The first area focuses on policy issues related to the financing and delivery of medical care to the elderly. This application describes the first of several studies planned in this area, an analysis of health maintenance organization (HMO) performance for elderly patients. This study will compare HMO and free-for-service utilization of health services for the very ill, by comparing utilization during the last year of life. The second area of research will compare and validate methods for assessing functional status among geriatric outpatients. In the first phase of this research agenda, existing instruments will be compared and their validity will be tested among outpatients over the age of 75. Later during the five year period, the value of providing physicians functional information will be examined in a randomized trial.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08AG000342-05
Application #
3078527
Study Section
Special Emphasis Panel (GER)
Project Start
1987-07-01
Project End
1992-06-30
Budget Start
1991-07-01
Budget End
1992-06-30
Support Year
5
Fiscal Year
1991
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
Schools of Medicine
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Fox, S A; Siu, A L; Stein, J A (1994) The importance of physician communication on breast cancer screening of older women. Arch Intern Med 154:2058-68