Abstracts of DALTCP REPORTS--"U" Titles
This section gives abstracts for reports produced through DALTCP-funded
research or through research done by DALTCP staff. Links to Executive Summaries
and/or Full Reports immediately follow most descriptions, as well to Project
Descriptions (if available). (We are working towards putting ALL Full
Reports online.) Reports can be ordered from the Office of Disability, Aging
and Long-Term Care Policy, unless stated otherwise. Requests can be made
by Fax (202-401-7733) or through email (webmaster.DALTCP@hhs.gov).
NOTE: Because of the large number of DALTCP reports, abstracts are divided into several files.
Remember, the Site Index section includes an alphabetic list of keywords you can choose to find information that is referenced throughout the DALTCP website.
ABSTRACT: This paper was presented at the National Council on Aging Annual Meeting, April 1990. As the U.S. debates reform of long-term care financing, examining other countries' approaches to long-term care for the elderly can help expand the range of reform options for consideration. To draw useful lessons from other countries' experiences,
however, preconceived notions must first be re-examined about how their approaches to long-term care financing differ from ours. This paper compares the organization and financing of long-term care for the elderly in the U.S. with that of other advanced industrial countries. It is based largely on the author's own research, but also draws on recent studies by other researchers. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov, Accession #PB92-135987, 26 pages]
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AUTHORS |
Pamela Doty |
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DATE |
April 1990 |
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AVAILABLE ONLINE |
Full Report |
ABSTRACT: This report concerns the feasibility of comparison studies of long-term care in the U.S. and Japan that would be useful to both countries in understanding the current and evolving needs and resources related to the frail and disabled elderly. The feasibility study is intended to assist ASPE in using the findings of comparative research in framing policy recommendations regarding the delivery and financing of long-term care in the U.S. In particular, the study aims to strengthen future research on the potential for enhancing the role of community care. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov]
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AUTHORS |
Charlotte Muller and Mariann Fahs |
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DATE |
October 27, 1995 |
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AVAILABLE ONLINE |
Executive Summary |
ABSTRACT: This Primer is designed to encourage use of the Medicaid program in a manner that minimizes
reliance on institutions and maximizes community integration in a cost-effective manner. Its intended audience is policymakers and others who wish to understand how Medicaid can be used--and is being used--to expand
access to a broad range of home and community-based services and supports, and
to promote consumer choice and control. In addition to comprehensive explanations of program features states can implement to achieve these goals, the Primer presents examples of state programs that have taken advantage of
Medicaid's flexibility to expand home and community-based services for people
of all ages with disabilities.
ABSTRACT: Data are presented to defend the theory that families use the kind of care which is available to them and affordable. Survey of Income and Program Participation data on marital status, other adults in the home, hours the mother works, age of mother, region and city size (indicators of the availability of other care providers), in addition to socioeconomic variables and number of children (indicators of affordability), combine to differentiate users of care by father, grandmother,
sibling, non-relative and center. Such variables also predict who pays for care and how much they pay. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov, Accession #PB91-106955, 51 pages]
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AUTHORS |
Lorelei R. Brush |
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DATE |
October 14, 1987 |
ABSTRACT: This paper discusses the policy implications of allocating long-term care benefits to the elderly on the basis of objective functional criteria, particularly functioning in the activities of daily living (ADLs). Although research has documented the link between measures of ADL performance and the need for services, developing a long-term care program which allocates resources on the same basis must address an entirely new set of issues. This paper does not say it cannot be done. Its purpose, however, is to move the discussion from a research context into a policy context. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website http://www.ntis.gov, Accession #PB93-146751, 57 pages]
ABSTRACT: This report characterizes those nursing facility residents who enroll in the Medicare
hospice program including when they enroll, how long they receive the benefit
and how many other services they use. A subsequent report in this study
compares the utilization and outcomes experienced by hospice and non-hospice
nursing facility decedents who have been matched on a variety of criteria.
ABSTRACT: The purpose of this report is to provide basic descriptive statistics on disabled private long-term care insurance policyholders who have accessed long-term care benefits in institutional
settings, and to compare such data and findings to non-privately insured
institutionalized elders. The authors did this by interviewing 480 long-term
care insurance claimants from seven participating companies receiving benefits
under their policies and residing in nursing homes or assisted living facilities.
ABSTRACT: Analyses of the 1989 National Long-Term Care Survey (NLTCS) and its companion Informal Caregiver Survey were used to examine the comparability of the cognitive impairment eligibility criteria to
the 3+ ADL criteria in the Clinton Administration's long-term care health reform proposal from the Health Security Act. Also addressed by these analyses is the extent to which functional indicators (i.e. ADLs) by themselves, are sufficient for identifying both the physically disabled and severely cognitively impaired population. The NLTCS was used because it provides a nationally representative sample of Medicare beneficiaries age 65+ in 1989 that
allows for the generation of national estimates on this population. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website
http://www.ntis.gov]
ABSTRACT: This study uses the 1985 National Nursing Home Survey to examine the use and cost of nursing home care among the elderly population of the U.S. The following questions are addressed: How many persons
aged 65+ use nursing homes in a given year? How do they stay and what are their
annual charges? How often, and to what extent, do residents "spenddown" to
Medicaid? How much of the annual charges are paid by the various payers; in
particular, what are annual out-of-pocket costs? The study found that approximately 2.1 million persons age 65+ (7.5% of the U.S. elderly population) spent some time in a nursing home during 1985. Over 70% were women and nearly
two-thirds were single, widowed or divorced women. Mean charges per nursing
home user in 1985 were $9,600 and median charges were $7,700. About 53% of 1985
nursing home costs were paid privately, out-of-pocket, 35% by Medicaid, 8% by
Medicare, and 4% by other sources. About 22% of nursing home residents who
initially entered as private pay patients became eligible for Medicaid during
their stay. [Order this report from National Technical Information Service (NTIS), Department of Commerce, 5285 Port Royal Road, Springfield, VA 22161, Website
http://www.ntis.gov, Accession #PB91-122531, 28 pages]
Last revised: March 3, 2002
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