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This guide provides practical advice to help program managers and evaluators understand, design, and perform cost-effectiveness (CE) evaluations of community public health prevention programs. Each chapter of the guide provides advice for addressing specific components of a CE analysis. The guide focuses on common concerns about how best to design

This paper examines risk selection among managed care plans for Supplemental Security Income (SSI) beneficiaries in Tennessee's Medicaid managed care program, TennCare, focusing in particular on TennCare's first two years (starting January 1994 and ending January 1996). Analysis starts with a review of the TennCare program, especially the characte

The target population for the National Study of Assisted Living for the Frail Elderly encompassed eligible assisted living facilities (ALFs) with 11 or more beds operating in the United States at the time of screening and data collection (Spring and Summer, 1998), as well as their operators, residents, staff members, and families of residents. The

Approximately 800 HIV-infected children nationally were in foster care placement as of June 1989. This study was designed to define the specific problems related to providing foster care to children with HIV infection. A major element of the project was to conduct site visits to areas with a high incidence of AIDS in children and to learn how orga

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. For nursing home users, the elderly were dist

This study uses the 1985 National Nursing Home Survey to examine the use and cost of nursing home care among the elderly population of the United States. The following questions are addressed: How many persons aged 65+ use nursing homes in a given year? How do they stay and what are their annual charges? How often, and to what extent, do residents

The purpose of this project was to develop, pilot, and disseminate a set of instruments for national surveys to measure the use of assistive technology and the environments in which they are used. The project focused on older adults living in the community. The instruments have been designed as a series of modules that can be adopted in whole or p

This Guide was developed to help long-term care providers devise appropriate surveys for measuring the experiences, behaviors and outcomes of Direct Care Workers (DCW) which might influence DCW retention and the long-term care work environment. This Guide can help organizations: (1) understand the importance of accurate measurement to guiding effe

Are today's elderly healthier than previous generations or does increased longevity come with increased risk of disability and reduced quality of life? In the ongoing search for a definitive answer, this paper provides a comprehensive review of the evidence, both for the United States and internationally. The basic conclusion is that disability ra

This paper synthesizes findings on current and future trends in child care usage patterns among employed mothers of preschoolers (less than 6 years old). It summarizes the types, duration, and expenditures on arrangements using the Current Population Surveys (1958, 1965, 1977 and 1982), the National Survey of Family Growth (1982), and the Survey o

This paper describes research to estimate the rates of nursing home admissions and to identify the determinants of long and short stays in nursing homes. The research employed data available from the 1982 and 1984 National Long-Term Care Surveys. Hence, the results are both nationally representative and indicative of nursing home use patterns by t

This project had two major goals: (1) To describe the workings of a successful, large-scale, case disability allowance program from an administrative perspective. The Veterans Administration (VA) allowance program is described in detail, to provide a benchmark for future research and program design. (2) To examine the question whether recipients o

Many children with special health care needs depend on the health and supportive services provided by Medicaid. It is important that policymakers have a sound understanding of these children's patterns of health care use, especially given the shift to managed care. Previous studies of children on Medicaid with severe disability and/or chronic illn