From 1991 to 2009, the fraction of Medicaid recipients enrolled in HMOs and other forms of Medicaid managed care (MMC) increased from 11 percent to 71 percent. This increase was largely driven by state and local mandates that required most Medicaid recipients to enroll in an MMC plan. Theoretically, it is ambiguous whether the shift from…

Much research examines the professional nursing practices of traditional and modern caregivers, but it remains unclear whether the delivery of extra-required services is diminished as the caregiver moves from traditional to modern community. Building on the classical works of sociologists Ferdinand Tonnies, Max Weber, and Emile Durkheim, this…

The overall use of acute care services by nursing home (NH) residents in Canada has not been well documented. Our objectives were to identify the major causes of hospitalization among NH facility residents and to compare rates to those of community-dwelling seniors. A retrospective cohort was defined using population-level health administrative…

Purpose: A national quality report card for nursing homes, Nursing Home Compare, has been published since 2002. It has been shown to have some, albeit limited, positive impact on quality of care. The objective of this study was to test empirically the hypothesis that nursing homes have responded to the publication of the report by adopting cream…

Purpose: This study had two goals: (a) to assess the validity of the Online Survey Certification and Reporting (OSCAR) staffing data by comparing them to staffing measures from audited Medicaid Cost Reports and (b) to identify systematic differences between facilities that over-report or underreport staffing in the OSCAR. Design and Methods: We…

Analyzes the 1983 distribution of inpatient mental health facilities and estimated inpatient beds for all 3,137 U.S. counties categorized on an 18-position urbanization scale. Finds services available in only 13 percent of all nonmetro counties and in virtually none of the most rural, nonadjacent, nonmetro counties. Contains 30 references. (SV)

While comparisons are difficult, Sweden's socialized health care delivery system produces superior health results when compared with the United States, and its concentration on optimization of cost-benefit ratios, with centralized research, planning, and resource aid, presents concepts the U.S. could adopt while maintaining free-enterprise…

Regulations instituted by the Department of Health, Education, and Welfare effective in 1976 require skilled nursing facilities (SNF) to provide either a physician serving as medical director, or to have an organized medical staff. This report describes how SNFs responded, and what the effects were on their operations. Descriptive data were…

Data from the Asian American Field Survey of 1973 were examined to determine health problems, methods of seeking and paying for health services, health insurance coverage, and frequency of medical examinations among Japanese, Chinese, Filipino, Korean, and Samoan families in the United States. The analysis indicated that the Chinese reported the…

This collection consists of four papers dealing with the delivery of health care in the People's Republic of China. The papers resulted from a study tour of the Chinese health care system in June 1980. Included in the volume are the following papers: "A Comparison of Selected Aspects of the Health Care Systems of the Socialist Federal…