The restructuring of long-term care for older people has been marked both by the role of the market and by the role of migrant labor. This article develops the analysis of these processes at the microlevel of the provision of care. It draws on data collected as part of a cross-national comparative study on the employment of migrant care workers in residential care homes and home care services f...

A choice-theoretic model of household decision-making with respect to care-giving time allocations and the use of publicly and privately financed home care services are proposed. Predictions concerning the effect of increased availability of publicly financed home care services on home care utilization, informal care giving, and health status are derived. These predictions are assessed through ...

CONTEXT The Closing the Quality Gap series from the Agency for Healthcare Research and Quality summarizes evidence for eight high-priority health care topics: outcomes used in disability research, bundled payment programs, public reporting initiatives, health care disparities, palliative care, the patient-centered medical home, prevention of health care-associated infections, and medication adh...

BACKGROUND Several studies have shown that people living in areas underserved in physicians have reduced odds of consulting. However, beyond the magnitude of this effect averaged for the whole population, policymakers need to know whether specific subgroups faced with transportation difficulties, such as the elderly and especially the disabled elderly, have a particularly restricted access to p...

The growth in home health care in the United States since 1970, and the exponential increase in the provision of Medicare-covered home health services over the past 5 years, underscores the critical need to assess the effectiveness of home health care in our society. This article presents conceptual and applied topics and approaches involved in assessing effectiveness through measuring the outc...

Home health care is a rapidly growing and diversified in­ dustly At the 1988 annual conference of the National Associa­ tion of Home Care, however, the most frequent comment heard by American Occupational Therapy Asso­ ciation (AOTA) representatives was that occupational therapy is the most underutilized service in home health care. The primary reasons given for the underutilization of occupati...

OBJECTIVE This article explores whether the formal home health care (HHC) market is equitable or manifests unexplained racial disparities in use. METHODS The database is the 1994 National Long Term Care Survey. We estimate logit regression models with a race dummy variable, race interaction terms, and stratification by race. We apply the Oaxaca decomposition technique to quantify whether the ...

We propose a new home health care network for the acquisition and transmission of data from ordinary home health care appliances based on IEEE11073. In this study, we develop a standard protocol for data collection and a simple interface to accommodate different monitoring systems that make use of different data protocols. The system provides for one-way data transmission, thus saving power and...

background: the period of hospital stay and the first month after discharge have been found to be the most problematic stages for family caregivers of stroke survivors. it is just at home that patients and caregivers actually understand the whole consequences of the stroke. the adult offspring often have more different needs and concerns than spousal caregivers. however, relatively little atten...

BACKGROUND A multi-domain suite of instruments has been developed by the interRAI research collaborative to support assessment and care planning in mental health, aged care and disability services. Each assessment instrument comprises items common to other instruments and specialized items exclusive to that instrument. This study examined the reliability of the items from five instruments suppo...