assisted-living facility. (24 pages)

Kentucky Long-Term Care: An AARP Survey  / Research Report
May 2002— AARP MEMBER OPINION RESEARCH: Nearly all (96%) AARP members in Kentucky feel it is very important to be able to stay in their own home as they age, and 73% strongly support increasing funds for services that would allow persons to stay in their own home, even if funds for nursing homes must be reduced. (13 pages)

The Role of the Older Americans Act in Providing Long-Term Care  / Fact Sheet
February 2001— The OAA provides people age 60+ with a broad range of social services, including home and community-based long-term care - meals, personal care, homemaker and chore services, assisted transportation, and adult day care. In this AARP Public Policy Institute Fact Sheet, Enid Kassner offers an overview of these services and their place within the larger long-term care system. (2 pages) (Publication ID: FS12R)

In Brief: Across the States 2000: Profiles of Long-Term Care Systems, 4th Edition  / Research Report
December 2000— Highlights from the similarly titled AARP Public Policy Institute report by Steven Gregory, featuring current state-level statistics about aspects of long-term care, including demographics, home and community-based services, nursing facility services, and public expenditures for LTC services (2 pages) (Publication ID: INB31)

Across the States 2000: Profiles of Long-Term Care Systems  / Research Report
December 2000— Excerpts from the millennial edition of this AARP Public Policy Institute reference work compiled by Steven Gregory, featuring current state-level statistics about aspects of long-term care, including demographics, home and community-based services, nursing facility services, and public expenditures for LTC services. (27 pages) (Publication ID: D17317)

Long-Term Care  / Fact Sheet
May 2000— An AARP Public Policy Institute Fact Sheet by Natalie Graves Tucker, Enid Kassner, Faith Mullen and Barbara Coleman about long-term care services, costs, and financing. (2 pages) (Publication ID: FS27R)

Trends in Medicaid Long-Term Care Spending  / Research Report
January 1999— This AARP Public Policy Institute Data Digest by Barbara Coleman and Natalie Graves Tucker reports on the rise in the allocation of Medicaid long-term care dollars that are being devoted to home and community-based care compared to the proportion of those dollars being spent for nursing home care. (6 pages) (Publication ID: DD38)

Midlife and Older Americans with Disabilities: Who Gets Help?  / Research Report
November 1998— This AARP Public Policy Institute chartbook by Enid Kassner and Robert W. Bectel contains a wealth of data and information on the characteristics of people age 50+ who receive help with long-term care needs. (82 pages) (Publication ID: D16883)

Across the States 1998: Profiles of Long-Term Care Systems, Third Edition  / Research Report
January 1998— This AARP Public Policy Institute chartbook features up-to-date statistics on long-term care systems for each state and five U.S. territories under four major headings--demographics, recipients, providers, and expenditures. (253 pages) (Publication ID: D16550)