Long-Term Care

The Future of Long-Term Care and the Aging Network

Published: | 4:00 pm | Posted in: Archives, Long-Term Care, Research

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

Published: | 1:17 pm | Posted in: Long-Term Care, Managed LTC, Research

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

Published: | 1:10 pm | Posted in: Long-Term Care, Research

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

Published: | 12:05 pm | Posted in: Long-Term Care, Research

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 […]

Long-Term Care Options in Florida: Their Availability by County Demographics

Published: | 11:32 am | Posted in: Long-Term Care, Research

Originally published by the Journal of Racial and Ethnic Health Disparities By Lori Gonzalez Abstract Older people express a preference for home and community-based care over skilled nursing, realizing that preference, however, is dependent upon having those options available. The present exploratory study uses publicly available data to understand if the geographic availability of long-term […]

Women and the Crisis of Care in the United States

Published: | 11:05 am | Posted in: Long-Term Care, Research

Originally published in 2018 by Gender and Age: A Focus on Women By Larry Polivka Women are much more involved in long- term care (LTC) than men, as caregivers and care recipients. This is true in the formal system of paid care and in an “informal” system that relies upon unpaid caregiving by relatives and […]

The Changing Role of Non-Profit Organizations in the U.S. Long Term Care System

Published: | 10:14 am | Posted in: Long-Term Care, Research

Originally published in 2019 by the Journal of Aging & Social Policy By Larry Polivka and LuMarie Polivka-West Abstract The American long-term care system has changed dramatically over the last several years as the need for care has increased steadily with the aging of the boomer generation. Arguably, the most important change has occurred in […]