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JOURNAL OF HEALTH AND HUMAN SERVICES ADMINISTRATION

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MICHAEL PRFSrON University of Southern Califamia BERYL A. RADIN University of Southern Califamia DAVID ROSENBERG University of South Florida MICHAEL D. ROSKO Weidener University C E TEASLEY, I11 University of West Florida SllZVEN ULLMAN Unknityof Miami THOh4AS WILSON Auburn University at Montgomery SAMUEL J. YEAGER Wichita State University JAMES T. ZIEGENFUSS, JR Pennsylvania Slate University JOURNAL OF HEALTH AND HUMAN SERVICES ADMINISTRATION (Formerly JOURNAL OF HEALTH AND HUMAN RESOURCES ADMINSTAXTION) VOLUME 17, NUMBER 2 w' CONTENTS .. Affiliated with the ASPA Section on Health and Human Services Administration Contributors To This Issue SYMPOSIUM: Gerontology 3 Introduction LORIN A. BAUMHOVER Editor.. .................................................. 117 Ethical Dilemmas In The Health Care 01 Older People TOM HICKEY, CHRISTOPHER J. BENEDICT, and DIANA L. SITLWELL. .................................... 120 Nursing Homes In The United States: An Historical View And Contemporary Description Of Facilities And Residents LARRY C. MUUINS, MARY F. MUSEEL, and ODFITEHERMANNS ....................................... 136 Conceptions Of Long-Term Care Risk, Cwt, And Reimbursement Among Middle-Aged And Elderly People SHIRLEY S. TRAVIS and WILLIAM J. McAULEY .................. 148 Publicversus Private Sector Insurance For Long-Term Care: Issues And Prospects MARTIN JAECKEL and STANLEY R INGMAN ................... 162The Utilization Of PublicServices ByThe Elderly. Are Area Agency On Aging Services Becoming Biomedicalized? R STEVEN DANIELS. ..................................... 179 A Model Geriatric Health Care Program For Community/Migrant Health Care Centers SHEIIA RAY, DALE E.YEAITS, NOEL LIST, and W. EDWARD FOLTS ...................................... 196 Education And Aging: A Case For Diversity BRADLEY C. COURTENAY. ............................... 213 Home Is Not Where The Heart Is: Laoming Problems In The Home Care Industry DONSEDINKINSFORD. ................................. 227 Job Satisfaction Of PublicHealth Nuaes: Is There A Predictable Decline? COLLEEN BEALL, LORIN A. BAUMHOVER, JOHN L GILLUM, and ARNGENEL WELLS.. .................. 243 CONTRIBUTIORS TO THIS ISSUE Lorin A. Baunhwtr is Profemr of Behavioral and Community Medicine and Dimtor of the Center for the Study of Aging in the College of Community Health Sciences at the University of Alabama, Birmingham. He has been involved in re- search and educational activities in gerontology for25 years and is the author of numerous publications in elder abuse, family caregiving, and health care delivery. Colleen &all is a candidate for the Doctor of Public Health (Dr.P.tI.) degree at 4 the Un~versity of Alabama at Birmingham where she is working as a Researcher in the Department ol E$idemiology and is an Adjunct Professor in the Department of Behavioral and Community Mediane. . Christopher J. Benedict is eompletins a dual degree program (MPH/MSW) in the Department of Health khavior and education in the School of Public Health and the School of Social Work at the University of Michigan and has previously directed a day care center for older adults. Bradley C Courtenay (EdD) is Profasor and Head, Adult Education Depart- ment, University 01 Georgia. His primaryrrsearch interests in aging include partici- pation issues in educational gerontology, religiosity, and aging. He is a member of the Faculty of Gerontology at the univcrrity and teacher a graduate course on educa- tional gerontology. R Steven Daniels is an Associate Professor of Political Science and Public Affairs at the University of Alabama at Birmingham. He is currently on leave with the Center for Family Research at lowe Slate Univcnity. He is the author of severcl articles which appeared in this journal, THE GERONTOLOGIST, and the JOURNAL OF ELDER ABUSE AND NEGLECT. WeEdward Folts is the Director of the Gerontology Program and Associate Profcssx of Socialogy at Appalachian State Unindty in Boone, Noah Carolina. His undergraduateand master's degrres arr from the University of Alabama and his Ph.D. in Sociilogyis from the University of Florida. Doris E. Ford is an Associate Professor of Health Administration in the De- partment of Politid Science at Auburn University. She received her Ph.D. from the George Washington University. Her research interests include the elderly, long-term care, ard health policy. John Gillum is a Research Associate at the Centa for the Study of Aging at the University of Alabama. Birmingham. He holds am MS. in Human Environmental Scienca from the University of Alabama and is involrrd in elder abuse training and research on intervention strategies with Alzheimers' patients.U ' (1 78) JHHSA FALL 1994 Government Printing Office. Hirnmelstein and Colleagues (1989). "A National Health Programs for the United States: A Physicians' Proposal." NEW ENGLAND JOURNAL OF MEDICINE 320102-108. Knickrnan, J.R. (1988). "Private Long-Term Care Insurance: Alleviating Market Problems with Public-Private Partnerships," in RM. Schefller and L.F. Rossiter (eds.). ADVANCES IN HEALTH ECONOMICS AND HEALTH SERVICES RESEARCH,vol. 9. Greenwich, CT: JAI Press. Marmor, T. (1990). "Canada's Path, American Chcices: Lessons from the Canadian Experience with National liealth Insurance," i~ P. Conrad and R. Kern (eds.). SOCIOLOGY OF HEALTH AND ILLNESS: CRITICAL PERSPECTIVES. New York: St. Martin's Pm. National Association of Insurance Commissioners (1986). LONG-TERM CARE INSURANCE, AN INDUSTRY PERSPECTIVE ON MARKET DEVELOP- MENTAND CONSUMER PROTECTION. Karsas City: NAIC. National Assoc~ation of Social Workers (1991). NATIONAL HEALTH CARE PROPOSAL Washington, D.C.: NASW, Legislat~ve Affairs Office. The Pepper Commission (1990). A CALL FOR ACTION. Washington, D.C.: Government Printing 0ffi:e. Rivlin, A. and J. Wiener (1988). CARING FORTHE DlSABLED ELDERLY: WHO WILL FAY? Washington, D.C.: Bmkings Institution. Russo, M. (1991). DESCRIPTION OF THE UNIVERSAL HEALTH CARE PLAN. Washington, D.C: Congress of the US, House of Representatives (re- leased Match 6, 1991). Gwrernment Printing Office. Scheffler, RM. and L.F. Rorsiter (eds.). ADVANCES IN HEALTH ECONOMICS AND HEALTH SERVICES RESEARCH, vol. 9. Greenwich, CT: JAI Press. Shearer, G. (19B9). LONG-TERM CARE: ANALYSIS OF PUBLIC POLICY OPTIONS. Washington, D.C.: Consumers Union. Wisconsin Council on Long-Term Insurance (1988). A PUBLIC-PRIVATE PARTNERSHIP ON


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