First Advisor

Seymour Adler

Term of Graduation

Spring 1988

Date of Publication

3-11-1988

Document Type

Dissertation

Degree Name

Doctor of Philosophy (Ph.D.) in Urban Studies

Department

Urban Studies

Language

English

Subjects

Older people -- Pacific Northwest, Older people -- Long-term care -- Government policy -- United States, Older people -- Long-term care -- Government policy -- Oregon

DOI

10.15760/etd.3907

Physical Description

1 online resource (4, iv, 329 pages)

Abstract

Residential care is a rapidly growing form of housing and service provision for older adults. Residential care policy is defined by historical and cultural influences in social welfare and by the history of policy development and regulation in long term care, specifically for nursing homes. These influences have played a large role in the growing regulatory environment for residential care.

This study examines the characteristics of elderly residential care facility (RCF) residents and examines these through the lens of current state and federal regulations concerning the type of care given in these facilities. It is hypothesized that the lack of knowledge regarding the characteristics of older persons choosing RCF level care contributes to facility design and regulations which may not provide for living environments in which appropriate care and oversight are given.

Within this framework, the policy analysis of residential care undertaken in this study consists of two distinct research tasks. The first includes an analysis of the factors contributing to the growth of residential care, including supply and demand factors, an analysis of federal policy initiatives, and an examination of the state of Oregon's implementation of these federal initiatives in residential care.

The second research task, to provide information about the characteristics of residential care users, includes an analysis of data collected at three points over a six month period from new residents of an RCF and from a community sample. The data was collected using the Geriatric Assessment Testing and Evaluation System (GATES).

A descriptive analysis of the samples is reported, and a two-way analysis of covariance for a factorial design with equal cell frequencies (25 in each) is used to examine the effects of the two variables, time and place of residence, on the individual and group scores obtained using the GATES.

Rights

In Copyright. URI: http://rightsstatements.org/vocab/InC/1.0/

This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).

Comments

If you are the rightful copyright holder of this dissertation or thesis and wish to have it removed from the Open Access Collection, please submit a request to pdxscholar@pdx.edu and include clear identification of the work, preferably with URL.

Persistent Identifier

https://archives.pdx.edu/ds/psu/43176

Download

Included in

Health Policy Commons

Share

COinS