Survey data from 70 hospitals and 75 long-term care facilities compared policies and practices of support for the educational development of nursing staff. Significant differences were found, suggesting that nursing homes lag behind hospitals in the development of their staffs. (JOW)

Purpose: Our objective in this study was to compare the quality of care provided under the Minnesota Senior Health Options (MSHO), a special program designed to serve dually eligible older persons, to care provided to controls who received fee-for-service Medicare and Medicaid managed care. Design and Methods: Two control groups were used; one was…

Background: There have been major changes in the provision and organization of services for people with intellectual disabilities in England over the last 30 years, particularly deinstitutionalization and the development of the mixed economy of care. The experiences of the people who participated in the Care in the Community Demonstration…

Applied a logistic model to predict elderly patients' risk for discharge to nursing homes following hospitalization. Age was the only consistently strong predictor in the individualized models developed for each of four areas. (Author/JAC)

Developed database on ethnic elderly persons; examined extent of communication problems they face in hospitals, nursing homes, and homes for aged in Metro Toronto; and reported on institutional response. Nursing home supervisors (n=77) reported that communication was essential to health care needs of ethnic elderly individuals. Most health care…

The major findings and recommendations of a study to develop a comprehensive plan for library services for the blind and physically handicapped of Pennsylvania are presented. The study was undertaken at the request of the Pennsylvania State Library, and was financed by funds provided through Title IVB of the Library Services and Construction Act.…

A cost-benefit analysis tool was developed with data from 58 health occupations programs in two-year colleges. Clinical experience was primarily conducted in hospitals. Few programs have been required to perform cost analysis. Programs depend on the willingness of health care facilities to provide clinical training. (SK)

Background: The social inclusion of people with intellectual disabilities presents a major challenge to services. As part of a 12-year follow up of people resettled from long-stay hospitals, the size of 213 individuals' social networks and the types of social support they received were investigated, as viewed by people with intellectual…

Presents an overview of topics and concepts appropriate for a secondary course on death and dying including stress, environments within which death occurs, those models explaining the emotional impact of death, treatment of dying patients, and concepts for students. (DC)

Purpose: To examine demographic characteristics and work conditions of home care aides, nursing home aides, and hospital aides in the late 1980s and late 1990s. Design and Methods: This study replicated a previous study which examined the Current Population Survey (CPS) March supplement from 1987 to 1989. The present study examined CPS data from…

The complex formed by chronic illness, episodes of acute illness, physiological disabilities, functional limitations, and cognitive problems is prevalent among frail elderly persons. These individuals rely on assistance from social and health care programs, which in Canada are still fragmented. SIPA is an integrated service model based on…

This study sought to determine the extent of existing in-service education programs in health care available in northeast central Nebraska and to determine if there was a need for a Community Health Education Consortium (CHEC). Two questionnaires were developed for the study and were mailed to hospitals and nursing homes in a 22 county area; 86%…

To identify factors that predict institutional placement at discharge from a general hospital, 367 patients were evaluated prospectively upon admission. Prior nursing residence forecasted continued institutionalization; ability to perform instrumental activities of daily life and the presence of strong community support predicted a return home…

Interviewed 179 caregivers of hospitalized patients and studied discharge decisions to examine factors associated with willingness to continue in caregiving role after hospitalization of relative with dementia. Caregivers initially undecided about discharge plans were likely to seek placement for patients with more severe cognitive impairment,…

Place of death was determined for all 58,689 seniors (age greater than or equal to 66 years) in Ontario who died during fiscal year 2001/2002. The relationship of place of death to medical and socio-demographic characteristics was examined using a multinomial logit model. Half (49.2 %) of these individuals died in hospital, 30.5 per cent died in a…