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Direct linkHahn, Elizabeth A.; Thomas, Kali S.; Hyer, Kathryn; Andel, Ross; Meng, Hongdao – Gerontologist, 2011
Purpose of the study: To examine the relationship between county-level Medicaid home- and community-based service (HCBS) waiver expenditures and the prevalence of low-care residents in Florida nursing homes (NHs). Design and Methods: The present study used a cross-sectional design. We combined two data sources: NH facility-level data (including…
Descriptors: Incidence, Nursing Homes, Expenditures, Counties
Alkema, Gretchen E.; Reyes, Judy Y.; Wilber, Kathleen H. – Gerontologist, 2006
Purpose: We identified the types of home-and community-based services (HCBS) that high-risk older adults in Medicare managed care used, and we examined participant characteristics associated with service use in six areas: overall service use, four specific categories of HCBS, and referrals to insured medical services. Design and Methods: We used…
Descriptors: Medical Services, Chronic Illness, Older Adults, Community Health Services
Kinosian, Bruce; Stallard, Eric; Wieland, Darryl – Gerontologist, 2007
Purpose: The purpose of this article is to describe the projected use for long-term-care services through 2012. Design and Methods: We constructed a static-component projection model using age, function, and other covariates. We obtained enrollee projections from the Veterans Health Administration (VHA) and combined these with nursing home and…
Descriptors: Older Adults, Veterans, Age, Marital Status
Peer reviewedRoos, Noralou P.; And Others – Gerontologist, 1984
Examined health service utilization by 4,800 Canadian elderly. Findings suggested that most elderly are healthy and are infrequent users of services. Identifies a minority of very high users of health care and discusses the potential influence of physicians on health care use by the elderly. (JAC)
Descriptors: Foreign Countries, Gerontology, Health Services, Older Adults
Peer reviewedFriedman, Susan M.; Steinwachs, Donald M.; Rathouz, Paul J.; Burton, Lynda C.; Mukamel, Dana B. – Gerontologist, 2005
Long term care in a nursing home prior to enrollment in PACE remain at high risk of readmission, despite the availability of comprehensive services. This study determined overall risk and predictors of long-term nursing home admission within the Program of All-Inclusive Care for the Elderly (PACE). Design and Methods: Data PACE records for 4,646…
Descriptors: Racial Differences, Individual Characteristics, Older Adults, Health Services
Peer reviewedDiwan, Sadhna; And Others – Gerontologist, 1997
Examined type of service, volume, and mix of services provided to 270 poor and frail elders. Predictors of use and volume of service differed depending on type of service. The most prescribed service combinations included nursing, home health, and homemaker; homemaker only; nursing and home health; nursing and homemaker; and nurse only. (RJM)
Descriptors: Community Health Services, Frail Elderly, Home Health Aides, Human Services
Howell-White, Sandra; Gaboda, Dorothy; Rosato, Nancy Scotto; Lucas, Judith A. – Gerontologist, 2006
Purpose: This research provides state policy makers and others interested in developing needs-based reimbursement models for Medicaid-funded assisted living with an evaluation of different methodologies that affect the structure and outcomes of these models. Design and Methods: We used assessment data from Medicaid-enrolled assisted living…
Descriptors: Models, Statistical Analysis, Individual Characteristics, Health Services
