The Case of Independent Living
In this chapter we make the case for in-home care services to support independent living as a critical social issue, and one that lends itself to the use of models of innovation. Specifically, we will expand the discussion begun on p. 14 in Chapter 1 (‘Why Study Independent Living’), by focusing on demand for services, supply conditions, and public policy issues associated with in-home care. These are driven by five dynamics that we believe emphasize the role and potential value of in-home care: 1. Demographics. The ageing of the population is a fundamental force shaping our world. 2. Disease. The concurrent, rapid rise in chronic conditions is generating a wave of demand that cannot be met by current supply. 3. Human resources. There is substantial evidence to suggest that the supply of licensed caregivers of all types will fall increasingly short of the increased demands of ageing and chronic disease. 4. Technology. Many in the industry believe that disruptive innovation can come from technology-enabled services in the home and community. While there is some evidence of successful technology-driven innovation, particularly in telehealth, adoption has been slow and regulation cumbersome. 5. Politics. The policy debates that arise from the budgetary and wealth redistribution effects of entitlement and other programs.
You are not authenticated to view the full text of this chapter or article.
Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.
Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.
Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.