HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sherwood, S Articles by Ruchlin, H S Search for Related Content PubMed PubMed Citation Articles by Sherwood, S Articles by Ruchlin, H S

Alternative paths to long-term care: nursing home, geriatric day hospital, senior center, and domiciliary care options.

S Sherwood, J N Morris and H S Ruchlin

This paper examines certain quality of life outcomes, as well as comparative costs of care, for selected types of persons entering three very distinct types of alternative service programs that address the long-term care needs of vulnerable elderly persons: nursing homes (NH), geriatric day hospitals (GDH), and senior center (SC) programs. For selected outcomes, based on secondary analysis of the data gathered in another study, it was possible to add to the comparison samples of similar types of persons entering small foster-type domiciliary care homes (DC). From pools of persons entering these programs, six separate sets of comparison samples who were similar at baseline were constructed (GDH-SC, NH-SC, NH-GDH, NH-DC, SC-DC, GDH-DC). Only analyses pertaining to institutionalization and costs were conducted for the last three sets of comparison groups. Except for the issue of institutionalization, quality of life impact analysis showed only a few more post-test differences than would be expected by chance (although the few post-test differences that were observed in each case favored less restrictive settings). This more general similarity of outcome is indeed provocative, suggesting that in many ways the applicants adapted similarly to these quite distinct programs. Cost analyses found that nursing home and geriatric day hospital care, the two most restrictive settings, were also the two most expensive interventions.

This article has been cited by other articles:

				S. J. Fonda, E. C. Clipp, and G. L. Maddox Patterns in Functioning Among Residents of an Affordable Assisted Living Housing Facility Gerontologist, April 1, 2002; 42(2): 178 - 187. [Abstract] [Full Text] [PDF]

				R. A. Pruchno and M. S. Rose The Effect of Long-Term Care Environments on Health Outcomes Gerontologist, August 1, 2000; 40(4): 422 - 428. [Abstract] [Full Text]

				A. Forster, J. Young, and P. Langhorne Systematic review of day hospital care for elderly people BMJ, March 27, 1999; 318(7187): 837 - 841. [Abstract] [Full Text]

				D. P. Varady Reviews : Congregate Housing for the Elderly: Theoretical, Policy, and Programmatic Perspectives Lenard W. Kaye and Abraham Monk Haworth Press, Binghamton, New York, 1991. 181 pages. $29.95 (HB), $14.95 (PB). Housing Risks and Homelessness Among the Urban Elderly Sharon M. Keigher, Editor Haworth Press, Binghamton, New York, 1991. 156 pages. $26.95 (HB), $21.95 (PB Journal of Planning Education and Research, January 1, 1994; 13(2): 152 - 155.

				G. M. Kenney How Access to Long-Term Care Affects Home Health Transfers Journal of Health Politics Policy and Law, January 1, 1993; 18(4): 937 - 965. [Abstract] [PDF]