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Old people and the people who love t...

Campbell, Joanna Helen.

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Old people and the people who love them: Community-based health programs and the care of the elderly.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Old people and the people who love them: Community-based health programs and the care of the elderly./
Author:	Campbell, Joanna Helen.
Description:	128 p.
Notes:	Source: Dissertation Abstracts International, Volume: 65-04, Section: A, page: 1484.
Contained By:	Dissertation Abstracts International65-04A.
Subject:	Economics, Labor. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3128627

Old people and the people who love them: Community-based health programs and the care of the elderly.
Campbell, Joanna Helen.

Old people and the people who love them: Community-based health programs and the care of the elderly. - 128 p.

Source: Dissertation Abstracts International, Volume: 65-04, Section: A, page: 1484.

Thesis (Ph.D.)--Stanford University, 2004.

Issues concerning the care of the elderly have moved to the forefront of the public's consciousness as the baby boom generation ages. In this paper, I examine the role of publicly funded, community-based health services; specifically services provided under the Medicaid 1915(c) Waiver Program, in elder care decisions. Using a multinomial logit framework, I analyze the effects of specified services on the likelihood of institutionalization, and the likelihood of receiving Medicaid assistance within the community. In addition, I examine the extent to which these services substitute for, or complement, the provision of unpaid care by the friends and family of a prospective client. Finally, I look for evidence of a "woodwork effect" associated with these services. I find that the effects of subsidized community services are masked in the general population. By expanding the nature of the services under consideration, and focusing on sub-groups of respondents with varying levels of infirmities. I am able to identify responses to program incentives. In particular, I find evidence that subsidies for residential care decrease the conditional probability of nursing home entrance for severely impaired respondents. I also find weaker evidence that subsidies for adult day care may also divert relatively less frail individuals from nursing home placements. I find no evidence that subsidies for personal care attendants have any effect on institutionalization rates. Finally, I note that personal and/or respite care services are the services most prone to the woodwork effect.Subjects--Topical Terms:

1019135
Economics, Labor.

Old people and the people who love them: Community-based health programs and the care of the elderly.
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100 1 $a Campbell, Joanna Helen. $3 1952673
245 1 0 $a Old people and the people who love them: Community-based health programs and the care of the elderly.
300 $a 128 p.
500 $a Source: Dissertation Abstracts International, Volume: 65-04, Section: A, page: 1484.
500 $a Adviser: John Pencavel.
502 $a Thesis (Ph.D.)--Stanford University, 2004.
520 $a Issues concerning the care of the elderly have moved to the forefront of the public's consciousness as the baby boom generation ages. In this paper, I examine the role of publicly funded, community-based health services; specifically services provided under the Medicaid 1915(c) Waiver Program, in elder care decisions. Using a multinomial logit framework, I analyze the effects of specified services on the likelihood of institutionalization, and the likelihood of receiving Medicaid assistance within the community. In addition, I examine the extent to which these services substitute for, or complement, the provision of unpaid care by the friends and family of a prospective client. Finally, I look for evidence of a "woodwork effect" associated with these services. I find that the effects of subsidized community services are masked in the general population. By expanding the nature of the services under consideration, and focusing on sub-groups of respondents with varying levels of infirmities. I am able to identify responses to program incentives. In particular, I find evidence that subsidies for residential care decrease the conditional probability of nursing home entrance for severely impaired respondents. I also find weaker evidence that subsidies for adult day care may also divert relatively less frail individuals from nursing home placements. I find no evidence that subsidies for personal care attendants have any effect on institutionalization rates. Finally, I note that personal and/or respite care services are the services most prone to the woodwork effect.
590 $a School code: 0212.
650 4 $a Economics, Labor. $3 1019135
650 4 $a Health Sciences, Public Health. $3 1017659
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710 2 0 $a Stanford University. $3 754827
773 0 $t Dissertation Abstracts International $g 65-04A.
790 1 0 $a Pencavel, John, $e advisor
790 $a 0212
791 $a Ph.D.
792 $a 2004
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3128627