This study of 270 poor and frail elders in a Medicaid waiver program examined the service package, that is, the type of service (health or social), volume, and the mix or combinations of services provided. Predictors of use and volume of service differed depending on type of service. The most frequently prescribed service combinations were: (a) nursing, home health, and homemaker; (b) homemaker...

This final rule revises the conditions of participation (CoPs) that home health agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. The requirements focus on the care delivered to patients by HHAs, reflect an interdisciplinary view of patient care, allow HHAs greater flexibility in meeting quality care standards, and eliminate unnecessary procedural requirem...

We address the Home Health Care Delivery Problem (HHCDP), which is concerned with staff scheduling in the home health care industry. The goal is to schedule health care providers to serve patients at their homes that maximizes the total collected preference scores from visited patients subject to several constraints, such as workload of the health care providers, time budget for each provider a...

The PERSONAL SOCIAL SERVICES RESEARCH UNIT undertakes social and health care research, supported mainly by the Department of Health, and focusing particularly on policy research and analysis of equity and efficiency in community care, long-term care and related areas — including services for elderly people, people with mental health problems and children in care. Views expressed in PSSRU public...

BACKGROUND Many elders struggle with the decision to remain at home or to move to an alternative location of care. A person's location of care can influence health and wellbeing. Healthcare organizations and policy makers are increasingly challenged to better support elders' dwelling and health care needs. A summary of the evidence that examines home care compared to other care locations can in...

Long-term care, which includes nursing facilities and home health care, provides care to an increasing population of disabled, elderly persons with diabetes. Nursing facilities provide the majority of formal long-term care. Data from the Institutional Component of the 1987 National Medical Expenditure Survey (NMES-2) provide a profile of the demographics, health status, health care use, and nur...

Survey (MCBS) is a powerful tool for analyzing the Medicare population. Based on a stratified random sample, we can derive information about the health care use, expenditure, and financing of Medicare’s 39 million enrollees. We can also learn about those enrollees’ health status, living arrangements, and access to and satisfaction with care. Figures 1-3 present findings on Medicare beneficiarie...

OBJECTIVE to analyze the factors associated with the gateway of the health systems of Brazilian municipalities for the diagnosis of tuberculosis in older people. METHOD survey study type, with a sample of 91 elders, in a population with 706 cases of tuberculosis. Data were collected by means of an instrument based on the Primary Care Assessment Tool (PCAT) adapted for tuberculosis care, empha...