Adult Day Care and the Nursing Home

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Abstract
Adult day-care clients are compared with nursing home applicants who were reviewed and recommended for community or institution-based care. Social, health, and service-use characteristics are contrasted in order to identify factors that distinguish adult day care from nursing home care as an appropriate placement. Socioeconomic status, severity of physical disability, living arrangement, sensory impairment, use of in-home services, and days in the hospital tend to distinguish the groups. The groups are quite similar in demographic characteristics, mental status, frequency of out-patient physician visits, and number and types of diseases. The authors outline criteria that might be used to determine appropriate placement. They also point out the need for future research in order to draw comparisons among different types of adult day-care programs and to develop predictive models for service use and continuity of participation in adult day care.