Purpose: This article evaluates the impact of chain ownership of nursing homes by examining whether facilities demonstrate variation in services, staffing and health outcomes across three structural dimensions—chain ownership, chain and facility size and proprietary status. Design and Methods: We link files of facility inspection reports from 1991 through 1997, excluding government facilities. ...

Firearm injuries are a significant and preventable cause of death in Canadian youth. Adolescent and young adult males are disproportionately affected; however, firearm-related deaths occur in youth of all ages. Canada's rate of firearm ownership is lower than that of the USA, but high compared with other upper-income countries. The availability of firearms to youth is an important factor in ado...

We investigate a household’s asset allocation, housing, and mortgage decisions in a calibrated life-cycle model with costly stock market entry and participation and a risky housing market featuring housing adjustment costs, mortgage collateral borrowing requirement, refinancing charge, and default penalty. Our analysis demonstrates that a household’s liquid wealth is the most important determin...

The patient-centered medical home is taking center stage in discussions of primary care innovation as a new delivery model that provides comprehensive, coordinated care across the lifespan. Although the medical home is widely discussed by policymakers, payers, and other stakeholders, the extent to which physician practices have the infrastructure in place to function as medical homes is not kno...

Beneficiary information was linked to agency information for the beneficiary’s primary home health agency. Approximately 6 percent of Medicare beneficiaries were served by more than one home health agency. In this case, we used the agency that furnished the most care to the beneficiary. Beneficiary characteristics include age, race (white or non-white), sex, diagnosis category, and geographic l...

Our goal in this paper is to clearly delineate how households currently manage communication and coordination information; this will provide practitioners and designers with a more complete view of information in the home, and how technology embedded within the home can augment communication and coordination of home inhabitants. Through contextual interviews, we identify five types of communica...