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The association of age and gender with self-perceived health has varied in previous studies. Some have reported that old people perceive their health in positive terms [8, 14, 16, 18] and tend to over-estimate their health compared with objective health measurements [15, 19, 20]. Other data support the view that elderly people are more pessimistic in their perceptions of their own health than younger people [21], even after controlling for objective health conditions [22]. Elderly men tend to report poorer health than elderly women for similar objective health conditions [15, 17, 18]. Poor education and low socio-economical status are associated with poor self-rated health [14, 20, 23]. The number of symptoms and medical conditions, depression, heart disease, stroke, decreased functional capacity and sensory problems all correlate positively with low self-rated health [1, 14-21].

The control function model takes the form of a two-stage estimation. The first stage, the selection, predicts the probabilities of having no usual source of care, having a regular doctor, and having a regular site, respectively, given predisposing, enabling, and need factors. The second-stage estimation incorporates the transformations of the predicted probabilities from the first stage. Let [I.sub.0], [I.sub.d], and [I.sub.s], be binary dummy variables indicating having no usual source of care, having a regular doctor, and having a regular site. Without the control for selection, the prediction of service use can be written as

This Note discusses the causes of recent growth in nursing home litigation and its effects on nursing home residents, providers and government. Specific attention is devoted to Florida for demographic and legislative reasons. Complementing its large elderly population, Florida has one of the broadest private rights of action for nursing home residents. Consequently, other states use Florida''s statute as a model.(11) Part II of this Note examines the national nursing home environment, reflecting on the status of the industry and relevant legislation. Part III explores current federal nursing home legislation and discusses recent reform efforts. Part IV examines Florida''s nursing home industry and raises concern about particular state legislation widening nursing home liability. Through its residents'' rights statute, Florida has witnessed a tremendous growth in nursing home litigation and corresponding jury verdicts. Part V describes the actual and potential effects of Florida''s rapid growth in nursing home litigation on providers and residents. Part VI discusses the state''s reform efforts and powerful political lobbies'' countermeasures. Finally, Part VII suggests possible state regulation reforms to preserve the industry before excessive private litigation reaches devastating levels.

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