Describes use of photography as method embedded within ethnographic investigation of rural home care for older adults. Illustrates how photography fostered data generation, elicited participants' stories, and showed patterns of rural aging. Notes that analysis of photographic data pooled with interview and observational data facilitated in-depth…

Estimates the proportion of service and nonservice expenditures within a state aging department. In Massachusetts the ratio was $0.70 to $0.30 (service to nonservice) both for the state's Home Care Programs and for all activities. (JAC)

Eligibility assessment systems for community long-term care vary widely across programs funded by states and Medicaid and in proposals to expand federal funding. Improved equity and efficiency will require better specification of eligibility criteria, timing and setting of assessments, language of assessment items, training of assessors,…

Notes that community-based care for chronic illness requires continuum of care. Identifies three aspects of organization of long-term care that are important in maintaining continuum: availability, accessibility, and acceptability. Illustrates each category by data from Missouri to demonstrate potential problems in each of three areas that can…

Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)

Notes that increasing demand for paraprofessional home care workers is already straining the quantity and quality of workers entering the field. Describes variables that affect supply and demand for home care workers, barriers to change in the home care labor market, and importance of government as key variable in any discussion of home care labor…

Examines what was learned from channeling demonstration about potential of case management agency systems for administering home care benefits. Considers both advantages (substitution of lower cost for higher cost services, negotiation of lower prices for services, quality assurance) and disadvantages (difficulty controlling participation rates,…

Notes that proposed federal long-term care reforms include eligibility criteria based on disability and cognitive impairment. Illustrates process of evaluating alternative eligibility criteria based on one possible targeting goal--serving those who need most care. Uses channeling data to construct measure of total care needs which is used to…

Presents case reports to illustrate importance of technique of transtelephonic cardiac monitoring in home care and use of technique to provide objective marker upon which physicians' decisions could be made. (Author/NB)

Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)

Presents estimates of paraprofessional home care revenue and size, the composition of the industry, and the workforce incentives inherent in different forms of reimbursement. Findings from the review are discussed, including indications that industry's reliance on public funding places special importance on payment policies that recognize critical…