title: A comparative cost analysis of alternative models of adult day care.
abstract: An analysis of the component costs of adult day care (ADC) programs in the Commonwealth of Pennsylvania indicates widely varying experiences in terms of fiscal and contractual administrative arrangements. Medical model ADC, program-funded services, and those agencies performing their own client assessments reported higher client per diems than the social model, slot-funded, and non-ADC assessed programs. For-profits displayed cost characteristics similar to their not-for-profit counterparts. Medical and slot-funded programs more frequently turned to multiple sources for budget supplementation. All program types tended to depend on voluntary client contribution methods as compared to means-tested approaches when determining fee-for-service.
authors.affiliation: Eastern College, St. Davids, PA 19087.
authors.forename: P M
authors.initials: PM
authors.lastname: Kirwin
authors.forename: L W
authors.initials: LW
authors.lastname: Kaye
mesh_terms: D000368:Aged; D003365:Costs and Cost Analysis / Q000706:statistics & numerical data; D003625:Data Collection; D003631:Day Care, Medical / Q000191:economics* / Q000706:statistics & numerical data; D006233:Persons with Disabilities; D005381:Financing, Organized / Q000706:statistics & numerical data; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006302:Health Services Research; D006299:Health Services for the Aged / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D010414:Pennsylvania