TITLE

Alternative Paths to Long-term Care: Nursing Home Geriatric Day Hospital, Senior Center, and Domiciliary Care Options

AUTHOR(S)
Sherwood, Sylvia; Morris, John N.; Ruchlin, Hirsch S.
PUB. DATE
January 1986
SOURCE
American Journal of Public Health;Jan1986, Vol. 76 Issue 1, p38
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: This paper examines certain quality of life outcomes, as well as comparative costs of care, for selected types of persons entering three very distinct types of alternative service programs that address the long-term care needs of vulnerable elderly persons: nursing homes (NH), geriatric day hospitals (GDH), and senior center (SC) programs. For selected outcomes, based on secondary analysis of the data gathered in another study, it was possible to add to the comparison samples of similar types of persons entering small foster-type domiciliary care homes (DC). From pools of persons entering these programs, six separate sets of comparison samples who were similar at baseline were constructed (GDH-SC, NH-SC, NH-GDH, NH-DC, SC-DC, GDH-DC). Only analyses pertaining to institutionalization and costs were conducted for the last three sets of comparison groups. Except for the issue of institutionalization, quality of life impact analysis showed only a few more post-test differences than would be expected by chance (although the few post-test differences that were observed in each case favored less restrictive settings). This more general similarity of outcome is indeed provocative, suggesting that in many ways the applicants adapted similarly to these quite distinct programs. Cost analyses found that nursing home and geriatric day hospital care, the two most restrictive settings, were also the two most expensive interventions.
ACCESSION #
4687438

 

Related Articles

  • Fall-Related Hospitalization and Facility Costs Among Residents of Institutions Providing Long-Term Care. Carroll, Norman V.; Delafuente, Jeffrey C.; Cox, Fred M.; Narayanan, Siva // Gerontologist;Apr2008, Vol. 48 Issue 2, p213 

    Purpose: The purpose of this study was to estimate hospital and long-term-care costs resulting from falls in long-term-care facilities (LTCFs). Design and Methods: The study used a retrospective, pre/post with comparison group design. We used matching, based on propensity scores, to control for...

  • Up and up. Moon, Susanna // Modern Healthcare;8/11/2003, Vol. 33 Issue 32, p19 

    Reports on the increasing private pay rates for nursing home care in the U.S., according to MetLife's 2003 survey of nursing home and home-care costs. Increase in the average nursing home rate for a private room in 2002; Factors that contributed to the increase; Decline in reimbursement rates...

  • The Costs And Potential Savings Associated With Nursing Home Hospitalizations. Grabowski, David C.; O'Malley, A. James; Barhydt, Nancy R. // Health Affairs;Nov/Dec2007, Vol. 26 Issue 6, p1753 

    Reducing nursing home hospitalizations has been identified as a possible area for cost savings, but little is known about the magnitude of spending associated with these hospitalizations. Using merged hospital and nursing home administrative files from New York State, we found that...

  • Assessing Contributors to Cost of Care in Nursing Homes. Hicks, Lanis L.; Rantz, Marilyn J.; Petroski, Gregory F.; Madsen, Richard W.; Conn, Vicki S.; Mehr, David R.; Porter, Rose // Nursing Economic$;Jul/Aug97, Vol. 15 Issue 4, p205 

    The article focuses on cost of care in nursing homes. Number of factors are leading to increased interest in the nursing home industry. For one, the population is aging, and increased life expectancy will increase the need for long-term care services. In 1980, 11.3% of the population was age 65...

  • Cost Control in Nursing Homes by Means of Economies of Scale and Care Profile Optimization. Hoess, Victoria; Bachler, Adi; Ostermann, Herwig; Staudinger, Roland // Nursing Economic$;Jan/Feb2009, Vol. 27 Issue 1, p45 

    The article focuses on the significance of care profile optimization and the economies of scale in controlling cost in nursing homes in Tyrolean, Austria. Study reveals that the composition of nursing home residents in terms of their care needs influences the average cost development. This could...

  • Means-test limits edge up.  // Money Marketing;3/11/2004, p9 

    Reports on the increase in the means-testing capital limits for long-term care in Great Britain. Rise in the lower capital limit for local authority support in care homes; Contributions to nursing care costs in nursing homes.

  • Protecting your home from long-term care costs. Enea, Anthony J . // Fairfield County Business Journal;10/18/2004, Vol. 43 Issue 42, pS5 

    This article focuses on the steps to protect the primary residence from the cost of long-term care. For Medicaid eligibility (the federal and state program, which pays the costs of a nursing home and for some home care), the primary residence is known as the "homestead" and is an exempt asset...

  • Timely and effective hospital discharge for older people: a person centred approach. Greene, Jane; Caldwell, Geraldine; McVeigh, Angela; Rankin, M. Gillian; Sheeran, Catherine // International Journal of Clinical Leadership;Jan2008, Vol. 16 Issue 1, p49 

    During the late 1990s, long term care for older people with complex needs was moving from hospital care to community settings: domiciliary, nursing home or residential home (DHSSPSNI, 1990). Needs assessment for these people was carried out within a framework of care management. From November...

  • Nursing Homes.  // njbiz;2004 Book of Lists, Vol. 17 Issue 27, p126 

    Presents a list of nursing homes in New Jersey, ranked by total long-term beds as of July 2004. Bergen Regional Medical Center in Paramus; Hudson Manor Healthcare Center in Secaucus; Lincoln Park Care Center in Lincoln Park.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics