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PHYS THER
Vol. 68, No. 9, September 1988, pp. 1386-1390
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Administration

Needs of the Elderly and the Politics of Health Care: The Social Context of Changes in the Delivery System

Andrew A Guccione

A. Guccione, PhD, is Assistant Professor, Department of Physical Therapy, Sargent College of Allied Health Professions, and Health Services Researcher, Multipurpose Arthritis Center, Centers Building, K-5,71 E Concord St, Boston University School of Medicine, Boston, MA 02118 (USA).

The emergence of the elderly as a substantial subgroup within the population has been identified as signaling a crisis for the health care system. This article places recent changes in health care financing for the elderly in the context of biomedical, demographic, and social factors. These factors, in turn, are related to the larger economic and political structures that have shaped our national health care policies and programs. Current policies and programs are inadequate in meeting the needs of the elderly because they provide a limited array of services. This article also examines how the needs of the elderly have been portrayed to support age-based entitlements to limited health care coverage, irrespective of need across age strata. Physical therapists can use their understanding of the genesis of particular public policies to assist in developing a health care system that is responsive to the needs of all members of society.

Key Words: Aged • Delivery of health care • Geriatrics • Health care • Health services for the aged


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Copyright © 1988 by the American Physical Therapy Association.