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The Gerontologist, Vol 35, Issue 4 533-540, Copyright © 1995 by The Gerontological Society of America

REVIEWS

A contextual approach for understanding individual autonomy in managed community long-term care

J Capitman and M Sciegaj
Institute for Health Policy, Florence Heller School, Brandeis University, Waltham, MA 02254-9110, USA.

This article develops a framework for identifying community long-term care program and policy features that support or hinder client autonomy. After introducing the topic, the authors develop a contextual approach for understanding individual autonomy and discuss its relevance to community long-term care. They also illustrate how current financing, organization, and delivery of community long-term care provide clients with opportunities for meaningful choice. The authors summarize the implications that a contextual autonomy approach has for both community long-term care policy and program features and make specific policy recommendations.


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Copyright © 1995 by The Gerontological Society of America.