Discussion: Providers of Long-Term Care

Please answer in 300 words the following:
 The providers of long-term care Some of them are institutional in nature, some are non-institutional, and some are a combination of the two forms. One of the most enduring and difficult questions facing the system is how to balance the use of institutional and non-institutional services.
A.  How should the long-term care system balance institutional and non-institutional forms of long-term care?
B. What factors should be taken into account?