Stability of Frailty in the Social/Health Maintenance Organization

Although many long-term care (LTC) programs assume that the disabilities of their frail elderly participants are stable in nature, there has been suggestive evidence to the contrary. This study tests stability of disability among social/health maintenance organization (S/HMO) members who were judged...

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Detalles Bibliográficos
Autores principales: Hallfors, Denise, Leutz, Walter, Capitman, John, Ritter, Grant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1994
Materias:
Health Care Needs of Vulnerable Populations
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193442/
https://www.ncbi.nlm.nih.gov/pubmed/10138480
Descripción
Sumario:Although many long-term care (LTC) programs assume that the disabilities of their frail elderly participants are stable in nature, there has been suggestive evidence to the contrary. This study tests stability of disability among social/health maintenance organization (S/HMO) members who were judged eligible for admission into a nursing home. Identified persons were reassessed quarterly. By the end of 1 year, less than 50 percent were still considered to be nursing home eligible. Logit analysis revealed an increased likelihood of instability for persons who were newly identified as functionally disabled after hospitalization. Policy implications for capitated managed-care programs for the elderly are discussed.

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