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Biomedical subjects

G M Barber

Publications and source records attributed to G M Barber.

6 recordsLinked to original sources

Public's perceived need for adult day care versus actual use.

The public's knowledge of a perceived need for adult day care is presented. Information was obtained from a stratified, random sample of 1,913 households from a geographical area representing approximately one million people or 374,365 households. 28% of respondents met the ADL and care need criteria and 46% of respondents knew about adult day care. From these factors it is estimated that 1.25% of all households would have an adult member who would need and use adult day care. Survey results are then compared with actual use of adult day care for the same geographical area and time period. Utilization experience is much lower than perceived need. The paper analyzes the effect of lack of knowledge and limited transportation on under-utilization.

Activities of Daily Living↗

Modelling internal migration in Kenya: an econometric analysis with limited data.

"In this paper the determinants of internal migration in Kenya are analyzed on the basis of a human capital model. Explanatory variables included in the specification are both economic (wage rates and employment rates) and noneconomic (for example, population density and educational attainment). Also incorporated are variables which reflect intervening opportunities.... The econometric results show that destination variables are important determinants of internal migration, as is distance between the districts. Further, the variables for the intervening opportunities add significantly to the explanatory power of the model."

Africa↗

Use of health care before and during Citicare.

The Citicare program was implemented in Jefferson County, Kentucky, between July 1982 and June 1983. Approximately 40,000 AFDC-related Medicaid recipients were enrolled. Granted federal waivers, the program established a primary care network with capitation payment and physician sharing of savings. Interviews were conducted with 300 recipients just prior to the program and with 348 recipients 1 year later. No changes occurred in the rate of hospital inpatient stays, ambulatory care, or prescribed drugs. There was, however, a 40% reduction in hospital emergency room use and a shift in the locus of care from doctors' offices to health centers and clinics. Recipients' perceptions of the quality of care received in health centers and clinics increased, but declined for care in physicians' offices. Although the program met most of its objectives, it did not gain physician support and was terminated by a new governor.

Aid to Families with Dependent Children↗