Stability of frailty in the social/health maintenance organization.
Date of Pub
Capitman, John A; Leutz, Walter; Ritter, Grant A
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.
Geriatric Assessment : Risk Assessment : Aged : Data Collection : Eligibility Determination : Evaluation Studies : Frail Elderly/statistics
& numerical data : Health Maintenance Organizations/statistics & numerical data/utilization : Health Services Research : Human
: Insurance, Health, Reimbursement : Medicare/statistics & numerical data/utilization : Nursing Homes/utilization : Probability
: Progressive Patient Care : Support, U.S. Gov't, Non-P.H.S. : United States