title: The emergence of adult day care centers as post-acute care agencies.
abstract: Research on the effects of the Medicare Prospective Payment System utilizing DRGs on community service providers indicates that a heavier-care clientele is changing the nature of the community-based long-term care system. This article reports on the impact of DRGs on one provider type, adult day care centers, and the resulting shift toward post-acute care to meet the demands of this new heavier-care clientele. The 39 adult day care centers reported on are part of a larger sample of providers studied over three years in 12 communities within five states.
mesh_terms: D000359:Aftercare / Q000458:organization & administration*; D000368:Aged; D003151:Community Health Centers / Q000458:organization & administration*; D003625:Data Collection; D003631:Day Care, Medical / Q000639:trends*; D006801:Humans; D006278:Medicare; D015397:Program Evaluation; D014481:United States