How Do We Explain Differences in the Level of Care Received by the Institutionalized Elderly?

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Abstract
Based on datafrom the 1977 National Nursing Home Survey, this studyfocuses on factors that may be useful in explaining differences in the level of care received by institutionalized elderly people. The final model, in which we employed a logit approach to log-linear modeling, includes the direct effects of marital status, source ofpayment, age, sex, and number of chronic illnesses, as well as an interaction term that includes marital status and age. Should we expect a better match between the needs of the institutionalized elderly and services offered by institutional environments ? Given the current political economy of old age institutions, it may be too much to expect this segment of the health care system to be organized "rationally. "