This prospective study will analyze costs and predictors of health care services utilized by participants in New Jersey's Home and Community- Based Waiver program for persons with AIDS and ARC. The patient cohort to be studied provides a unique opportunity for health services research since subjects can be readily identified, sampled, and interviewed; full actual payment data are available on all health services utilized; a high proportion of ethnic minorities, IV drug users, women, and pediatric cases is included; subjects can be followed and reinterviewed through program case managers. The study will help determine the cost, feasibility and replicability of providing case management and extensive access to community-based services through Medicaid waiver. Cost of health care services utilized, both community-based and institutional, will be determined and followed over time; impact of providing in-home care services on informal social supports will be evaluated; and differences among subgroups (by gender, race, and risk group) in social supports and services utilization will be assessed. A comparison program utilizers with PWA not using the program will be made utilizing a separate sample being interviewed in current research.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Project (R01)
Project #
5R01HS006339-02
Application #
3371946
Study Section
Health Systems Research (HSR)
Project Start
1989-09-30
Project End
1992-09-29
Budget Start
1990-09-30
Budget End
1991-09-29
Support Year
2
Fiscal Year
1990
Total Cost
Indirect Cost
Name
Rutgers University
Department
Type
Organized Research Units
DUNS #
038633251
City
New Brunswick
State
NJ
Country
United States
Zip Code
08901
Crystal, S; Lo Sasso, A T; Sambamoorthi, U (1999) Incidence and duration of hospitalizations among persons with AIDS: an event history approach. Health Serv Res 33:1611-38
Walkup, J; Crystal, S; Sambamoorthi, U (1999) Schizophrenia and major affective disorder among Medicaid recipients with HIV/AIDS in New Jersey. Am J Public Health 89:1101-3