Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

Interviewed 136 female heads of households in rural Sri Lanka. Found that marital status figured more importantly than age in use of health services. Concludes that, as unmarried heads of households increase in less developed places, their demands for health care at the village level likely will escalate. (Author/NB)

Uses data from the Longitudinal Studies on Aging (1984-90) to examine a sample who at baseline lived in community settings and reported problems with urinary incontinence (n=719). Analyses indicate that residents of less urbanized and more thinly populated nonmetropolitan counties were more likely to have a nursing home admission than others. (JPS)

Purpose: Throughout the 1990s, assisted living was the most rapidly growing form of senior housing. The purpose of this paper is to describe the existing supply of assisted living facilities (ALFs) and examine the extent to which they matched the philosophy of assisted living. Design and Methods: The study involved a multistage sample design to…

Purpose: While state policy and market factors are known to have contributed to the increased supply of residential care, little is known about efforts to accommodate demand from lower-income consumers. This study describes participation and expenditure trends for residential care services funded by Medicaid waivers and examines variation across…

Describes targeting policies of four Social Health Maintenance Organization sites which deliver integrated, prepaid, acute, and chronic care to Medicare beneficiaries. Analyzes complexities of operationalizing targeting systems in four different settings. Notes that selection criteria for targeting expanded benefits and their implementation affect…

Describes the Manitoba Longitudinal Study on Aging 1970-77 and discusses its relative potential in investigating the health and health care use behaviors of older persons. Data indicate that a person's utilization behaviors appear to remain consistent over time. (Author/RC)

Results indicate that costs of the rehabilitation center can be counted in dollars saved by keeping the patient at home instead of in the hospital. Treatment effectiveness, social improvement of patients, and benefits to family and friends cannot be counted in monetary terms. (JAC)

The experience of the British and Irish coordination of social and health care suggests a categorical rather than comprehensive approach. Personnel training, resource development and planning should be undertaken on a slow, step-by-step schedule. (JAC)

"Sozialstationen" can fulfill an important function in social and health care by allowing older adults to live at home longer. About two-thirds of the clients would have to have more to residential care if the program was stopped. No conclusions on cost effectiveness can be drawn at this time. (JAC)

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)

Studies the experiences of gay and lesbian seniors and their families in accessing a broad range of health and social services in the community. Results reveal that specific reference was made to the impact of discrimination on the health and access to health services of these populations. Recommendations for change are highlighted. (Contains 71…

Conducted national survey of public opinion on age-based rationing of health care resources. Oversampled older adults to allow more precise comparisons of attitude by age cohort as well as by other demographic variables. Found majority of people accepted withholding of life-prolonging medical care to hopelessly ill patients, but few would…

Purpose: This article examines factors within the long-term-care work environment that impact the effectiveness of continuing education. Design & Methods: In Study 1, focus group interviews were conducted with staff and management from urban and rural long-term-care facilities in southwestern Ontario to identify their perceptions of the…

This article provides a framework for understanding how long-term care (LTC) research contributes to policy, develops a typology of research contributions to policy with examples of each type, and suggests ways to ensure that contributions continue in the future. The article draws on in-depth interviews with LTC experts working at the interface…