Table 5. HHA Services Used in 1982,1984, and 1989 Community Populations 65 Years of Age and Over and Eligible for Hospital Insurance: Total and by Pure Type Defined in Table 3.
| HHA Services | Total Population | Pure Type | ||||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Physically Challenged (1) |
Active (2) |
Moderately Physically Impaired (3) |
IADL Impaired (4) |
Mobility Challenged (5) |
Frail (6) |
Institutional (7) |
||
| HHA Visits | ||||||||
| 1982-83: | ||||||||
| Percent Using Services | 5.01 | 14.17 | 3.16 | 9.02 | 13.11 | 14.96 | 26.72 | 2.36 |
| Number of Visits per Enrollee | 1.38 | 4.38 | 0.70 | 2.12 | 3.41 | 4.40 | 11.51 | 0.61 |
| Average Visits per User | 27.54 | 30.91 | 21.99 | 23.56 | 26.01 | 29.40 | 43.08 | 25.79 |
| 1984-85: | ||||||||
| Percent Using Services | 5.59 | 15.41 | 3.42 | 11.20 | 14.79 | 19.29 | 31.38 | 2.11 |
| Number of Visits per Enrollee | 1.41 | 4.39 | 0.67 | 2.69 | 3.86 | 5.28 | 12.08 | 0.53 |
| Average Visits per User | 25.20 | 28.47 | 19.56 | 24.01 | 26.13 | 27.39 | 38.50 | 24.91 |
| 1989-90: | ||||||||
| Percent Using Services | 6.23 | 18.42 | 4.29 | 13.94 | 16.32 | 18.17 | 27.78 | 1.82 |
| Number of Visits per Enrollee | 2.41 | 8.33 | 1.36 | 4.85 | 6.56 | 7.33 | 17.44 | 0.81 |
| Average Visits per User | 38.76 | 45.19 | 31.61 | 34.80 | 40.18 | 40.33 | 62.77 | 44.64 |
| HHA Reimbursements | ||||||||
| 1982-83: | ||||||||
| Percent Using Services | 5.00 | 14.15 | 3.16 | 9.00 | 13.10 | 14.86 | 26.68 | 2.36 |
| Costs per Enrollee | 51.61 | 157.95 | 27.00 | 78.96 | 121.62 | 159.40 | 418.81 | 22.34 |
| Average Cost per User | 1,032.60 | 1,116.38 | 853.92 | 877.57 | 928.44 | 1,072.94 | 1,569.92 | 946.81 |
| 1984-85: | ||||||||
| Percent Using Services | 5.56 | 15.32 | 3.42 | 11.01 | 14.58 | 18.88 | 31.29 | 2.06 |
| Costs per Enrollee | 60.84 | 186.15 | 28.82 | 113.29 | 163.50 | 224.19 | 533.69 | 24.07 |
| Average Cost per User | 1,094.92 | 1,214.88 | 843.21 | 1.029.32 | 1,121.03 | 1,187.39 | 1,705.72 | 1,169.63 |
| 1989-90: | ||||||||
| Percent Using Services | 6.20 | 18.39 | 4.26 | 13.91 | 16.32 | 18.14 | 27.78 | 1.82 |
| Costs per Enrollee | 123.75 | 419.95 | 71.98 | 253.63 | 333.85 | 370.33 | 832.41 | 45.79 |
| Average Cost per User | 1,994.84 | 2,283.90 | 1,688.23 | 1,822.73 | 2,045.78 | 2,041.83 | 2,996.51 | 2521.73 |
| HHA Visits—Ratio of 1989-90 to 1982-83 | ||||||||
| Percent Using Services | 1.24 | 1.30 | 1.36 | 1.55 | 1.24 | 1.21 | 1.04 | 0.77 |
| Number of Visits per Enrollee | 1.75 | 1.90 | 1.94 | 2.29 | 1.92 | 1.67 | 1.52 | 1.33 |
| Average Visits per User | 1.41 | 1.46 | 1.44 | 1.48 | 1.54 | 1.37 | 1.46 | 1.73 |
| HHA Reimbursements — Ratio of 1989-90 to 1982-83 | ||||||||
| Percent Using Services | 1.24 | 1.30 | 1.35 | 1.55 | 1.25 | 1.22 | 1.04 | 0.77 |
| Costs per Enrollee | 2.40 | 2.66 | 2.67 | 3.21 | 2.75 | 2.32 | 1.99 | 2.05 |
| Average Cost per User | 1.93 | 2.05 | 1.98 | 2.08 | 2.20 | 1.90 | 1.91 | 2.66 |
NOTES: HHA Is home health agency. IADL Is Instrumental activity of dally living.
SOURCE: Disability scores calculated from the 1982,1984, and 1989 National Long-Term Care Surveys and service-use data from linked Medicare files by Center for Demographic Studies, Duke University.