This report explores and contrasts the efforts of eight sites to improve the community-based long-term care system as a whole and the efforts required to improve the quality or availability of specific services to individual seniors.

This paper surveys several aspects of long-term care policy as it relates to the CPOA, describing trends in long-term care legislation in the seven partnership states and discussing whether and how the partnerships have tried to affect policy in their states and communities.

The learning capacity of older adults has direct, practical implications for professionals trying to educate older people and their families about health care services and benefits, especially in Medicare. This issue brief discusses how older people learn and explores research from the field of...

Background: Economic theory strongly suggests that better information about the quality of care affects patients’ choice of health service providers. However, we have little empirical evidence about the impact of information provided on provider’s choice in Germany. Problem: In Germany, we...

Many incentive programs rely on local agents with significant discretion to allocate benefits. We estimate the degree of discretion exercised by teachers within a conditional transfer program designed to improve nutrition and encourage student attendance in Mumbai, India. The program allocates...

Background: While much is known about the association between drug regimen complexity and drug adherence, little is known about how this association is affected by patient depression. Objective: To examine whether the relationship between medication adherence and highly active antiretroviral...

Background: Standards, benchmarking, and audits are integral to quality monitoring in health and social service provision. Recent policy in the UK National Health Service dictating the need for increased consumer involvement necessitates that service users have significant input into the...

Decision making in healthcare often involves decision alternatives that vary on different dimensions in conflicting ways, such as health benefits and costs. In such cases, it is not always easy to identify the best option, as a trade-off has to be made. In preference studies, patients evaluate...

Objectives: To develop and psychometrically evaluate a domain-specific questionnaire to assess subtle but clinically relevant differences in treatment experiences and satisfaction over a wide range of currently available insulin therapy regimens. The study focussed on patients with type 2...