DOI: 10.3886/icpsr08683
title: National Long Term Care Channeling Evaluation, 1982-1984
title: Archival Version

description: The United States Department of Health and Human Services
initiated this survey to demonstrate and evaluate the cost savings and
effectiveness of applying a case management approach to community-based
long term care services for the frail elderly. The goal of case
management is to coordinate and direct community, medical, and informal
long term care services to the frail elderly as an alternative to
institutionalization. The four main areas of evaluation are: 1) the use
of hospitals, nursing homes, and other formal medical services, 2)
public and private expenditures on formal community services including
case-management, housing, and income transfers, 3) informal care by
family and friends, and 4) individual outcomes, including quality of
life, physical functioning, unmet service needs, and mortality of the
elderly sample members.
description: The channeling demonstration randomly assigned ten 
 communities to either a case-management system of long term care for 
 its eligible elderly (for a total of five sites) or to a control group 
 whose eligible elderly relied on whatever system of services were 
normally supplied (for a total of five sites).
description: Datasets: 
DS0: Study-Level Files
DS1: Screen
DS2: Sample Member Baseline
DS3: Client Tracking/Status Change
DS4: Sample Member Followup 6-month
DS5: Sample Member Followup 12-month
DS6: Sample Member Followup 18-month
DS7: Status
DS8: Caregiver Baseline
DS9: Caregiver Followup 6-month
DS10: Caregiver Followup 12-month
DS11: Formal Community Services Analysis
DS12: Informal Care Analysis
DS13: Hospital, Nursing Home, and Other Medical Services Analysis
DS14: Quality of Life Analysis
description: Non-institutionalized frail elderly persons in the United
States identified as being at risk of institutionalization in terms of
age, residence, ability to perform activities of daily living (ADL),
ability to perform instrumental activities of daily living (IADL),
fragility of informal support systems, and unmet needs.
description: The evaluation data are provided in fourteen public-use
files. These public-use files consist of nine master files, four files
corresponding to the four main areas of evaluation that have been
constructed especially for analyses, and a status file. Eight of the
nine master files provide interview response data from the research
instruments. One file is for the screening interview used to locate
sample members and caregivers. Another set of files is for interviews
with the sample members at baseline, six months, twelve months, and
(for half the sample) eighteen months, and interviews with their
caregivers at baseline, six months, and twelve months. The ninth master
file contains tracking and status change information for all persons
contacted during the demonstration and evaluation period. Each of the
four analysis files include dependent variables based on the interviews
with sample members and caregivers, administrative service and cost
records from Medicaid, Medicare, and service providers, standard
control variables used in the analysis, and the flags used to select
the analysis samples. The status file provides, for each sample member
and caretaker, data on participation in and completion of all waves of
interviews, inclusion in the analysis files, and availability of
administrative records such as Medicaid, Medicare, and state death
records. The following are the distributions of age frequencies in the
sample of the frail elderly: N=1,653 for ages 64-74 years, N=2,500 for
ages 74-84 years, and N=1,546 for ages 85 and over. There are 7 volumes
of printed documentation.