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Centre for Policy on Ageing | |
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Balancing resources and risk
— selecting home care clients in Florida's CARES program | | Author(s) | William G Weissert, Edward Alan Miller |
| Journal title | Home Health Care Services Quarterly, vol 18, no 4, 2000 |
| Pages | pp 63-76 |
| Source | http://www.tandfonline.com |
| Keywords | Home nursing ; Community care ; Admission [nursing homes] ; Evaluation ; United States of America. |
| Annotation | Selecting home care patients who would otherwise go into a nursing home always involves error: serving too many or too few. To clarify the choices programme that case managers must make, a risk-based alternative to current selection methods which involves scientifically derived variable weighting and conscious choice of cut-off score for bestowing home care eligibility is proposed. The proposed is illustrated with data from Florida's Comprehensive Assessment and Review of Longterm Care Services (CARES) programme. The authors use logistic regression to identify characteristics that distinguish clients recommended for nursing home placement from those referred to the community. They use these results to estimate the risk of nursing home recommendation for each client. An approach to using these risk scores to determine eligibility is demonstrated along with assessment of the impact of alternative risk score cut-offs on denying care to as many as half or as few as 5% of clients served. (KJ/RH). |
| Accession Number | CPA-010314208 A |
| Classmark | N4: PA: LHB:QKH: 4C: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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