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Old people and the people who love t...
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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.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Old people and the people who love them: Community-based health programs and the care of the elderly./
作者:
Campbell, Joanna Helen.
面頁冊數:
128 p.
附註:
Source: Dissertation Abstracts International, Volume: 65-04, Section: A, page: 1484.
Contained By:
Dissertation Abstracts International65-04A.
標題:
Economics, Labor. -
電子資源:
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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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.
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