ABSTRACT
A survey of 31 adult day health care (ADHC) programs assessed the extent to which the programs were implemented as intended by the VA. The study described and compared the host communities, ADHC organizational characteristics, program characteristics, and patient use of services. Four of the centers were operated by the Department of Veterans Affairs in VA Medical Center facilities. The remaining 27 centers were community providers serving veterans on contract through four additional VA Medical Centers. Veterans Administration programs were located in larger facilities, with lower client/staff ratios and fewer hours of operation than community contract programs. Patients on the average made 45 visits to the VA-ADHC programs and 58 visits to the contract ADHC programs. The VA and contract programs were generally found to have been implemented as planned, i.e., they followed VA guidelines for staffing, space, and equipment.
Subject(s)
Day Care, Medical/organization & administration , Hospitals, Veterans/organization & administration , Adult , Aged , Contract Services/organization & administration , Day Care, Medical/statistics & numerical data , Guidelines as Topic , Hospitals, Veterans/statistics & numerical data , Humans , Program Evaluation , Rehabilitation , Social Environment , United States , United States Department of Veterans Affairs , WorkforceABSTRACT
Inquiry into the question of historical trends in status attainment will, in this article, involve the comparison of different age groups and different age groups across time. Mindful of limitations in interpreting differences between age groups as historical trends, this study provides such an analysis. Data for this study are from the NORC General Social Survey (July 1988, University of Chicago) and cover the time period from 1973 to 1988. The data offers an opportunity to both examine certain features of historical change as well as to ascertain its stability.
