Skip to main content
Health Services Research logoLink to Health Services Research
. 1992 Oct;27(4):453–479.

Home care for the disabled elderly: predictors and expected costs.

T A Coughlin 1, T D McBride 1, M Perozek 1, K Liu 1
PMCID: PMC1069889  PMID: 1399652

Abstract

While interest in publicly funded home care for the disabled elderly is keen, basic policy issues need to be addressed before an appropriate program can be adopted and financed. This article presents findings from a study in which the cost implications of anticipated behavioral responses (for example, caregiver substitution) are estimated. Using simulation techniques, the results demonstrate that anticipated behavioral responses would likely add between $1.8 and $2.7 billion (1990 dollars) to the costs of a public home care program. Results from a variety of cost simulations are presented. The data base for the study was the 1982 National Long-Term Care Survey.

Full text

PDF
455

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Branch L. G., Wetle T. T., Scherr P. A., Cook N. R., Evans D. A., Hebert L. E., Masland E. N., Keough M. E., Taylor J. O. A prospective study of incident comprehensive medical home care use among the elderly. Am J Public Health. 1988 Mar;78(3):255–259. doi: 10.2105/ajph.78.3.255. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Carcagno G. J., Kemper P. The evaluation of the National Long Term Care Demonstration. 1. An overview of the channeling demonstration and its evaluation. Health Serv Res. 1988 Apr;23(1):1–22. [PMC free article] [PubMed] [Google Scholar]
  3. Edelman P., Hughes S. The impact of community care on provision of informal care to homebound elderly persons. J Gerontol. 1990 Mar;45(2):S74–S84. doi: 10.1093/geronj/45.2.s74. [DOI] [PubMed] [Google Scholar]
  4. Greene V. L. Substitution between formally and informally provided care for the impaired elderly in the community. Med Care. 1983 Jun;21(6):609–619. doi: 10.1097/00005650-198306000-00003. [DOI] [PubMed] [Google Scholar]
  5. KATZ S., FORD A. B., MOSKOWITZ R. W., JACKSON B. A., JAFFE M. W. STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. JAMA. 1963 Sep 21;185:914–919. doi: 10.1001/jama.1963.03060120024016. [DOI] [PubMed] [Google Scholar]
  6. Kemper P., Applebaum R., Harrigan M. Community care demonstrations: what have we learned? Health Care Financ Rev. 1987 Summer;8(4):87–100. [PMC free article] [PubMed] [Google Scholar]
  7. Lawton M. P., Brody E. M. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969 Autumn;9(3):179–186. [PubMed] [Google Scholar]
  8. Liu K., Manton K. G., Liu B. M. Home care expenses for the disabled elderly. Health Care Financ Rev. 1985 Winter;7(2):51–58. [PMC free article] [PubMed] [Google Scholar]
  9. Liu K., McBride T. D., Coughlin T. A. Costs of community care for disabled elderly persons: the policy implications. Inquiry. 1990 Spring;27(1):61–72. [PubMed] [Google Scholar]
  10. Macken C. L. A profile of functionally impaired elderly persons living in the community. Health Care Financ Rev. 1986 Summer;7(4):33–49. [PMC free article] [PubMed] [Google Scholar]
  11. McAuley W. J., Arling G. Use of in-home care by very old people. J Health Soc Behav. 1984 Mar;25(1):54–64. [PubMed] [Google Scholar]
  12. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975 Oct;23(10):433–441. doi: 10.1111/j.1532-5415.1975.tb00927.x. [DOI] [PubMed] [Google Scholar]
  13. Soldo B. J. In-home services for the dependent elderly. Determinants of current use and implications for future demand. Res Aging. 1985 Jun;7(2):281–304. doi: 10.1177/0164027585007002007. [DOI] [PubMed] [Google Scholar]
  14. Stone R. I., Murtaugh C. M. The elderly population with chronic functional disability: implications for home care eligibility. Gerontologist. 1990 Aug;30(4):491–496. doi: 10.1093/geront/30.4.491. [DOI] [PubMed] [Google Scholar]
  15. Stone R., Cafferata G. L., Sangl J. Caregivers of the frail elderly: a national profile. Gerontologist. 1987 Oct;27(5):616–626. doi: 10.1093/geront/27.5.616. [DOI] [PubMed] [Google Scholar]
  16. Weissert W. G., Cready C. M., Pawelak J. E. The past and future of home- and community-based long-term care. Milbank Q. 1988;66(2):309–388. [PubMed] [Google Scholar]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust

RESOURCES