Purpose of the Study: Medicaid service use and expenditure and quality of care outcomes in California's personal care program known as In-Home Supportive Service (IHSS) are described. Analyses investigated Medicaid expenditures, hospital use, and nursing home stays, comparing recipients who have paid spouse caregivers with those having other…

Purpose: To examine the relationship between registered nurse (RN) staffing mix and quality of nursing home care measured by regulatory violations. Design and Methods: A retrospective panel data study (1999-2003) of 2 groups of California freestanding nursing homes. One group was 201 nursing homes that consistently met the state's minimum standard…

Statistical and legal analysis of California nursing home admission agreements indicated that agreements limited autonomy of nursing home residents in important ways, including constraints on resident's right to make health care decisions and other basic personal choices, entitlement to due process or grievance procedures, and right to informed…

Interest in the development of community-based long-term care (CBLTC) programs as a substitute for institutional-based care has been steadily growing. The estimated benefits from the Multipurpose Senior Services Program (MSSP), California's intensive CBLTC system, were measured by the expected increase in community residency days for clients for a…

Nine California community colleges were surveyed in 1979-1980 to determine the ratios of certified disability counselors to students with hearing, speech, visual, or mobility impairments; students with learning disabilities (average or limited); students with other health problems; and students in convalescent and nursing homes. Survey findings…