Effects of the 1997 balanced budget act on venipuncture beneficiaries

Rose M. Rubin, Shelley White-Means, Thomas Feagin

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This study assesses the effects on patients and their caregivers of denying venipuncture as a home health services qualifier. Primary data were developed from medical records and 6-month recall interviews of disqualified recipients and their caregivers in Tennessee, a state without community-based long-term care. Effects of disqualification on patients' health status, activities of daily living (ADLs), instrumental activities of daily living (IADLs), mental status, and transportation costs were analyzed. Those disqualified do more self-bathing and dressing, rely more on caregivers for other ADLs and IADLs, exhibit a high incidence of depression, and some incur additional costs. Following disqualification, caregivers assist much more with ADLs, incurring a greater burden than patients acknowledge and increased implicit work costs and out-of-pocket costs for care and transportation. Secondary effects of this major policy change were substantial for Tennessee residents. Before implementation, testing the effects of such a major policy change for elderly with and without community-based long-term care would have been prudent.

Original languageEnglish (US)
Pages (from-to)252-268
Number of pages17
JournalJournal of Applied Gerontology
Volume22
Issue number2
DOIs
StatePublished - Jun 1 2003

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Phlebotomy
Budgets
Activities of Daily Living
Caregivers
Long-Term Care
Costs and Cost Analysis
Bandages
Health Expenditures
Health Status
Health Services
Medical Records
Interviews
Incidence

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Effects of the 1997 balanced budget act on venipuncture beneficiaries. / Rubin, Rose M.; White-Means, Shelley; Feagin, Thomas.

In: Journal of Applied Gerontology, Vol. 22, No. 2, 01.06.2003, p. 252-268.

Research output: Contribution to journalArticle

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