Caring for the Chronically Ill: Philadelphia, 1945-1965

, by Dieckmann,Janna L.

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ISBN: 9780815332510 | 0815332513
Cover: Hardcover
Copyright: 1/1/1999

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Supplemental Materials

Acknowledgments

(2)

Abbreviations

xiii

1. CHANGING PATTERNS OF LONG-TERM CARE

(28)

The Changing Nature of Chronic Illness

(4)

Factors Initiating Change in Long-Term Care

(4)

Single Agency Control of Services and Innovations

(1)

Dominant Medical Paradigms

(1)

Bias Toward Institutional Care

(1)

Professional Sanctioning of Illness

(2)

Financing Care

(2)

Conclusion

(11)

II. PUBLIC INSTITUTIONAL LONG-TERM CARE FOR THE INDIGENT AGED

(66)

Reform of Riverview

(4)

Financial Reform

(2)

Classification

(2)

Problems of Classification Control

(2)

Classification: The Case of the "Non-Violent, Senile Aged"

(3)

A Chronic Disease Hospital for Philadelphia?

(4)

Failure of Reform

(44)

III. LONG-TERM HOME CARE IN PHILADELPHIA

101

(66)

The Philadelphia Home Care Plan

102

(3)

Hospital-Based, Physician-Controlled MHCP

105

(2)

Physician Roles and Conflict

107

(2)

Conflict Between Hospital-Based and Community-Based CHCPs

109

(5)

Multidisciplinary Collaboration in the CHCPs

114

(4)

Patient and Family Roles in CHCPs

118

(2)

Financing: The Determining Factor

120

(5)

Conclusion

125

(42)

IV. COMMUNITY SERVICES FOR THE LONG-TERM SICK

167

(84)

HWC Control of New Services in Community Agencies

169

(4)

HWC Advocacy for Service Development

173

(3)

Organizational Obstacles to Long-Term Home Services

176

(3)

Conflict between Social and Medical Auspices for Services

179

(2)

Financial Obstacles to Long-Term Home Services

181

(8)

Development of Organized Long-Term Home Services

189

(4)

The Search for Comprehensive Services

193

(1)

Comprehensive Services: Coordinated Home Care Reprised

194

(2)

Conclusion

196

(55)

V. THE SEARCH FOR QUALITY IN LONG-TERM CARE

251

(104)

Institutionalization for the Long-Term Sick

252

(3)

Modifying Voluntary Homes for the Aged

255

(3)

Growth and Problems of Commercial Homes

258

(4)

Standards Approach to Improving Care

262

(3)

The Search for National Quality Care Standards

265

(4)

Local Community Efforts to Assure Quality Care

269

(5)

State Control for Long-Term Quality of Care

274

(2)

State Bureau Efforts for Quality Care

276

(6)

State-Local Collaboration for Improved Home Supervision

282

(1)

Obstacles in the Search for Long-Term Care Quality

283

(1)

Financing Quality in Long-Term Care?

284

(6)

Roads Not Taken: Pathways to Quality Care

290

(4)

Conclusion

294

(61)

VI. CONCLUSION

355

(18)

Inability To Create an Organizational Framework

356

(3)

Dominance of Acute Care Services

359

(1)

Failure of Financing

360

(3)

Moral Insufficiency of Social Welfare

363

(5)

Conclusion

368

(5)

Bibliography

373

(16)

Index

389

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Caring for the Chronically Ill: Philadelphia, 1945-1965

Table of Contents

Supplemental Materials