Translating high quality research specific to better design and building practice

Research Library

The HMinfo Research Library contains an in-depth collection of materials on home modifications and related subjects.

The Research Library does not lend books and other items. Under special circumstances, requests to use the library may be made by emailing .

Library Search


Devolution and aging policy: racing to the bottom in long-term care

International Journal of Health Services

Author: Estes, C. L., Linkins, K. W.
Type: Journal Article
Year: 1997


Draws on current research & literature to examine the diminishing role of the federal government in U.S. health entitlement programs since the early 1970s. The failed reform attempts of President Bill Clinton's administration, & legislative trends to decentralize health management are analyzed in terms of their impact on long-term care & in the context of the sociodemographics of aging. Issues of state accountability are discussed & the repercussions of state-level discretionary policy options are categorized under four crucial effects (1) the disruption of priorities, services, & benefits for the elderly & disabled; (2) the degeneration of long-term care programs; (3) the promotion of age, gender, racial, ethic, & class preferences; & (4) the radical undermining of nonprofit sector services.

Further Details

Pages: 427-442
Volume: 27
Issue: 3
Accession Number: 1.4.03
Keywords: North America, older, mobility, health improvement
Reads: 158