Models for Integrating and Managing Acute and Long-term Care Services in Rural Areas
Cutler Institute, Population Health and Health Policy, USM Aging Initiative, Health and Wellness
Journal of Applied Gerontology
States and the federal government are searching for new managed-care strategies, such as capitated financing and coordinated case management, that integrate the financing and delivery of primary, acute, and long-term care services. For rural communities, the development of organizational and delivery systems, which better integrate and manage primary, acute, and long term care services, may help address long-standing problems of limited access to long-term care services. This article discusses the concept of integrated acute (medical) and long-term care service networks; model programs; challenges that health care providers, state policymakers, and others have faced in developing these new integrated structures; and the future of service-integration and coordination approaches in rural areas.
Coburn, A. F. (2001). Models for integrating and managing acute and long-term care services in rural areas. Journal of Applied Gerontology, 20(4), 386-408. doi: 10.1177/073346480102000402