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Long-Term Care for the Elderly with Disabilities: Current Policy, Emerging Trends, and Implications for the Twenty-First Century

One likely reason for the lack of attention to the older population is that fertility in Cambodia has remained high and thus the share of the population who are age 60 and over is relatively small, especially compared to a number of other southeast Asian countries where population aging is far more rapid. According to the most recent UN assessment, only 5.6 percent of the Cambodian population is aged 60 and over although it is projected to slowly increase in the coming decades (United Nations 2005). One unusual feature of today’s Cambodian older population is the large predominance of. | Milbank Memorial Fund Long-Term Care for the Elderly with Disabilities Current Policy Emerging Trends and Implications for the Twenty-First Century By Robyn I. Stone Long-Term Care for the Elderly with Disabilities Current Policy Emerging Trends and Implications for the Twenty-First Century By Robyn I. Stone Milbank Memorial Fund TABLE OF CONTENTS Foreword .iv Acknowledgments.v Introduction.1 Defining Long-Term Health Care.2 Relationship between Acute and Long-Term Care.2 The Role of Residence in Long-Term Care.3 Care Settings.4 Who Needs and Uses Long-Term Care .5 Who Provides Care .9 Informal Care.9 Formal Care Providers.10 Long-Term Care Financing .13 Medicaid.13 Medicare .14 Private Long-Term Care Insurance.17 Long-Term Care Delivery.21 Integration of Acute and Long-Term Care Services.21 Federal Demonstrations.22 State Initiatives.23 Provider Initiatives.24 Assisted Living .25 Consumer-Directed Care.28 Workforce Preparation.31 The Future of Long-Term Care Demand.34 The Aging Population.34 Increased Longevity Quantity vs. Quality.35 Geographic Diversity.36 The Future of Informal Caregiving .40 The Economic Status of the Future Elderly.42 The Future Supply of Long-Term Care Services.47 The Future Supply of Alternative Settings.47 The Future of the Long-Term Care Workforce.48 Continued