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National Long Term Care Channeling Evaluation, 1982-1984

Version
v0
Resource Type
Dataset : survey data, clinical data, and administrative records
Creator
  • United States Department of Health and Human Services. Office of Assistant Secretary for Planning and Evaluation
Other Title
  • Archival Version (Subtitle)
Publication Date
1987-10-12
Funding Reference
  • United States Department of Health and Human Services
Language
English
Free Keywords
aging; assisted living; caregivers; case management; chronic disabilities; cost effectiveness; evaluation; home health care; hospitalization; institutional care; long term care; older adults; physical limitations
Description
  • Abstract

    The United States Department of Health and Human Services initiated this survey to demonstrate and evaluate the cost savings and effectiveness of applying a case management approach to community-based long term care services for the frail elderly. The goal of case management is to coordinate and direct community, medical, and informal long term care services to the frail elderly as an alternative to institutionalization. The four main areas of evaluation are: 1) the use of hospitals, nursing homes, and other formal medical services, 2) public and private expenditures on formal community services including case-management, housing, and income transfers, 3) informal care by family and friends, and 4) individual outcomes, including quality of life, physical functioning, unmet service needs, and mortality of the elderly sample members.
  • Table of Contents

    Datasets:

    • DS0: Study-Level Files
    • DS1: Screen
    • DS2: Sample Member Baseline
    • DS3: Client Tracking/Status Change
    • DS4: Sample Member Followup 6-month
    • DS5: Sample Member Followup 12-month
    • DS6: Sample Member Followup 18-month
    • DS7: Status
    • DS8: Caregiver Baseline
    • DS9: Caregiver Followup 6-month
    • DS10: Caregiver Followup 12-month
    • DS11: Formal Community Services Analysis
    • DS12: Informal Care Analysis
    • DS13: Hospital, Nursing Home, and Other Medical Services Analysis
    • DS14: Quality of Life Analysis
Temporal Coverage
  • 1982 / 1984
    Time period: 1982--1984
  • Collection date: 1986-05
Geographic Coverage
  • United States
Sampled Universe
Non-institutionalized frail elderly persons in the United States identified as being at risk of institutionalization in terms of age, residence, ability to perform activities of daily living (ADL), ability to perform instrumental activities of daily living (IADL), fragility of informal support systems, and unmet needs.
Sampling
The channeling demonstration randomly assigned ten communities to either a case-management system of long term care for its eligible elderly (for a total of five sites) or to a control group whose eligible elderly relied on whatever system of services were normally supplied (for a total of five sites).
Collection Mode
  • The evaluation data are provided in fourteen public-use files. These public-use files consist of nine master files, four files corresponding to the four main areas of evaluation that have been constructed especially for analyses, and a status file. Eight of the nine master files provide interview response data from the research instruments. One file is for the screening interview used to locate sample members and caregivers. Another set of files is for interviews with the sample members at baseline, six months, twelve months, and (for half the sample) eighteen months, and interviews with their caregivers at baseline, six months, and twelve months. The ninth master file contains tracking and status change information for all persons contacted during the demonstration and evaluation period. Each of the four analysis files include dependent variables based on the interviews with sample members and caregivers, administrative service and cost records from Medicaid, Medicare, and service providers, standard control variables used in the analysis, and the flags used to select the analysis samples. The status file provides, for each sample member and caretaker, data on participation in and completion of all waves of interviews, inclusion in the analysis files, and availability of administrative records such as Medicaid, Medicare, and state death records. The following are the distributions of age frequencies in the sample of the frail elderly: N=1,653 for ages 64-74 years, N=2,500 for ages 74-84 years, and N=1,546 for ages 85 and over. There are 7 volumes of printed documentation.

Note
Funding insitution(s): United States Department of Health and Human Services (HHS-100-80-0157).
Availability
Delivery
This version of the study is no longer available on the web. If you need to acquire this version of the data, you have to contact ICPSR User Support (help@icpsr.umich.edu).
Alternative Identifiers
  • 8683 (Type: ICPSR Study Number)
Relations
  • Is previous version of
    DOI: 10.3886/ICPSR08683.v1
Publications
  • Greene, Vernon L., Ondrich, Jan, Laditka, Sarah. Can home care services achieve cost savings in long-term care for older people?. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences.53, (4), S228-S238.1998.
    • ID: 10.1093/geronb/53B.4.S228 (DOI)
  • Reschovsky, James D.. The Demand for Post-Acute and Chronic Care in Nursing Homes. Medical Care.36, (4), 475-490.1998.
    • ID: 10.1097/00005650-199804000-00004 (DOI)
  • Mui, Ada C., Burnette, Denise. Coping Resources and Self-Reported Depressive Symptoms among Frail Older Ethnic Women. Journal of Social Service Research.21, (3), 19-37.1996.
    • ID: 10.1300/J079v21n03_02 (DOI)
  • Reschovsky, James D.. Demand for and access to institutional long-term care: the role of Medicaid in nursing home markets. Inquiry (Rochester): The Journal of Health Care Organization, Provision and Financing.33, (1), 15-29.1996.
  • Greene, V.L., Lovely, M.E., Miller, M.D., Ondrich, J.I.. Reducing nursing home use through community long-term care: an optimization analysis. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences.50, (4), S259-S268.1995.
    • ID: 10.1093/geronb/50B.4.S259 (DOI)
  • Mui, Ada C.. Caring for frail elderly parents: a comparison of adult sons and daughters. Gerontologist.35, (1), 86-93.1995.
    • ID: 10.1093/geront/35.1.86 (DOI)
  • Mui, Ada C.. Multidimensional predictors of caregiver strain among older persons caring for frail spouses. Journal of Marriage and Family.57, (3), 733-740.1995.
    • ID: http://www.jstor.org/stable/353927 (URL)
  • Mui, Ada C.. Perceived health and functional status among spouse caregivers of frail older persons. Journal of Aging and Health.7, (2), 283-300.1995.
    • ID: 10.1177/089826439500700206 (DOI)
  • Rabiner, Donna J., Mutran, Elizabeth, Stearns, Sally C.. Effect of channeling on home care utilization and satisfaction with care. Gerontologist.35, (2), 186-195.1995.
    • ID: 10.1093/geront/35.2.186 (DOI)
  • Turnbull, Joanne E., Mui, Ada C.. Mental health status and needs of black and white elderly: differences in depression. Handbook on ethnicity, aging, and mental health.Westport, CT: Greenwood Press. 1995.
  • Burnette, Denise, Mui, Ada C.. Determinants of self-reported depressive symptoms by frail elderly persons living alone. Journal of Gerontological Social Work.22, (1-2), 3-19.1994.
    • ID: 10.1300/J083V22N01_02 (DOI)
  • Mui, Ada C., Burnette, Denise. Long-Term Care Service Use by Frail Elders: Is Ethnicity a Factor?. Gerontologist.34, (2), 190-198.1994.
    • ID: 10.1093/geront/34.2.190 (DOI)
  • Mui, Ada C., Burnette, J. Denise. Comparative profile of frail elderly persons living alone and those living with others. Journal of Gerontological Social Work.21, (3-4), 5-26.1994.
    • ID: 10.1300/J083V21N03_02 (DOI)
  • Spector, William D., Kemper, Peter. Disability and Cognitive Impairment Criteria: Targeting Those Who Need the Most Home Care. Gerontologist.34, (5), 640-651.1994.
    • ID: 10.1093/geront/34.5.640 (DOI)
  • Garber, Alan M., MaCurdy, Thomas E.. Nursing Home Discharges and Exhaustion of Medicare Benefits. Journal of the American Statistical Association.88, (423), 727-736.1993.
    • ID: http://www.jstor.org/stable/2290757 (URL)
  • Greene, V.L., Lovely, M.E., Ondrich, J.I.. The cost-effectiveness of community services in a frail elderly population. Gerontologist.33, (2), 177-189.1993.
    • ID: 10.1093/geront/33.2.177 (DOI)
  • Greene, Vernon L., Lovely, Mary E., Miller, Mark D., Ondrich, Jan I.. Reducing nursing home use through community long-term care: an optimization analysis using data from the national channeling demonstration. Syracuse, NY: Maxwell School, Syracuse University. 1993.
  • Jackson, Mary E., Eichorn, Ann, Sokoloff, Sharon, Van Tassel, Janet. Evaluating the predictive validity of nursing home pre-admission screens. Health Care Financing Review.14, (4), 169-207.1993.
  • Mui, Ada C.. Self-reported depressive symptoms among black and Hispanic frail elders: a sociocultural perspective. Journal of Applied Gerontology.12, (2), 170-187.1993.
    • ID: 10.1177/073346489301200204 (DOI)
  • Mui, Ada C., Morrow Howell, Nancy. Sources of emotional strain among the oldest caregivers: differential experiences of siblings and spouses. Research on Aging.15, (1), 50-69.1993.
    • ID: 10.1177/0164027593151003 (DOI)
  • White-Means, Shelley I.. Informal home care for frail black elderly. Journal of Applied Gerontology.12, (1), 18-33.1993.
    • ID: 10.1177/073346489301200103 (DOI)
  • Coughlin, Teresa A., Liu, Korbin, McBride, Timothy D.. Severely Disabled Elderly Persons with Financially Catastrophic Health Care Expenses: Sources and Determinants. Gerontologist.32, (3), 391-403.1992.
    • ID: 10.1093/geront/32.3.391 (DOI)
  • Jackson, Mary E., Eichorn, Ann, Blackman, Donald. Efficacy of Nursing Home Preadmission Screening. Gerontologist.32, (1), 51-57.1992.
    • ID: 10.1093/geront/32.1.51 (DOI)
  • Mui, Ada C.. Caregiver strain among black and white daughter caregivers: a role theory perspective. Gerontologist.32, (2), 203-212.1992.
    • ID: 10.1093/geront/32.2.203 (DOI)
  • Rabiner, Donna J.. The Relationship Between Program Participation, Use of Formal In-home Care, and Satisfaction with Care in an Elderly Population. Gerontologist.32, (6), 805-812.1992.
    • ID: 10.1093/geront/32.6.805 (DOI)
  • Chang, Cyril F., White-Means, Shelley I.. Men who care: an analysis of male primary caregivers who care for frail elderly at home. Journal of Applied Gerontology.10, (3), 343-358.1991.
    • ID: 10.1177/073346489101000308 (DOI)
  • Fanale, James E., Keenan, Joseph M., Hepburn, Kenneth W., Von Sternberg, Thomas. Care management. Journal of the American Geriatrics Society.39, (4), 431-437.1991.
  • Garber, Alan M., MaCurdy, Thomas E.. Nursing home discharges and exhaustion of Medicare benefits. NBER Working Paper Series.3639, Cambridge, MA: National Bureau of Economic Research. 1991.
  • Coughlin, Teresa A., McBride, Timothy D., Liu, Korbin. Determinants of transitory and permanent nursing home admissions. Medical Care.28, (7), 616-631.1990.
    • ID: 10.1097/00005650-199007000-00007 (DOI)
  • Greene, Vernon L., Ondrich, Jan I.. Risk factors for nursing home admissions and exits: A discrete-time hazard function approach. Journal of Gerontology.45, (6), S250-S258.1990.
  • Kemper, Peter. Case Management Agency Systems of Administering Long-Term Care: Evidence from the Channeling Demonstration. Gerontologist.30, (6), 817-824.1990.
    • ID: 10.1093/geront/30.6.817 (DOI)
  • Liu, Korbin, McBride, Timothy D., Couglin, Teresa A.. Costs of community care for disabled elderly persons: the policy implications. Inquiry (Rochester): The Journal of Health Care Organization, Provision and Financing.27, (1), 61-72.1990.
  • Mutschler, Phyllis H., Callahan, James J., Jr.. Utilizing client experience in developing new service delivery models for care of the aged. Journal of Gerontological Social Work.15, (3-4), 49-74.1990.
    • ID: 10.1300/J083v15n03_04 (DOI)
  • Coughlin, Teresa A., Liu, Korbin. Health Care Costs of Older Persons With Cognitive Impairments. Gerontologist.29, (2), 173-182.1989.
    • ID: 10.1093/geront/29.2.173 (DOI)
  • Applebaum, Robert A.. Evaluation of the National Long Term Care Demonstration: recruitment and characteristics of channeling clients. Health Services Research.23, (1), 51-66.1988.
  • Applebaum, Robert A.. Lessons from the National Channeling Demonstration. Generations (San Francisco).12, (5), 58-61.1988.
  • Applebaum, Robert A., Christianson, Jon. Using Case Management to Monitor Community-Based Long Term Care. Quality Review Bulletin.14, (7), 227-231.1988.
  • Applebaum, Robert A., Christianson, Jon B., Harrigan, Margaret, Schore, Jennifer. Evaluation of the National Long Term Care Demonstration: effect of channeling on mortality, functioning, and well-being. Health Services Research.23, (1), 143-159.1988.
  • Applebaum, Robert A., Wilson, Nancy L.. Training needs for providing case management for the long-term care client: lessons from the National Channeling Demonstration. Gerontologist.28, (2), 172-176.1988.
    • ID: 10.1093/geront/28.2.172 (DOI)
  • Carcagno, George J., Kemper, Peter. Evaluation of the National Long Term Care Demonstration: overview of the channeling demonstration and its evaluation. Health Services Research.23, (1), 1-22.1988.
  • Christianson, Jon B.. Evaluation of the National Long Term Care Demonstration: effect of channeling on informal caregiving. Health Services Research.23, (1), 99-117.1988.
  • Christianson, Jon B., Applebaum, Robert A., Carcagno, George, Phillips, Barbara. Organizing and delivering case management services: lessons from the National Long Term Care Channeling Demonstration. Home Health Care Services Quarterly.9, (1), 7-27.1988.
    • ID: 10.1300/J027v09n01_02 (DOI)
  • Corson, Walter, Grannemann, Thomas, Holden, Nancy. Evaluation of the National Long Term Care Demonstration: formal community services under channeling. Health Services Research.23, (1), 83-98.1988.
  • Kemper, Peter. Evaluation of the National Long Term Care Demonstration: overview of the findings. Health Services Research.23, (1), 161-174.1988.
  • Phillips, Barbara R., Kemper, Peter, Applebaum, Robert A.. Evaluation of the National Long Term Care Demonstration: case management under channeling. Health Services Research.23, (1), 67-81.1988.
  • Thornton, Craig, Dunstan, Shari Miller, Kemper, Peter. Evaluation of the National Long Term Care Demonstration: effect of channeling on health and long-term care costs. Health Services Research.23, (1), 129-142.1988.
  • Wooldridge, Judith, Schore, Jennifer. Evaluation of the National Long Term Care Demonstration: effect of channeling on the use of nursing homes, hospitals, and other medical services. Health Services Research.23, (1), 119-127.1988.
  • Christianson, Jon B.. Competitive bidding for home care under the channeling demonstration. Health Care Financing Review.8, (4), 73-86.1987.
  • Clark, Robert F.. Costs and benefits of community care: a perspective from the Channeling Demonstration. Pride Institute Journal of Long Term Home Health Care.6, (2), 3-13.1987.
  • Hirsch, Carl, Schneider, Barbara, Young, James E.. Influence of characteristics of elderly disabled clients on their experiences in case management over a one-year period: final report. Philadelphia, PA: Temple University, Institute on Aging. 1987.
  • Kemper, Peter, et al. The Evaluation of the National Long Term Care Demonstration. Final Report.Princeton, NJ: Mathematica Policy Research. 1986.
  • Phillips, Barbara, Stephens, Susan, Cerf, Joanna. The Evaluation of the National Long Term Care Demonstration: Survey Data Collection Design and Procedures. Princeton, NJ: Mathematica Policy Research. 1986.
  • Stephens, Susan A., Christianson, Jon B.. Informal care of the elderly. Lexington, MA: Lexington Books. 1986.
  • Applebaum, Robert A., Baxter, Raymond J., Callahan, James J., Jr., Day, Stephen L.. Targeting services to chronically disabled elderly: the preliminary experiences of the National Long Term Care Channeling Demonstration. Home Health Care Services Quarterly.6, (2), 57-79.1985.
    • ID: 10.1300/J027v06n02_05 (DOI)
  • Guthrie, Mary. Attrition during caseload buildup: the channeling project experience. Pride Institute Journal of Long Term Home Health Care.4, (1), 24-30.1985.
  • Applebaum, Robert A., Callahan, James J., Jr., Christianson, Jon B., Day, Stephen L., Baxter, Raymond J.. Planning and implementation of channeling: early experiences of the national long term care demonstration. Princeton, NJ: Mathematica Policy Research. 1983.

Update Metadata: 2015-08-05 | Issue Number: 6 | Registration Date: 2015-06-15

United States Department of Health and Human Services. Office of Assistant Secretary for Planning and Evaluation (1987): National Long Term Care Channeling Evaluation, 1982-1984. Archival Version. Version: v0. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset. https://doi.org/10.3886/ICPSR08683