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Curated

Geriatric Home Care Utilization: San Francisco, 1968-1975 (ICPSR 7853)

Released/updated on: 2006-03-30

Geographic coverage: San Francisco, United States, California

Time period: 1968-01-01--1975-01-01

This data collection reported on geriatric clients served by San Francisco Home Health Services, Inc. (SFHHS) between 1968 and 1975. The study was designed to document and analyze the natural history of home care service use from entry to exit, noting what types of users were in a home care agency's program and how intensively services were utilized. The study also identified outcome categories useful for response to public policy questions on the effectiveness of various service types in meeting geriatric needs. Also examined was the relationship of home care use to nursing home entry, and to the need for other services. In Part 1, data for 2,435 clients were gathered from case records at SFHHS. Variables used in the analysis include entry characteristics (e.g, age, sex, condition, living arrangement, and contextual variables such as referral source, prior source of care, and payment type), duration, intensity, and type of service utilization, as well as discharge or exit status. Some of these are calculated variables derived from each case's accumulated monthly service records (found in their raw form in Part 2). Part 2 contains 35,729 client monthly service records, which are distributed as raw data as received from SFHHS. Variables include billing date, pay plan, and frequency and intensity of assistance.

Curated

National Health and Aging Trends Study (NHATS), [United States] (ICPSR 37107)

Released/updated on: 2018-06-29

Geographic coverage: United States

Time period: 2011-01-01--2024-01-01

The National Health and Aging Trends Study (NHATS) began in 2011 and fosters research to guide efforts to reduce disability, maximize health and independent functioning, and enhance quality of life at older ages. NHATS aims to provide the basis for understanding trends in late-life functioning, how these differ for various population subgroups, and the economic and social consequences of aging and disability for individuals, families, and society.

NHATS gathers information on a nationally representative sample of Medicare beneficiaries ages 65 and older. The sample is refreshed periodically so that researchers may study national-level disability trends as well as individual trajectories. Annual, in-person interviews collect detailed information on the disablement process and its consequences.

The NHATS interview is guided by a conceptual framework that recognizes physical and cognitive capacity is distinct from the environment in which activities take place. Among the specific content areas included are: the physical, social, technological and service environment, physical and cognitive capacity, use of assistive devices and rehabilitation, help received with daily activities (self-care, household, and medical), participation in valued activities, and wellbeing. A last month of life interview focuses on quality of end of life care. Periodically caregivers of NHATS respondents are interviewed in the supplemental National Study of Caregiving (NSOC). Linkages to Medicare records are also available.

Content was developed by a multidisciplinary team of researchers from the fields of demography, geriatric medicine, epidemiology, health services research, economics, and gerontology. NHATS is being led by the Johns Hopkins University Bloomberg School of Public Health in collaboration with the University of Michigan, with data collection by Westat, and support from the National Institute on Aging.