Data Collection. Medicaid case managers assessed children to determine their need for PCS, using information provided by the child or informal caregivers. Two thousand seven hundred assessments were provided to researchers directly from case managers. Principal Findings. Medical conditions and impairments explained 58 percent of the variance in the child's activity limitations. Activity limitations and problem behaviors explained 28 percent of the variance in PCS hours authorized. Which case manager completed the assessment also played a substantial role in determining hours of care. Conclusions. Caregivers' reports of the severity of a child's activity limitations effectively summarize the effects of conditions and impairments on the child's ADL performance and have a significant impact on the level of services provided. Assessors often respond differently to children's characteristics and circumstances as they move from assessment to decisions concerning care provision. Our results imply that the provision of appropriate services may be enhanced when both case managers and caregivers play an active role in decisions concerning care provision.
A B S T R A C TThere are numerous advantages to institutionalized party systems; yet the instability in post-communist party systems has been well documented. Thus, it is increasingly important to understand how parties become institutionalized. Scholars have examined various dynamics of campaign finance's effect on politics; however, despite this increased attention, several important theoretical and empirical questions remain. In this article, we investigate campaign finance, institutional, and economic explanations for post-communist party development. We test the impact of campaign finance restrictions and public fund availability on several measures of party institutionalization. The results of our analysis are important for outlining the role of public financing and restrictions on structuring party development.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.