Centre for Policy on Ageing



Distribution and utilization of home- and community-based long-term care services for the elderly in North Carolina
Author(s)	R Turner Goins, Gerry Hobbs
Journal title	Journal of Aging & Social Policy, vol 12, no 3, 2001
Pages	pp 23-42
Source	http://www.tandfonline.com
Keywords	Domiciliary services ; Community care ; Long term ; Usage [services] ; Arrangement ; United States of America.
Annotation	Provision of home- and community-based long-term care is a growing concern at national, state and local levels in the US. In this analysis of the situation in North Carolina's 100 counties, maps were generated to examine how each county differed in respect to service use by older people. There was great variability in the numbers using services across the state, as well as the percentage of Medicaid- and/or age-eligible people using services. Multivariate modelling for associations with service use was only possible for one of the long-term care programmes. Results indicate that living alone, being non-white, and having a mobility and self-care limitation were all positively related to service use. The percentage of over 85s and the ratio of institutionalised long-term care beds were negatively associated with service use. The state needs to ensure equity in access to home- and community-based long-term care. (RH).
Accession Number	CPA-010926202 A
Classmark	N: PA: 4Q: QLD: 5D: 7T
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.