Compared nursing home use of 3,316 residents of continuing care retirement communities (CCRCs) with that of general elderly population. CCRC residents had greater lifetime risk of nursing home entry and repeat entries, while their length of stay per admission was shorter. Findings illustrate nursing home use in insured and managed long-term care…

Projects utilization history of a synthetic cohort of nursing home admissions in 1976 by normalizing length of stay (LOS) specific discharge rates derived from life tables to an estimated 1.1 million persons. Results focus on the LOS distribution, discharge status, and total days of nursing home care used. (Author/JAC)

Defines institutional care and estimates institutional care by the elderly. Reviewed are prospective and cross-sectional studies in which utilization was estimated, along with studies in which factors are identified that influence long-term care utilization such as age, sex, availability of caregivers, and functional status. (Author/ABB)

Reports data on admissions, discharges, and changes in health status of eight admission cohorts to nursing homes in a jurisdiction with universally-insured nursing home and home care services. The findings are compared to U.S. studies and disclose differences which may reflect differences in payment mechanisms and admission policies. (Author/JAC)

Examined lifetime nursing home use with data from Connecticut for 1977-86. Gives life table estimate of total amount of time after age 65 expected to be spent by persons in nursing homes and total amount of nursing home use paid for by Medicaid. Estimates lifetime risk of Medicaid spenddown in nursing homes at 21.5 percent. (Author/PVV)

This is both a descriptive study of the physical and social climate of nursing homes for the use of print and other media, and a study of public library service to older adults and to residents of nursing homes in Wisconsin. It includes a detailed description of public library service to older adults and nursing home residents to provide a basis…

Describes the intervention approaches, clients groups, and impacts on use of Medicaid and Medicare reimbursed services for five demonstrations included in the national evaluation of community-based long-term care. Only one project produced significant reductions in nursing home use. Unlike other projects, it identified potential clients through…

Examined Medicaid spenddown among nursing home residents from 72 Wisconsin facilities. Found only small proportion of discharges had spent down to Medicaid eligibility, but this group's long stays contributed heavily to nursing home days. Estimated over 40 percent of those who spent down did so within six months, 58 percent within a year, and 76…

Examined the use of public services by 1,080 Norwegian older adults. Results showed more than one-third use public services for the aged (i.e., are institutionalized or receive home help or home nursing). The use of services is affected by both need and demand factors. The family's role is discussed. (JAC)

Analyzed relationship between cognitive impairment and use and cost of health care, examining data from 1981-1982 Long-Term Care National Channeling Demonstration Project. Results indicated a substantial cost difference between money spent on home, institutional or nursing home care for cognitively intact and cognitively impaired persons.…

Examined relationship between place of residence and use of formal services prior to entering nursing home among older persons (n=131) within 30 days of admission. Found no residential differences in percent reporting use of formal services, number of services received, kinds of services used, or average length of time services had been received.…

Derived a representative national nursing home admissions cohort with 1977 survey data. Found that high proportions of admissions have short lengths of stay and are discharged within the same calendar year. (Author/RC)

This document contains a compilation of articles that have been assembled because of their potential for enhancing understanding of rural health care issues and for their unwavering high standards. The articles promote high quality research in an area which is rapidly becoming a legitimate and recognized field of inquiry among scholars. Besides…