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Need for PASA woman and a man in a wheelchair, in a kitchen


About this project

The Center will analyze and describe trends and the needs of the population of PAS consumers, including those who are employed or seeking employment. The aging of the U.S. population is expected to bring about large increases in the demand for PAS over the coming decades. Particular attention has been paid to trends among the elderly with observed declines in disability among this group. Additionally, unmet need for PAS is of particular importance as those who do not get the help then need are at risk of costly institutionalization and are far more likely than those getting adequate help to suffer adverse consequences.

To help provide a better understanding of the trends and needs of PAS consumers, the Center will conduct the follow data analysis:

  • Analyze trends in the need and unmet needs for PAS in the U.S. Study conducted by Stephen Kaye and Taewoon Kang.

  • Describe and analyze the demographics of the PAS population at the national and state levels. Study conducted by Stephen Kaye and Taewoon Kang.

  • Calculate the national and state projections of the need for PAS. Study conducted by Stephen Kaye and Taewoon Kang.

  • Investigate the rate of ADL/IADL difficulty for working age and older age groups across communities and its relationship with economic conditions. Study conducted by Mitch LaPlante.

  • Examine the variations in institutionalization rates across states as an indicator of unmet need for PAS. Study conducted by Mitch LaPlante.

Map of the United States  Disability Statistics


The Center for Personal Assistance Services has compiled state and national data on the prevalence of overall disability and of self-care difficulty, by gender, age, race and ethnicity, type of disability, family income, benefit recipiency, employment status, and living arrangement. These statistics are based on our tabulations of public use data from the Census Bureau's American Community Survey (ACS) for 2005, containing information on over 1 million residents of randomly selected U.S. households. Because it is a household survey, people living in institutions such as nursing homes are not included.

PAS Center Reports and Publications

A list of publications produced by the Need for PAS project. The citations provide links to abstracts, press releases, and either the entire publication, or information about where to obtain it.

All PAS Center reports and publications related to Need for PAS

Recent additions

LaPlante, M.P. (2010). The classic measure of disability in activities of daily living is biased by age but an expanded IADL/ADL measure is not. Journal of Gerontology: Social Sciences, 10.1093/geronb/gbp129
View Abstract and Obtain Full Version

Ng, T., Harrington, C., Kitchener, M. (2010). Medicare and Medicaid in long-term care. Health Affairs, 29 1, 22-28.
View Abstract and Obtain Full Version

Kaye, H.S., Harrington, C. & LaPlante, M.P. (2010). Long-term care: Who gets it, who provides it, who pays, and how much? Health Affairs, 29, 1, 11-21.
View Abstract and Obtain Full Version

Library

Citations and abstracts of important publications related to Need for PAS. Information on how to obtain the complete text is provided with each citation.

All Need for PAS publications

Recent additions:

Center for Medicare Advocacy, Inc. (March 2010). CMS Sanctions Missouri Medicaid for Overly Restrictive Home Health Standards. CMA Weekly Alert, March 11, 2010. Washington, DC: Center for Medicare Advocacy, Inc. Retrieved on March 11, 2010 from:
http://www.medicareadvocacy.org/InfoByTopic/MedicaidAndRelatedTopics/MedicaidandRT_10_03.11.MedicaidAndHomeHealth.htm
View Abstract and Obtain Full Version

Wallace SP, Padilla-Frausto DI, Mendez-Luck CA, Benjamin AE, Durazo E, Pourat N. (February 2010). Budget Proposals Turn Back Clock 30 Years in Long-Term Care Services for California Seniors. Los Angeles, CA: UCLA Center for Health Policy Research.
View Abstract and Obtain Full Version

Denny-Brown, N. & Lipson, D.J. (November 2009). Early Implementation Experiences of State MFP Programs. Washington, DC: Mathematica Policy Research, Inc.
View Abstract and Obtain Full Version