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National Long Term Care Channeling Evaluation, 1982-1984 (ICPSR 8683)

Principal Investigator(s):

Summary:

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.

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Dataset(s)

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DS1:  Screen - Download All Files (40.7 MB)
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DS2:  Sample Member Baseline - Download All Files (51.8 MB)
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DS3:  Client Tracking/Status Change - Download All Files (29 MB)
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DS4:  Sample Member Followup 6-month - Download All Files (37 MB)
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DS5:  Sample Member Followup 12-month - Download All Files (36 MB)
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DS6:  Sample Member Followup 18-month - Download All Files (32 MB)
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DS7:  Status - Download All Files (40 MB)
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DS8:  Caregiver Baseline - Download All Files (75.7 MB)
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DS9:  Caregiver Followup 6-month - Download All Files (53.6 MB)
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DS10:  Caregiver Followup 12-month - Download All Files (67.3 MB)
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DS11:  Formal Community Services Analysis - Download All Files (67 MB)
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DS12:  Informal Care Analysis - Download All Files (74.2 MB)
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DS13:  Hospital, Nursing Home, and Other Medical Services Analysis - Download All Files (71 MB)
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DS14:  Quality of Life Analysis - Download All Files (40.3 MB)
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Study Description

Citation

U.S. Dept. of Health and Human Services, Office of Assistant Secretary for Planning and Evaluation. NATIONAL LONG TERM CARE CHANNELING EVALUATION, 1982-1984. Princeton, NJ: Mathematica Policy Research, Inc. [producer], 1986. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 1987. http://doi.org/10.3886/ICPSR08683.v1

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Funding

This study was funded by:

  • United States Department of Health and Human Services (HHS-100-80-0157)

Scope of Study

Subject Terms:   aging, assisted living, caregivers, case management, chronic disabilities, cost effectiveness, evaluation, home health care, hospitalization, institutional care, long term care, older adults, physical limitations

Geographic Coverage:   United States

Time Period:  

  • 1982--1984

Date of Collection:  

  • 1986-05

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.

Data Types:   survey data, clinical data, and administrative records

Data Collection Notes:

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.

Methodology

Sample:   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).

Data Source:

personal interviews, self-enumerated forms, official records

Version(s)

Original ICPSR Release:  

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