Abstract:
:This study uses two studies about the role of managed-care programs in serving Medicaid long-term care clients in Florida to illustrate how different research designs can reach divergent conclusions. Two reports from different groups using essentially the same database to assess the impact of managed care on a group of older Medicaid clients served by a Nursing Home Diversion Program reached different conclusions. The report from Florida's Office of Program Policy Analysis and Government Accountability concluded that the Diversion program saved money, whereas the report from the Florida Policy Exchange Center on Aging at the University of South Florida reached basically the opposite conclusion. Both agreed that the capitation rate was too high. How the policy questions are framed and analyzed can affect the conclusions reached. A variety of factors can influence the apparent effects of programmatic interventions. Evaluations must take relevant confounding variables into account.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Kane RL,Kane RAdoi
10.1080/08959420902955867subject
Has Abstractpub_date
2009-07-01 00:00:00pages
246-55issue
3eissn
0895-9420issn
1545-0821journal_volume
21pub_type
杂志文章abstract::The official rhetoric of welfare states unconditionally pays tribute to older people's right to express dissatisfaction. In practice, users of older services in welfare states may be deprived of their "exit" options and face considerable constraints when it comes to raising their "voices." For example, when older peop...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420802539118
更新日期:2009-01-01 00:00:00
abstract::Voting is a fundamental right for all United States citizens, one that usually continues for elderly people as long as they are alive. As adults age, certain issues regarding voting warrant deeper consideration than in previous years, especially those presenting as a result of impaired sight, hearing difficulty, demen...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420902739170
更新日期:2009-04-01 00:00:00
abstract::Diabetes is a serious global public health challenge. The cost for health services for diabetes care has increased 41% over the past 5 years. Despite escalating health expenditure, the United States continues to have higher rates of diabetes than many other developed countries. There is a need for health care reform i...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2015.969114
更新日期:2015-01-01 00:00:00
abstract::This pilot study aimed to examine EVOLVE UK extra care housing tool in an Australian residential aged care minor refurbishment context. The tool's content validity was established with 34 subcategories (I-CVI ≥0.75) and 612 statements (n = 509 I-CVI ≥0.75) relevant. A subsequent audit indicated high concordance (Rho-C...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1851434
更新日期:2021-01-12 00:00:00
abstract::On August 22, 1996, President Clinton signed the welfare reform law that ended eligibility for all immigrants to federal means tested entitlements. Poor elderly immigrants on Supplemental Security Income were specifically targeted. This article documents how the print media responded to these policy changes. The follo...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v13n04_02
更新日期:2001-01-01 00:00:00
abstract::As the need for long-term care services within the United States has grown dramatically, Congress has consistently deflected the primary responsibility for such care to state governments, local organizations, and, ultimately, the family. This paper examines the impact of the Alzheimer's Disease Demonstration Grants to...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v14n03_07
更新日期:2002-01-01 00:00:00
abstract::The availability of data from the Current Population Survey for each year makes it possible to monitor the migration behavior of the population on a year-to-year basis and facilitates efforts to detect changes in long-standing patterns of behavior. The data used in this article come from the published reports summariz...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v08n01_04
更新日期:1996-01-01 00:00:00
abstract::The recent influx of immigrants aged 65 and older in the United States triggers an increasing need to understand older immigrants' dental services use. This paper uses data (n = 9,617) from the 2004 and 2006 waves of the Health and Retirement Study to examine the dental services use of older Americans. In particular, ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420903385593
更新日期:2010-01-01 00:00:00
abstract::The social security programs that have become widely established in countries around the globe vary greatly in their design features. The difference among the programs invites questions regarding the relative strength of their designs. One hundred and sixty-four programs are assessed on three design dimensions: benefi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v11n01_04
更新日期:1999-01-01 00:00:00
abstract::Informal (i.e., unpaid) long-term care for disabled older adults is often chronic, but it is only recently that research has considered the longitudinal implications of family caregiving. In particular, investigators have conceptualized caregiving as a "career," and within the caregiving career, a number of diverse tr...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v18n03_10
更新日期:2006-01-01 00:00:00
abstract::This study examines the scope and range of existing resources for family caregivers from the perspective of the Area Agencies on Aging (AAAs), which are charged with implementing Title III-E of the reauthorized Older Americans Act. California is used as a case example because of its substantial experience in providing...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v17n01_03
更新日期:2005-01-01 00:00:00
abstract::To ascertain the need for and to inform development of guidelines for voting in long-term care settings, we conducted a telephone survey of Philadelphia nursing (n = 31) and assisted living (n = 20) settings following the 2003 election. Substantial variability existed in procedures used for registration and voting, in...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v20n01_04
更新日期:2008-01-01 00:00:00
abstract::This article describes the fragmented array of financial supports for family caregivers currently provided by the federal government, the states, and private employers-provisions that range from direct payments to tax allowances, dependent-care tax credits, and unpaid leave. It highlights the uneven pattern of support...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v06n01_05
更新日期:1994-01-01 00:00:00
abstract::The developed world's population is aging, due to trends of increased life expectancies and decreased fertility rates. These trends are predicted to increase demand on long-term care services. At the same time, the long-term care workforce is in shortage in most of the developed world. Moreover, such shortages are exp...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v17n04_05
更新日期:2005-01-01 00:00:00
abstract::This article examines the relationship between health and workforce participation beyond the age of 65 years in Australia. This study found that people with a chronic health condition were less likely to be employed than those without a health condition (OR, 0.59; 95% CI [0.38, 0.92]). Among those with a chronic healt...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1246319
更新日期:2017-05-01 00:00:00
abstract::In an era of globalization where the migration of longterm care workers is common, foreign live-in home care workers can compensate for the unavailability of family members and, perhaps, even substitute for institutional care in the provision of long-term care services to disabled older persons. This study examines di...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v19n04_06
更新日期:2007-01-01 00:00:00
abstract::This article describes an award program sponsored by the U.S. Environmental Protection Agency for excellence in smart growth and active aging. Having examined qualitative and quantitative data, we suggest that any community can foster changes to improve the health and well-being of its aging population. Diverse winner...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2014.854648
更新日期:2014-01-01 00:00:00
abstract::The goal of this paper is to show how members of three Social HMOs use a limited entitlement for community-based long-term care to meet their needs and solve their problems. The paper is based on in-home interviews with 48 aged Medicare beneficiaries who joined Social HMOs and are eligible for the entitlement. Members...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v12n03_03
更新日期:2001-01-01 00:00:00
abstract::Health policy research analyzes urban/rural differences as a simple dichotomy. Research characterizes the rural elderly as having a higher incidence of sickness, dysfunction, disability, restricted mobility, and acute and chronic conditions than their urban counterparts. However, population density as a dichotomy may ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v08n04_02
更新日期:1996-01-01 00:00:00
abstract::Effective approaches to assure adequate resources, infrastructure, and broad societal support to address chronic care needs are volatile and potentially unpopular issues that can result in many losers (those getting far less than they want) and few winners (those who gain access to scarce societal resources for care)....
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v13n02_04
更新日期:2001-01-01 00:00:00
abstract::This article discusses the generational equity debate in the United States--including its origins and the functions it serves. This debate has emerged in the context of concerns over the aging of the population, budgetary crises, growing health care costs, increased poverty among children, growing economic inequality,...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/J031v05n03_03
更新日期:1993-01-01 00:00:00
abstract::Japanese government policies for seniors have long assumed that informal care by their families exists for them. The rapid aging of Japan is eroding the basis for this assumption. It is now necessary to include barrier-free design concepts in the basic requirements for dwellings to be used by everyone, not just senior...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/J031v08n02_11
更新日期:1996-01-01 00:00:00
abstract::This article is based upon research in Florida of the older population and its projected need for services. It includes discussion of the method and findings of the study. The focus, however, is on the policy implications for state government that emerged from the research. The data has enabled Florida to examine the ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v04n01_07
更新日期:1992-01-01 00:00:00
abstract::The paper reviews the history of the Social Security system in the United States in the twentieth century and discusses options for the twenty-first. Because of the steady aging of the U.S. population and the impending retirement of the large baby boom cohort, the Social Security program now is in long-term actuarial ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v14n01_06
更新日期:2002-01-01 00:00:00
abstract::Since implementation of The Omnibus Budget Reconciliation Act of 1987, restraint use in American nursing homes has reduced dramatically. The reduction in vest restraints has resulted in an increase in "least restrictive" devices such as waist restraints. Although this analysis of U.S. Food and Drug Administration Adve...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420802050967
更新日期:2008-01-01 00:00:00
abstract::The basic pension plan for urban enterprise workers (PPUEW) is the primary form of public pension system in China and is managed by provincial governments. Although the federal government requires that employers contribute 20% and individuals 8%, provincial governments have the right to adjust the rate. As different r...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2019.1707056
更新日期:2019-12-24 00:00:00
abstract::We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1430413
更新日期:2018-03-01 00:00:00
abstract::Debates about who should care for the elderly often center on the relative responsibilities of the state and family. In federal societies such as Canada and the United States, however, multiple governments are involved. This article compares and contrasts federalism in these two nations and its effects on the division...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v05n01_03
更新日期:1993-01-01 00:00:00
abstract::Rural residents are more likely to be enrolled in traditional fee-for-service Part D Medicare prescription drug plans, and they face particular challenges in accessing pharmaceutical care. This study examines rural/urban differences in satisfaction with Medicare Part D coverage. Using data from the 2012 Medicare Curre...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1139421
更新日期:2016-01-01 00:00:00
abstract::Because of its rapidly aging population, Hong Kong faces great challenges in the provision and financing of long-term care (LTC) and needs to explore sustainable funding mechanisms. However, there is a paucity of research on older people's willingness to pay (WTP) for LTC services in Hong Kong. This study utilizes dat...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1467157
更新日期:2019-07-01 00:00:00