Community-Based Long-Term Care Models, Target Groups, and Impacts on Service Use

The intervention approaches, clients groups, and impacts on use of Medicaid and Medicare reimbursed services are described 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...

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Bibliographic Details
Published in:The Gerontologist 1986-08, Vol.26 (4), p.389-397
Main Author: Capitman, J A
Format: Article
Language:English
Subjects:
Aged
Channeling programs
Community Health Services - organization & administration
Community-based services
Female
Home Care Services - organization & administration
Humans
Institutionalization
Long-Term Care - organization & administration
Male
Medicaid
Medicare
Models, Theoretical
Pilot Projects
Targeting
United States
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Summary:The intervention approaches, clients groups, and impacts on use of Medicaid and Medicare reimbursed services are described 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 nursing home application. Project differences in clients' functioning did not appear related to nursing home or hospital use. Results suggest that functional criteria for target group definition need to be augmented by such improved mechanisms as preadmission screening for identifying clients with short-term risk of nursing home use.
ISSN:0016-9013
1758-5341
DOI:10.1093/geront/26.4.389