Evaluation of the south carolina comr/cunity long-term care medicaid waiver for the elderly and disabled

Medicaid waivers play an important role in the health policy process. Various health care policy initiatives have encouraged states to experiment ith their Medicaid programs by expanding coverage to populations not traditionally covered by Medicaid, or by delivering Medicaid services in non traditional ways. Lessons learned by individual states' Medicaid waivers could be an important part of the health care reform debate. This paper presents an evaluation of a Medicaid waiver operating in South I Carolina. The South Carolina Community Long-term Care Waiver for the Elderly and Disabled is evaluated for cost effectiveness, quality of care, and client satisfaction. This evaluation shows that the waiver is highly effective in offering individuals who are medically and financially eligible for Medicaid supported nursing home care a viable, cost effective, high quality alternate to institutionalization.     

Can bilateral programmes become learning organisations? Experiences from institutionalising participation in Keiyo Marakwet in Kenya

The concept of learning organisations is gaining prominence in the non-profit sector. Most organisations see the concept as a means of attaining organisational change for greater impact on development. While the principles of organisational learning (i.e. team learning, shared vision, common goal, and strategy) seem to have produced impressive results in the private sector and some non-profit organisations, the question is whether these principles can be adopted with similar results in complex bilateral programmes. This article explores this question in relation to a programme between the Dutch and Kenyan governments in Keiyo Marakwet, Kenya. It analyses the process of institutionalising participation as both a learning and a conflict-generating process. In the highly politicised context of bilateral programmes, learning is not necessarily carried forward from one phase to the next due to rapid changes in actors, national politics, diplomatic considerations, and the international development agenda.     

The problems and pitfalls of quantitative methods in urban analysis

The utilization of quantitative methods in urban analysis is a complicated endeavor faced with many serious problems. The purpose of this paper is to inventory and explain the problems and pitfalls in their utilization. Three types of problems are catalogued: conceptual/technical, administrative and societal. Within the first two categories, the problems are further dimensioned as either analytical or decisional in nature.The place of quantitative methods in urban analysis is discussed first. Problems and pitfalls are then defined, catalogued and ordered sequentially as they confront the urban analyst and policy-maker. An assessment of quantitative methods in urban policy-making is presented and the organizational factors necessary for implementing successful quantitative urban analysis programs indicated.Throughout a general perspective is maintained and specific examples are employed to punctuate general propositions.A modified version of this was presented at the 41st Annual Meeting of The Operation Research Society of America, New Orleans, Louisiana, April 1972.