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Cost and Technology abstracts and tables:

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1.    Issues In Measuring Costs In Institutional Settings
2.   Measurement Of Personal Care Inputs In Chronic Care Settings

Journal of Mental Health and Aging, Vol. 3, No. 1, 1997

Issues In Measuring Costs In Institutional Settings

Gerald L. Glandon, PhD

David A. Lindeman, PhD

Douglas Holmes, PhD

Abstract:  

Studies of costs for persons with dementia in institutional settings are necessary due to the unreliability of price data for Alzheimer’s care, the lack of good cost control mechanisms internal to nursing homes, and the potential inflationary impact that consumption of nursing care services has on both the private and public reimbursement sectors, particularly as the population ages. Historically, costing studies of dementia care have used diverse methodologies, employed poorly characterized populations and facilities, and had widely divergent goals. New techniques for measuring costs of dementia care in institutional settings should draw from traditional methodologies of cost effectiveness evaluation and health care costing in other settings. Future studies should apply more rigorous approaches to costing, commencing with identification, measurement and valuation of cost principles.

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Journal of Mental Health and Aging, Vol. 3, No. 1, 1997

 Measurement Of Personal Care Inputs In Chronic Care Settings

Douglas Holmes, PhD

Jeanne Teresi. EdD, PhD

David L. Lindeman, PhD

Gerald L. Glandon, PhD

Abstract:  

This paper explores the various approaches used to obtain time and motion data or, more specifically, to obtain information about personal care inputs made on behalf  of nursing home residents.  The relative merits and weakness of different approaches are presented; these include traditional time and motion study, task sampling, and the maintenance of logs or diaries.  This discussion is followed by a description of a newly developed technique which is based on computerized barcode technology.

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