Reports data on admissions, discharges, and changes in health status of eight admission cohorts to nursing homes in a jurisdiction with universally-insured nursing home and home care services. The findings are compared to U.S. studies and disclose differences which may reflect differences in payment mechanisms and admission policies. (Author/JAC)

Alternatives to long-stay patient back-ups include building more beds of all types, changes in placement policies, and continuing hospital care for older adults. Manitoba's policies have resulted in redistributing the health dollar towards the geriatric patient. (JAC)