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Centre for Policy on Ageing | |
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| Predictors of use of chronic care services by impaired members in the Social Health Maintenance Organisation demonstration | | Author(s) | Marty Lynch, Charlene Harrington, Robert Newcomer |
| Journal title | Journal of Applied Gerontology, vol 18, no 3, September 1999 |
| Pages | pp 283-304 |
| Keywords | Terminal care ; Casualty services ; Health services ; Domiciliary services ; Usage [services] ; Variance analysis ; United States of America. |
| Annotation | Use of chronic care services by 1,868 impaired members of the first Social Health Maintenance Organization (SHMO) demonstration was examined using a modified Andersen behavioural model. Services studied included skilled and intermediate nursing facilities, adult day care, home health, and personal care. A two-part regression analysis was performed to identify significant predictors of any use and amount of use. Individual needs such as activities of daily living (ADLs) were important predictors of service use, even by impaired SHMO members. Variance predicted by enabling variables, especially site, was also particularly significant. This emphasises the importance of including health plan and market factors in future modelling of service use. Other important findings were that low-income members were more likely to be placed in nursing homes and only about 65% of impaired members received any formal home care. (RH). |
| Accession Number | CPA-991022201 A |
| Classmark | LV: LK8: L: N: QLD: 3YA: 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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