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Journal of Aging and Health, Vol. 1, No. 4, 521-539 (1989)
DOI: 10.1177/089826438900100407

The Emergence of Adult Day Care Centers as Post-A cute Care Agencies

Juanita B. Wood, PhD

Institute for Health & Aging, University of California, San Francisco

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.


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