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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> &gt; <a href="." class="crumb_link">Future Directions for Residential Long-Term Care Health Services Research</a> &gt; Table 1 </span></p>
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<td height="30px"><span class="title"><a name="h1" id="h1"></a>Future Directions for Residential Long-Term Care Health Services Research </span>
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<div class="headnote">
<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
<h3>Table 1. Framework for Long-Term Care (LTC) Research Priorities</h3>
<table width="80%" border="1" cellpadding="8"><tr valign="top"><td>
<p><strong><em>Cost-Effectiveness</em></strong></p>
<ul><li>
Comparing cost and benefits of alternatives.</li></ul>
<p><strong>Process</strong></p>
<ul>
<li>Approaches to care (e.g., primary care, rehabilitation, prescription drugs) within settings and service types.</li>
<li>Special care units.</li>
<li>Identifying best practices and distribution by payment.</li></ul>
<p><strong>Structure</strong></p>
<ul>
<li>Staffing issues (e.g., mix,training, communication). </li>
<li>Ownership (e.g., for-profit/nonprofit, chain/or not, increasing vertical integration).</li>
<li>Impact of amenities and
home environment (on
quality of life).</li></ul>
<hr />
<p><strong><em>Equity/Access</em></strong></p><ul>
<li>Monitoring the distribution of LTC expenditures across payment sources Medicare, Medicaid, private pay).</li>
<li>Measuring financial burden (e.g., LTC insurance, out-of-pocket costs) relative to income and assets.</li>
<li>Assessing the impact of growth in assisted living on financial burden source.</li></ul>
<hr />
<p><strong><em>Financial and Market Incentives</em></strong></p><ul>
<li>Studies of impact of the level and type (prospective vs. retrospective, flat vs.
cost-based) of reimbursement on:
<ul><li>Patient mix.</li>
<li>Quality.</li>
<li>Outcomes.</li>
<li>Cost.</li></ul></li>
<li>Impact of prospective payment on quality and cost.</li>
<li>Understanding the impact of increasing market competition on health outcomes.</li>
<li>Understanding barriers to diffusion of new technology.</li> </ul>
<hr />
<p><strong><em>Consumer Issues</em></strong></p><ul>
<li>Improving quality information to consumers (e.g., quality report cards).</li>
<li>Understanding factors affecting consumers' choice of setting and care.</li>
<li>Understanding consumers' willingness to pay for higher quality.</li>
<li>Designing facilities to match housing and LTC needs.</li></ul>
<hr />
<p><strong><em>Quality Assurance</em></strong></p><ul>
<li>Using outcomes to target facilities.</li>
<li>Developing ways to monitor quality of life.</li>
<li>Developing ways to assess the quality of the long-term care system as a whole.</li> </ul>
<hr />
<p><strong><em>Methodology</em></strong></p>
<p><strong>Improving Measures</strong></p><ul>
<li>Characterizing processes of care.</li>
<li>Characterizing changing facility structures.</li>
<li>Outcome measurement.
<ul><li>Quality of life.</li>
<li>Risk adjustment.</li>
<li>Matching outcome measures to types of care/setting.</li></ul>
</li>
<li>Measuring patient preferences.</li>
<li> Measuring private prices and reimbursement.</li>
<li>Assessing consumer preferences and satisfaction.</li></ul>
<p><strong>Data collection</strong></p><ul>
<li>Feasibility of linking MDS data to survey data.</li>
<li>Strategies for screening person at high risk of long-term care use.</li>
<li>Development of a broad residential care frame.</li></ul>
<p><strong>Forecasting</strong></p><ul>
<li>Projecting future LTC service needs, demographics, and disabilities.</li></ul>
</td>
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</table>
<p class="size2"><a href="summary1.htm#tab1">Return to Document </a></p>
<p>&nbsp; </p>
<div class="footnote">
<p> The information on this page is archived and provided for reference purposes only.</p></div>
<p>&nbsp;</p>
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