Purpose: Based on the medical offset effect, the goal of the study was to examine the extent to which users and nonusers of adult day care centers (ADCC) differ in frequency of use of out-patient health services (visits to specialists) and in-patient health services (number of hospital admissions, length of hospitalizations, and visits to…

Purpose: Effective strategies to recruit minority elders into health research (e.g., through churches, partnering with community gatekeepers) often involve nonrandom sampling methods. The current study has two aims: (a) to examine some new practices in recruitment of African American elders and (b) to determine the similarities and differences of…

Purpose of the Study: Recent demographic growth of the U.S. Chinese aging population calls for comprehensive understanding of their unique health needs. The objective of this study is to examine the perceptions, social determinants of depressive symptoms as well as their impact on health and well-being in a community-dwelling U.S. Chinese aging…

Purpose: Previous research from the Cash and Counseling Demonstration and Evaluation (CCDE) in Arkansas, New Jersey, and Florida suggests that giving consumers control over their personal care greatly increases their satisfaction and improves their outlook on life. Still, some argue that consumer-directed care may not be appropriate for consumers…

Purpose: We examine the relationship between the perceived needs and assessed needs of community-dwelling seniors. Design and Methods: Trained research assistants administered the Naturally Occurring Retirement Community Baseline Survey to 268 community-dwelling older adults in suburban Maryland. Perceived and assessed needs were measured in the…

Considered financial capacity of elderly for purchasing long-term care plans: Social/Health Maintenance Organizations, long-term care insurance, Life Care at Home, and Continuing Care Retirement Communities. Found that between 50 percent and 80 percent of all elderly could afford one plan, depending on the amount of discretionary income they would…

Examines the impact of isolated patient transfers on institutional dependency. The patient sample consisted of 108 transfers and 759 long-term patients in a variety of old age institutions in New York state. Analysis revealed that transfer per se does not affect subsequent dependency. (Author)

Increased admissions from hospitals to nursing homes over six-month period resulted in reduced number of hospital nonacute patients requiring long-term care placement. Nursing homes shifted admissions patterns to accept more persons from non-hospital settings, hospital admissions declined, and number of nonacute patients in hospitals increased.…

Utilizes survey responses from 2178 community-dwelling older adults to test the hypothesis that predisposing, enabling, and need characteristics are better predictors of discretionary than nondiscretionary service use. Results generally support the hypothesis, underscoring the importance of need characteristics for least discretionary service use.…

Life Care at Home (LCAH) provides benefits similar to continuing care retirement community (CCRC) at less cost to elderly who prefer to stay at home. Surveyed CCRC applicants and found that nearly one-half were interested in LCAH. Applicants interested in LCAH were concerned about community living, lifestyle changes in a CCRC, and cost. (Author/NB)

Purpose: The purpose of this study was to examine racial/ethnic differences in the relationship between functional disability and the use of health care services in a nationally representative sample of older adults by using the Andersen behavioral model of health services utilization. Design and Methods: The study used 12 years of longitudinal…

Surveyed patients and families who used hotline emergency service in ambulatory day treatment center for frail elderly. Results revealed appropriate use of service: Most calls required medical intervention, including hospitalization in 31 percent of cases. Findings suggest that 24-hour medical coverage is necessary and cost efficient. (Author/NB)

Assessed service utilization and cost impacts of a consolidated model of long-term care for functionally impaired elders. Compared to traditional long-term care, this model reduces hospital and nursing home stays, redistributes funds to broad range of community-based services, and reduces overall cost of long-term care. (Author/NRB)

Ninety-nine caregivers who utilized a respite service reported that respite care contributed to improved physical and mental health, better relationships, and increased confidence in their ability to continue in the caregiving role, while not affecting patients' physical or mental functioning. Reported likelihood of institutionalization increased…

Compared small rural hospitals with long-term care units to those without units. Found both hospital and community differences. Hospitals with such units were smaller and differed in length of stay, personnel, and expenses. Their counties were smaller in population and less urban, but did not have proportionally more elderly or different…