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A value-critical policy analysis of the nursing home reform act: a focus on care of African American and Latino residents.
- Source :
- Social Work in Health Care; May/Jun2019, Vol. 58 Issue 5, p471-493, 23p
- Publication Year :
- 2019
-
Abstract
- Improving nursing home care has been a central legislative focus since the 1980s; The major response effort to address these reports of poor-quality care was first met with a federal rule in 1987, the Nursing Home Reform Act (NHRA). Since enactment of the NHRA in 1987, and despite an increasing utilization of nursing home care by aging minorities, the standardization of care practice, or quality indicators (e.g., structural, process, and outcome measures), within long-term nursing home care have remained relatively unchanged. This paper reports a value-critical policy analysis of the most recent final action rule, effective on November 28 of 2016 by the Centers for Medicare and Medicaid Services (CMS) with a particular focus on its impact on African-American and Latino older adults. This paper presents results of two policy analyses. Taken together, this merged analysis focuses on an overview of the problem, the groups most affected by the problem, current program goals and objectives, forms of benefits and services, and a current state of the social problem. Following the analysis, we present changes and improvements to be made, as well as proposals for reform and recommendations for policy changes. [ABSTRACT FROM AUTHOR]
- Subjects :
- NURSING education
NURSING care facility laws
BLACK people
GOAL (Psychology)
HEALTH care reform
HISPANIC Americans
WORKING hours
MATHEMATICAL models
SERVICES for caregivers
MEDICAL care
NURSING home patients
PATIENTS
SOCIAL problems
SOCIAL workers
PATIENTS' rights
THEORY
GOVERNMENT policy
CULTURAL values
WELL-being
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 00981389
- Volume :
- 58
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Social Work in Health Care
- Publication Type :
- Academic Journal
- Accession number :
- 135672315
- Full Text :
- https://doi.org/10.1080/00981389.2019.1587660