Based on datafrom the 1977 National Nursing Home Survey, this studyfocuses on
factors that may be useful in explaining differences in the level of care received by
institutionalized elderly people. The final model, in which we employed a logit
approach to log-linear modeling, includes the direct effects of marital status, source
ofpayment, age, sex, and number of chronic illnesses, as well as an interaction term
that includes marital status and age. Should we expect a better match between the
needs of the institutionalized elderly and services offered by institutional environments ? Given the current political economy of old age institutions, it may be too
much to expect this segment of the health care system to be organized "rationally. "
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