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Beverly F. Lowe
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The gap between community-based care requirements and the supply of service supports has been widely recognized. There has been little attention given, however, to the factors affecting the supply. The presumption has been that communities strive with equal effort to meet the demands of their elderly subpopulation. A close look at communities in terms of their urban services reveals that each community makes allocation decisions on the basis of its unique mix of income sources, including both governmental and voluntary, and political characteristics. While more services could be refinanced with federal dollars, individual community characteristics play a major role in determining the ability of localities to attract other sources of financial support.
Author(s): Beverly F. Lowe
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Volume 66, Issue 3 (pages 552–571) Published in 1988
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.