Centre for Policy on Ageing



A limited entitlement for community care — how members use services
Author(s)	Walter N Leutz, John Capitman, Carla A Green
Journal title	Journal of Aging & Social Policy, vol 12, no 3, 2001
Pages	pp 43-64
Source	http://www.tandfonline.com
Keywords	Community care ; Long term ; Usage [services] ; United States of America.
Annotation	The aim of this paper is to show how members of three social health maintenance organizations (HMOs) in the US use a limited entitlement for community-based long-term care to meet their needs and solve their problems. The paper is based on in-home interviews with 48 Medicare beneficiaries aged 65+ who joined social HMOs and are eligible for the entitlement. Members' experiences with case management (called service co-ordination), benefits for covered services, and cost-sharing requirements are explored. Members (and their informal caregivers) are found to have complex lives, into which community care fits (or does not fit) in varied ways, depending on preferences, experiences with providers, informal care, financial resources, and other factors. The paper provides insights into what kinds of problems people want to solve and how community care systems can be better designed to empower service users to solve them. (RH).
Accession Number	CPA-010926203 A
Classmark	PA: 4Q: QLD: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.