Purpose: Theories of the policy process recognize that policy proposals are typically generated, debated, redrafted, and accepted for consideration through the gradual accumulation of knowledge within communities of specialists. Thus, to inform long-term care (LTC) reform efforts, we conducted a Web-based survey of 1,147 LTC specialists…

Context: National data documenting the role that rural hospitals play in providing inpatient care to patients both younger than 65 and 65 years and older has previously been unavailable. Purpose: To present descriptive nationally representative data on the numbers and types of inpatients, and the care they received, in rural hospitals. Methods:…

Purpose: Family caregivers comprise the backbone of long-term-care provision in the United States, yet little is known about how the composition and experience of family caregiving has changed over time. Design and Methods: Data are drawn from the 1989 and 1999 National Long-Term Care Survey and Informal Caregiver Survey to develop nationally…

In the last 2 decades, the United States has seen an increase in childlessness and first births at older ages. Using the National Survey of Family Growth, we focus on women aged 35-44 who are voluntarily childless (expect no children and are fecund or contraceptively sterile). We compare these women to those who are involuntarily childless…

This study examined the issues of income adequacy and responsibility for the care of older adults, comparing the opinions of people in the United States and Sweden concerning these issues. Results from a Swedish national sample of 1,005 telephone interviews in 1986 were compared with results from an American national sample from 1981. The findings…

This report presents results of an interview study made by the National Institute of Senior Centers (NISC), a program of The National Council on the Aging, Inc. (NCOA). Thirty Centers were selected for on-site study. The criterion was a program directed to older adults, meeting at least once weekly on a regularly scheduled basis and providing some…

Purpose: Few international comparisons of health services are performed using microlevel data. Using such data, this paper compares the need for and receipt of assistance with activities of daily living (ADLs) in comparable samples in the United States and Sweden, a country with a universal system of community-based services. Design and Methods:…

Employment in nursing homes is projected to increase from 583,000 in 1973 to 1,036,000 in 1985. Substantially more workers are expected to be employed in nearly all occupations. The projected growth of 78% is faster than that expected in any segment of the health industry. Most nursing home employees are service workers. Two of these occupational…

This publication offers an overview of the health of Hispanic Americans in the United States. Topics covered include the following: (1) Hispanic representation in health fields; (2) access to health care; (3) maternal and child health; (4) substance abuse; (5) Acquired Immune Deficiency Syndrome and Hispanics; (6) Hispanic elderly; (7) migrant…

A study examined 140 persons from nine very diverse settings in the United States and England who had retired in a positive way. Interviews with the retirees revealed that despite their diverse geographical, socioeconomic, and racial/ethnic backgrounds, they all had one thing in common--in retirement, all of them had a new and exciting career.…

This study describes the civic and political behavior of the American public, with a special focus on youth ages 15 to 25. Using an extensive national telephone survey of 3,246 respondents, the authors describe what citizens are doing, and how often they are doing it. They look at a panorama of 19 core activities--ranging from voting to…