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Find out why... (BUTTON) Add to Clipboard (BUTTON) Add to Collections (BUTTON) Order articles (BUTTON) Add to My Bibliography Generate a file for use with external citation management software. (BUTTON) Create File See comment in PubMed Commons below Geriatr Gerontol Int. 2009 Mar;9(1):1-6. doi: 10.1111/j.1447-0594.2008.00513.x. Nursing home care in the USA. Eskildsen M^1, Price T. Author information 1 Emory University School of Medicine, Division of Geriatric Medicine and Gerontology, Atlanta, Georgia 30329, USA. meskild@emory.edu Abstract Nursing home care in the USA is part of the costliest health-care system in the world, and is a heavily regulated industry still struggling to maintain quality care across the country. The modern nursing home dates back to the 1930s and the passage of the Social Security Act, with continued growth of the industry after the 1960s, when the Medicare and Medicaid programs were created. As in other industrialized countries, the elderly population in the USA is growing, and the highest growth is occurring among those older than 85. This is the group with the highest health-care costs and rates of nursing home utilization. There are two major types of care provided in US nursing homes: long-term and subacute care. In the 1980s, quality of care became an important concern, which led to major reform and passage of new regulations under the law known as OBRA-87. During this time, the Minimum Data Set (MDS), which is a comprehensive assessment tool, was introduced. It continues to be a vital tool for both payment and research. Reform also ushered in the state survey process, which scrutinizes nursing homes yearly and assesses financial penalties for substandard care. The aging of the American population will provide challenges for financing nursing home care in the future. The use of private long-term care insurance is growing, and may be an important source of payment for this type of care in the decades to come. PMID: 19260973 DOI: 10.1111/j.1447-0594.2008.00513.x [Indexed for MEDLINE] Share Publication type, MeSH terms Publication type * Review MeSH terms * Aged * Forecasting * Homes for the Aged*/economics * Homes for the Aged*/manpower * Homes for the Aged*/standards * Homes for the Aged*/statistics & numerical data * Homes for the Aged*/trends * Humans * Nursing Homes*/economics * Nursing Homes*/manpower * Nursing Homes*/standards * Nursing Homes*/statistics & numerical data * Nursing Homes*/trends * United States LinkOut - more resources Full Text Sources * Wiley * Ovid Technologies, Inc. Other Literature Sources * COS Scholar Universe Medical * Nursing Homes - MedlinePlus Health Information Miscellaneous * NCI CPTAC Assay Portal * NCI CPTC Antibody Characterization Program PubMed Commons home PubMed Commons 0 comments How to join PubMed Commons How to cite this comment: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ * Supplemental Content Full text links Icon for Wiley Loading ... 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