In the era of cost containment the challenge of rising medical costs continues to be difficult. In an aging society, however, the challenge broadens to include health care and social support at home and in the community. The major premise- of this book is that cost-conscious community care and self-care will become increasingly important as the era of cost containment intensifies. During the first half of the 1980s, healths care cost containment strategies targeted the major arenas of cost escalations, the acute care and institutional sectors. While this battle continues to rage, another has begun in long-term care. An aging society must contend with an increased number of persons with chronic care conditions and a demand for more long-term care services at home and in the community. typically these services fall outside the traditional medical care model and include such activities as home health care, home care, respite care, community volunteer networks, lay education, professional geriatric education, health pro-motion, prevention, family care giving, self-help group, and social support. Advocacy for additional long-term care service is often justified on the basis of cost reductions in the acute care and institutional sectors. Much of the evidence suggests, however, that additional long-term care services are not necessarily cost- effective alternatives, but additional needed services.
Condition is very good with signs of minor shelfwear to the spine , some corner bumps and a small crease. Interior is crisp and clean with a tight binding. There has been some light sourced fading to the spine and some mild yellowing to the pages.