Long-Term Care

Long-Term Care: Aging and Disabled Adults Literature Review

By Larry Polivka (2011), prepared for the Department of Elder Affairs. Long-term Care (LTC) has slowly emerged as a public policy issue over the last several years, but has yet to achieve the level of visibility of issues such as the growing number of medically uninsured, or the fiscal sustainability of Medicare. The aging of […]

The Future of Long-Term Care and the Aging Network

By Larry Polivka and Jung Kwak. Originally published by Generations, the Journal of the American Society on Aging in 2014.  Before concluding that proprietary organizations should provide LTC services, we should analyze the effectiveness of the existing community-based LTC system. Our long-term-care (LTC) system should be an asset in our efforts to build strong local and regional communities […]

Neoliberal Long-Term Care: From Community to Corporate Control

By Larry Polivka and Baozhen Luo. Originally published by the Gerontological Society of America in 2017. Abstract Publicly (mainly Medicaid) funded long-term care (LTC) services have evolved from a nursing home dominated system of service to a much more balanced system including home- and community-based services (HCBS) programs over the last 30 years. The HCBS […]

Predicting Racial Disparities in Nursing Home Admission: The Role of Discrimination, Stressors, and Neighborhood Context

Originally published by The Sociological Quarterly in 2019 By Lori Gonzalez ABSTRACT Although the overall trend in nursing home use has declined, this has not been the case for racial and ethnic minorities. This article elucidates the role of stressors and neighborhood context in nursing home admission. The analysis fits several regression models to predict […]

Culture Change in Skilled Nursing

Originally published by the Journal of Housing for the Elderly in 2019 By Lori Gonzalez and Lisa Rill Abstract The culture change movement has pushed for reform for more than two decades to align policy, the long-term care industry, and resident preferences with regard to care. Evidence from research indicates that culture change has the […]