Long-Term Services & Supports (LTSS)

This analysis compares predictors of institutional residency in 1977 and 1985 among two national cohorts of individuals who responded to national surveys of nursing home and community-dwelling elderly persons. A state-level analysis of change in predictors of state nursing home use rates for 1976 and 1986 was also conducted using aggregate state sociodemographic and Medicaid policy variables.

This paper was presented at the National Council on Aging Annual Meeting, April 1990. As the U.S. debates reform of long-term care financing, examining other countries' approaches to long-term care for the elderly can help expand the range of reform options for consideration.

This article compares the organization and financing of long-term care for the elderly in the U.S. with that of other advanced industrial countries.

U.S. Department of Health and Human Services

This paper discusses the policy implications of allocating long-term care benefits to the elderly on the basis of objective functional criteria, particularly functioning in the activities of daily living (ADLs).

This study assessed a variety of longitudinal models to examine the effect of different types of caregiver burden on outcomes important to policymakers: nursing home admissions, hospital use, and stability of the family and formal care networks.

This paper summarizes the problems with and suggestions for improving the National Long-Term Care Survey (NLTCS) files. It incorporates many of the concerns and ideas users stated at a Forum on the NLTCS. It outlines concrete areas where improvements and increased technical support are needed so that the research community can conduct the most useful and credible studies possible.

  U.S. Department of Health and Human Services

This compendium is published by the Division of Disability, Aging and Long-Term Care Policy within the Office of the Assistant Secretary for Planning and Evaluation, Office of Social Services Policy. It summarizes the results of the Division's research projects from 1986 through the present and highlights future plans.

This study describes community and institutional service use patterns over a five year period (1982-1987), based on secondary analyses of longitudinal data for over 4,000 Massachusetts elderly. Emphasis was placed on community service use of persons judged to be at high risk of institutional placement.