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The function of a usual source of care has been extensively discussed in the health services, public health, and medical literature. Age, gender, race, ethnicity, income, education, insurance status, and health status were found to be common correlates of having a regular source of care (Hayward et al. 1991; Hayward et al. 1988; Merzel 2000; Newacheck, Pearl et al. 1998; Newacheck, Stoddard et al. 1998; Rask et al. 1994; Schur, Albers, and Berk 1995; Shi 1999; Weinick and Drilea 1998; Zuvekas and Weinick 1999). Having a usual source of care was demonstrated to be positively correlated with an individual''s general access to the health care system (Weissman et al. 1991), improvement of patients'' satisfaction with medical care (Hurley, Gage, and Freund 1991), a decrease in the use of the emergency department (Newschaffer et al. 1999), a reduction in the likelihood of hospital admission (Weiss and Blustein 1996), and promotion of proper use of medication (Smith and Kirking 1999).

US consumers now have another tool for selecting a nursing home. In November 2002, the US government made information on the quality of care at the country''s 17,000 nursing homes available to consumers. The information covers 10 quality indicators that include the percentages of residents with bed sores, with pain, with delirium, in physical restraints, and with infections. Improvement or deterioration in residents'' condition is reflected by the percentage of residents who lost the ability to perform basic daily tasks and the percentage of short-stay residents who walked as well or better when they left the facility. The nursing home comparison data is available at www.medicare.gov/NHCompare/home.asp or by calling 1-800-MEDICARE. Medicare also has information about complaint investigations and deficiencies found during annual inspections of facilities.

CareScout.com enables the caregiver to evaluate options with ease during an often difficult and emotionally overwhelming time. The site guides the caregiver through an interactive process to assess a loved one''s needs and narrows the search for the most appropriate facilities based on needs, location and preferences.

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