Which had a major influence in shifting the care of elders away from the family and sti-mulated the growth of nursing homes in the 1960s?
a. Medicare and Medicaid
b. Hartford Institute for Geriatric Nursing
c. American Nurses Association (ANA)
d. Health maintenance organizations (HMO)
A
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A Correct. With the passage of nationalized health care for elders, Medicare and Medicaid facilitated health care access to all citizens over 65 years old The health care access stimulated the transition of elder care away from families and to the federal government, thus stimulating the growth of the nursing home in-dustry.
B Incorrect. The Hartford Institute has sponsored significant improvements in ge-rontological nursing practice, research, and education.
C The ANA responded to changes in the care of elders with the advent of Medi-care.
D Incorrect. HMOs have had a significant impact on the management of care but were virtually nonexistent in the 1960s.
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