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Costs of Skilled Nursing Facility vs Skilled Home Care

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Building off the Part 1 you completed , part II will focus on the methodology/design to answer how the research question posed in Part I will be accomplished. Address why your approach was chosen versus another while addressing the following:

1. Participants (population, sample method, and sample size) - Include the strategy for acquiring participation in your study as well as ethical measures to secure the participant and their identity.
2. Instruments - Describe the instrument, what will be measured, and how the scores will be calculated.
3. Procedures - how will your instrument be delivered, what threats are there to reliable data, and the role of the researcher/participant.
Keep in mind, no data will be collected during this phase, but merely describe the how and what are your findings are. To complete Part 2, follow APA guidelines. Essentially, you will do everything up to, but not including the data collection. You may discuss articles in a variety of sources, both academic and commercial; however, with at least three academic (peer-reviewed) sources and I need to be minimum of 3-4 pages.
Thanks,
Part 1 is also attached!

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Solution Summary

The study design focuses on suitability for data extraction and the collection method. It explains why the chosen design is suitable for cost comparison and how the data collection will be conducted.

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Today, the cost of providing long term care for the aging population at home, as opposed to
a licensed facility, is being investigated by government agencies, researchers, and health professionals
alike. The research question of interest is "are annual home healthcare benefits for the elderly more
cost effective than benefits of long term institutional care?" Medicare, Medicaid, and many other
insurers are covering more of the cost of home care services, in an effort to control health care costs.
Hospitals are beginning to provide follow up home care services after discharge, in an effort to prevent
remission.

To answer the question about costs of home care services for the elderly, versus costs for care
in long term care facilities is no easy task. Data must be collected from varied groups of professionals,
third party payers, practitioners, and community organizations. To compare costs, similar forms of care
must be investigated. Costs for assisted living are not considered, as the aim of the research is to
compare costs for extended care services and determine the feasibility of skilled nursing care provided
in the home.
To research costs in every region of the country, primary sampling units will first be established.
At least two PSUs will be selected from each state and the number will be adjusted according to each
state's population. Probability sampling of the sampling of PSUs then leads to identification of ultimate
sampling units, or USUs, in many surveys. These are the individuals in each PSU receiving long term care
either at home or in a skilled nursing facility, excluding rehabilitation services (Murphy, 2008). A
comparison of the costs of rehabilitation in both settings can be researched in a separate study. The
stratified, multi-stage sampling process is more cost effective than obtaining data from USUs. ...

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  • MEd, Jones International University
  • BSc, DeVry University
  • MPH, Walden University
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