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作者 Stevens-Thompson, Yolanda
書名 Analysis of the eligibility determination methods for Medicaid's Aged and Disabled Waiver
國際標準書號 9780542031960
book jacket
說明 93 p
附註 Source: Dissertation Abstracts International, Volume: 66-03, Section: A, page: 1187
Director: Wayne Perry
Thesis (Ph.D.)--George Mason University, 2005
States have considerable flexibility to define the eligibility criteria for Medicaid's Aged and Disabled Waiver. As a result, the criteria and methods of determining eligibility vary across and within states. These interstate variations raise concern about the appropriateness of each state's criteria and methods of functional eligibility determination since it creates inequities in access to home and community-based care services. The Aged and Disabled Waiver is geared towards persons who are at least 65 years of age, living in the community, and at-risk of being institutionalized. The literature points to several studies that have examined the criteria used to determine eligibility for waiver services. However, few, if any studies have looked at the impact the method of determination has on the proportion of elderly persons eligible for services. This study examined data from the 1989 Community Interview portion of the National Long-Term Care Survey to determine whether the method of functional eligibility determination impacts the proportion of elderly persons found eligible for the Aged and Disabled waiver. If yes, does this proportion vary across the three groupings of states identified by O'Keefe (1996). Then, multivariate analysis was employed to determine whether the factors associated with Andersen's (1983) Model of Health Service Use could predict eligibility status. Broadly speaking, this study sought to determine whether the characteristics of the eligible population differed based on method of determination. Results showed lower proportions of elderly persons were eligible under the Scoring method. Further, the proportion of elderly persons eligible varied according to group membership. Persons in states which utilize the Scoring method of determination had a higher percentage rate of being eligible. Factors associated with Andersen's (1983) Model of Health Service Use could not predict eligibility status. Characteristics of the eligible population differed based on method of determination. The population found eligible under the Scoring method had a higher prevalence of impairments and were more likely to be older and less likely to be single
School code: 0883
DDC
Host Item Dissertation Abstracts International 66-03A
主題 Sociology, Public and Social Welfare
Gerontology
0630
0351
Alt Author George Mason University
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