Abstract：
:The purpose of this article is to describe the impact of a capitated community-care demonstration in Illinois that attempted to increase the range of services provided while constraining overall costs. The authors examined the implementation and outcomes, using pretest and posttest measures of client satisfaction, range of services, agency costs, and nursing home admissions. Demonstration clients (n = 752) had a mean age of 80, and an average of two activities of daily living impairments. The number of covered services increased from 3 at baseline to 14 during the demonstration, whereas the mean number of services used increased from 1 to 2.5. Satisfaction with care remained stable and agency average costs declined. The capitation rate more closely approximated agency costs than customary fee-for-service (FFS) and provided a fixed deductible for clients. No difference was seen in nursing home admissions compared to clients served under FFS in the same geographic location. These results imply that capitation increased the range of covered services, maintained client satisfaction, increased efficiency, and did not affect rate of nursing home admissions. Capitated home- and community-based services needs to be tested in other locations and with other providers.
journal_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Hughes SL,Finkel S,Harter K,Fulton B,Edelman P,Waters Tdoi
10.1177/0898264302239029subject
Has Abstractpub_date
2003-02-01 00:00:00pages
246-68issue
1eissn
0898-2643issn
1552-6887journal_volume
15pub_type
杂志文章abstract：OBJECTIVE:To examine the association between perceived environmental barriers to and facilitators for outdoor mobility with life-space among older people. METHODS:Community-dwelling, 75- to 90-year-old people (n = 848) were interviewed face-to-face using standard questionnaires. The Life-Space Assessment (LSA), indica...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264314555328
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:Our objective was to describe behavioral change trajectories for healthful eating and exercise in a group of community-dwelling older adults. A secondary aim was to determine predictors of maintenance and resilience. METHOD:Subjects were participants in the Study of Exercise and Nutrition in Older Rhode Isla...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264317746264
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVES:To better understand future home-based care needs and costs for disabled elders in China. METHOD:To further develop and apply the ProFamy extended cohort-component method and the most recent census and survey data. RESULTS:(a) Chinese disabled elders and the annual growth rate of the percentage of national...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264314552690
更新日期：2015-04-01 00:00:00
abstract：UNLABELLED:This prospective study examines the relationship between caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease (AD). METHOD:A 3-year longitudinal study was conducted with a clinic-based cohort of 396 persons with AD and their respective family caregivers. Caregiver ...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264304274252
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVES:This study aims to examine the cognitive and emotional reactions of Chinese elderly people toward death, to extend the use of a Western scale on death anxiety to a Chinese sample, and to explore the correlates of death anxiety. METHODS:A community sample of 237 Chinese elderly people (62 men and 175 women) ...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/089826430201400103
更新日期：2002-02-01 00:00:00
abstract：:Objective: Health behaviors are seen as one possible pathway linking race to health outcomes. Social integration has also been consistently linked to important health outcomes but has not been examined as a mechanism accounting for racial differences in health behaviors among older U.S. adults. Method: We use data fro...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264319893486
更新日期：2020-10-01 00:00:00
abstract：:This article compares the recruitment costs and participant characteristics associated with the use of probability and nonprobability sampling strategies in a longitudinal study of older hemodialysis patients and their spouses. Contrasts were made of people who accrued to the study based on probability and nonprobabil...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264306291420
更新日期：2006-08-01 00:00:00
abstract：OBJECTIVES:This study examines how age patterns in health control, self-efficacy, and self-esteem are influenced by age-correlated social status, health, personality, and social integration variables. METHODS:Ordinary least squares regression documents age patterns in data from a 1985 community sample of 1,549 physica...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/089826430101300201
更新日期：2001-05-01 00:00:00
abstract：OBJECTIVE:We aimed to explore correlates and predictors of bereavement severity and persistence (triggered by "loss of a loved one"; referent group partner loss) in the Rotterdam cohort. METHOD:We used linear regression to examine factors associated with grief severity using a cross-sectional analysis and logistic reg...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264317720715
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:Examine the relationship between frailty and falls. METHOD:A total of 847 Mexican Americans from the Hispanic Established Population for the Epidemiological Study of the Elderly were evaluated. The outcome variable was fall occurrence. Some predictor variables included were frailty, sociodemographic variable...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264311428490
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:This article explores the relationship between age and social support. Previous research on the relationship has reached inconsistent conclusions. METHODS:Three theories are tested using the Americans' Changing Lives survey. RESULTS:The likelihood of reporting no close friends or confidants increases with a...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264307301178
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVE:This study investigated nativity disparities in life satisfaction among ethnoracial groups of older adults in the United States and the factors associated with such disparities. METHOD:Cross-sectional data from 7,348 respondents aged 60 and older from the 2012/2014 waves of the Health and Retirement Study (H...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264317726608
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:This aim of this study was to characterize trends in alcohol-related hospital admissions among middle-aged and older adults from 1993 to 2010 in relation to age, gender, race, and cohort membership. METHOD:This study utilized repeated cross-sectional data from the Nationwide Inpatient Sample. Using alcohol-r...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264315583052
更新日期：2015-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to investigate the association between aspects of social capital and loneliness among the very old living at home and in institutional settings. METHOD:Half of those aged 85 years, and all 90- and 95-year-olds and older in urban and rural municipalities in northern Sweden and wester...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264313497508
更新日期：2013-09-01 00:00:00
abstract：:Despite the general persistence and even increase of strong socioeconomic status (SES) differentials in health in the United States, research suggests that SES differentials in health may diminish or become nonexistent at older ages. However, most research has used only limited measures of SES (e.g. education, income...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/089826439600800304
更新日期：1996-08-01 00:00:00
abstract：OBJECTIVES:The objective of this study was to assess how well physiological measures, including biomarkers and genetic indicators, predict receipt of Social Security Administration (SSA) disability benefits among U.S. adults aged 51 to 65 years. METHOD:We used data from the 2006 to 2012 waves of the Health and Retirem...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264317737893
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVES:To investigate tobacco and alcohol consumption as risk indicators for missing teeth in late middle-aged Danes. METHOD:In all, 1,517 Copenhagen Aging and Midlife Biobank (CAMB) participants received a clinical oral examination that included number of teeth. Information on smoking, drinking, and various covar...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264313509278
更新日期：2014-02-01 00:00:00
abstract：:This article introduces a conjecture and reviews partial evidence about peculiarities in the aging of populations in Latin America and the Caribbean (LAC) that may impact future elderly health status. Using Survey on Health and Well-Being of Elders data (SABE; n = 10,902), the authors estimated effects of early childh...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264305285664
更新日期：2006-04-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to investigate how socioeconomic position (SEP) is associated with multidimensional measures of successful aging (SA), and how this varies and accumulates across the life-course. METHOD:Using data from 1,733 Scottish men and women from two cohorts aged around 57 and 76, respectively,...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264316665208
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:This study aims to identify social, psychological, and biomedical risk factors for current and future driving cessation in older adults. METHOD:Data from six waves (1998-2008) of the Health and Retirement Study (HRS) were pooled. Participants aged 65 and above were included in the study (N = 17,349). RESULT...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264313503493
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:To explore the association between baseline life-space mobility and nursing home (NH) admission among community-dwelling older adults over 6 years. METHODS:Using data from a prospective, observational cohort study consisting of a random sample of 1,000 Medicare beneficiaries ≥ 65 years of age stratified by r...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264313497507
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVES:Older female smokers are highly vulnerable, yet little is known about their attitudes, beliefs, and behaviors regarding smoking cessation. METHODS:Southeast region Women's Health Initiative participants identified as smokers on at least one prior assessment were surveyed in 2012 regarding current tobacco us...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264316687622
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:This article examines the relationship between cognitive functioning and emotional distress in a sample of 2,684 married couples from the 2006 and 2008 Korean Longitudinal Study of Aging. METHOD:Using the Center for Epidemiologic Studies Depression (CESD) scale and the Mini-Mental State Exam (MMSE), we analy...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264311423703
更新日期：2012-02-01 00:00:00
abstract：:Objective: To examine cross-sectional and longitudinal associations between (a) activity-limiting fall worry (ALW) and (b) self-reported health-related restrictions and social engagement among older adults. Method: The National Health and Aging Trends Study Waves 5 (T1) and 6 (T2) provided data (n = 6,279). Binary and...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264319825586
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:To determine the effect of body-mass index (BMI) categories (a proxy for adiposity) on 4-year changes in health-related quality of life (HRQL) independent of baseline disease severity. DESIGN:Secondary analyses of a prospective, longitudinal study. PARTICIPANTS:Data on 7,895 adults ages 51 to 61 years who r...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/089826430201400202
更新日期：2002-05-01 00:00:00
abstract：OBJECTIVE:Studies have reported that rural elders in China have higher levels of depression than their urban peers. We aimed to examine the extent to which four sets of factors (socioeconomic status [SES], health care access, health status, and social support and participation) account for such rural-urban differences....
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264315591003
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the effects of case management in community aged care (CMCAC) interventions on service use and costs. METHOD:Five databases were searched from inception to 2011 July to include randomized control trials and comparative observational English studies. Results were summarized by using the best-evide...
journal_title：Journal of aging and health
pub_type： 杂志文章,评审
doi：10.1177/0898264313499931
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVES:To describe the growth of the Hispanic population in the Midwest states of the United States, to present disability levels in older Mexican and non-Mexican-origin Midwest Hispanics by place of birth and poverty status, and compare disability levels among older Midwest Hispanics with those among Southwest His...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264311422100
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVES:The study examined whether ethnicity or socioeconomic status influenced a group's ability to meet eligibility criteria and willingness to enroll. METHOD:The eligibility and enrollment status of 904 women aged 65 years and older who responded to recruitment efforts of an estrogen and osteoporosis clinical tr...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264304264211
更新日期：2004-06-01 00:00:00
abstract：OBJECTIVES:Hearing and vision impairment were examined across several health-related outcomes and across a set of quality indicators (QIs) in home care clients with both vision and hearing loss (or dual sensory impairment [DSI]). METHOD:Data collected using the Resident Assessment Instrument for Home Care (RAI-HC) wer...
journal_title：Journal of aging and health
pub_type： 杂志文章
doi：10.1177/0898264317723407
更新日期：2019-01-01 00:00:00
