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At least 19 recordsLinked to original sources

Should the government pay? Caregiver views of government responsibility and feelings of stigma about financial support.

Financial support strategies to assist informal caregivers of the elderly have been implemented and/or experimented with in several states. Little is known about how receptive caregiving families are to receiving financial support from the government to assist with in-home care, particularly whether they feel stigmatized. Few existing programs have assessed caregivers' views. In examining caregivers' reactions to receiving means-tested financial assistance, it is important to assess whether they consider support of the disabled a government responsibility as well as a possible stigma. Caregivers (N = 155) of disabled veterans aged 65 and older who receive Veterans' Administration disability allowances (Aid and Attendance) were surveyed. Results indicate that caregivers feel the government is primarily responsible for supporting the long-term disabled who are cared for at home. For the most part, these caregivers did not feel stigmatized or uncomfortable receiving means-tested government assistance to support in-home care. An important implication of this study is that financial support can be a workable component of an integrated service delivery system to support informal caregiving.

Aged↗

Toward an equitable, universal caregiver policy: the potential of financial supports for family caregivers.

This article describes the fragmented array of financial supports for family caregivers currently provided by the federal government, the states, and private employers-provisions that range from direct payments to tax allowances, dependent-care tax credits, and unpaid leave. It highlights the uneven pattern of supports available to family caregivers of the elderly, the younger physically disabled, and children and adults with mental retardation and developmental disabilities that results from the welfare bias still shaping many current provisions. The article then critiques current policy and examines the potential for more explicit family caregiver financial support policy through pending initiatives of the Clinton Administration.

Adolescent↗

Financial support for research in radiology: a survey of original investigations published in the AJR and Radiology.

OBJECTIVE: This study was done to determine how often the original research published in AJR and Radiology is formally funded by external sources of explicit intramural institutional research grants and to explore the association of financial support with the subspecialty field; type of research (clinical vs basic); number of coauthors; number of departments, nonradiology departments, and institutions participating per paper; country of origin; and citation impact of investigations. MATERIALS AND METHODS: All 736 original articles published in AJR and Radiology in 1990 were surveyed. The following information was abstracted: the presence or absence of specific funding, as determined from the footnote acknowledgments given by the authors (for the 560 papers from the United States, financial support was further classified according to the funding agency listed first); the subspecialty field of research, as determined from the indexing of the paper in the table of contents; the type of research (clinical, basic, combined clinical and basic); the number of coauthors; the number of departments, nonradiology departments, and institutions participating; the first author's department (radiology, medicine, surgery, medical physics); the first author's institution (university-affiliated medical institution, medical institution not affiliated with a university, National Institutes of Health center); and the country of the first author's institution. Research impact was assessed by using citation counts. RESULTS: Only 17% of the surveyed studies were formally funded. The 95 funded studies from the United States were federally sponsored (63%), funded by private industry (11%), supported by nonprofit foundations (16%), or funded from explicit intramural institutional monies (11%). Funding was significantly related to the subspecialty field (p = .00007), the type of research (p < .000001), and the category of the first author's department (p < .000001). When papers on contrast media research were excluded from the analysis, the association of funding to the field of research became statistically insignificant (p = .21). Financial support was not significantly related to the category of the first author's institution (p = .71) or to whether the research was done in the United States (p = .71). A statistically significant positive association was found between funding and the number of coauthors (p = .013), the number of departments (p = .049), nonradiology departments (p = .004), and institutions participating per paper (p = .018). Funded papers were cited more extensively than nonfunded papers (p = .015). CONCLUSION: Only a small percentage of radiology research attracts formal, especially extramural, financial support. This should be a cause for concern. As the informal funding of investigations from redirected clinical revenues is diminishing, action will be required to procure funds to support the radiology research necessary for the vitality of the specialty.

Bibliographies as Topic↗

[Public financial support of research on diabetes in France].

The financial support of any kind of research reveals the interest of a country in a disease. Does the diabetes represent a priority in France? The answer is difficult because the lack of analytical approach of the resources devoted to medical research. For example, many basic works (physiology of metabolism, lipids, different hormones etc.) are not officially referred to diabetes. Moreover when diabetes is a key word of an unit it general only a part of this unit is concerned. The results were provided mainly by CNRS and INSERM and they must be compared to the financial weight of this disease for the collectivity. This evaluation remains imprecise.

Costs and Cost Analysis↗

Dependence on public financial support early in the course of schizophrenia.

Although most patients with schizophrenia rely on public financial support, little is known about how soon after the onset of illness such dependence occurs. Forty-eight patients with schizophrenia were followed for a mean of five years after their first hospitalization to examine their reliance on public support. At one year after their first hospitalization, 27 subjects (56 percent) were primarily supported by social service agencies. Once such support was initiated, it was maintained throughout the entire follow-up period for all patients except two. The findings indicate that dependence on public financial assistance begins very early in the course of illness for most hospitalized patients with schizophrenia.

Adult↗

Financial support for research in general practice.

I have tried to identify all the main sources of financial support for general-practice research and to classify the work and the sources of support.The Department of Health is the biggest single source and the total sums involved exceed pound1 million.About a quarter of the money is spent by academic departments of general practice, about a quarter by research units directed by practising general practitioners, and the remaining half is spent by other academic departments such as social research, medical sociology, or community health.

Family Practice↗

[Economic status of the elderly and claims for financial support].

The health-related and social needs of aged people and their fulfillment are studied. Only a very weak relation is found between the financial situation and the claims for possible financial resources. On the other side education is found to have a key position for the drawing of supplementing pensions. The problems resulting for the assignment of financial support to aged people are discussed.

Aged↗

Financial support for poison control centers: a unique partnership with a chain drug store corporation.

The Oregon Poison Center has developed a unique partnership with a chain drug store corporation which sponsors the Center's poison prevention, public awareness, and professional education programs. Termed the Poison Prevention and Public Awareness Program, this affiliation offers significant financial support to the Oregon Poison Center on a continuing basis. It establishes an integral role for the drug stores in poison control activities. In addition, the program provides a mechanism for customer capture and reaps significant public and professional relation benefits for the corporation. This presentation describes the materialization of the affiliation, including the development of the program proposal, its presentation to potential participants, and the selection of a chain drug store corporation.

Financing, Organized↗

Medical school financial support, faculty composition, and selection of family practice by medical students.

OBJECTIVE: This study examines the relationship between the choice of family practice by medical students in the 1986-1987 academic year and nine variables: ownership of school, weeks of required family medicine clinical training, age of school, and six variables related to medical school financial support and faculty composition. METHODS: In multivariate analysis, three variables were found to be significantly related to choice of family practice (R2 = .441): weeks of required family medicine clinical training, proportion of faculty in family practice, and ownership of the school. A cluster analysis was performed using nine variables. RESULTS: Along with the multivariate analysis, the resulting nine clusters demonstrate that additional variables need to be identified to explain the variance in percentage of students choosing family practice at different schools.

Career Choice↗