UCSF School of Nursing - UCSF - University of California, San ...

If nothing else, my research
has suggested
that savings from residential
care, as an intervention,
likely will not
come from reductions
of nursing home expenditures,
but, rather, they
will come from either
reductions in home care
expenditures or from
health care utilization.
Off and on over these past five years a
few of us in gerontology have discussed
the possibility of a long-term care administration
program in nursing curricula.
One of its functions would be to train licensed
nursing home and residential care
administrators, and mid-level executives
for long-term care corporations. In pursuing
these ideas we have had meetings with
the major trade associations in California
seeking their advice and support for such
an endeavor. The need for such a program
and nurse expertise is there. So is the interest
in collaborating.
Finally, looking back on my career, as
preparing this talk has required, I’m
struck by the metaphor of a salmon returning
to its place of origin. For me, reengagement
with residential care is returning
to my core involvement with longterm
care. I’ve been toughened and tested
by a career swimming with sharks, but
these final next few years of research I
trust will be my most challenging and rewarding.
I recognize, and hope you do too,
that consumer demand for varied forms of
assisted living is here and growing. There
remains much to learn about how to deliver
and finance appropriate levels of
care. The research, policy, and education
questions are bountiful as are the opportunities
to make a difference.
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