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Centre for Policy on Ageing | |
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How do they manage?
— disabled elderly persons in the community who are not receiving Medicaid long-term care services | | Author(s) | Janet O'Keeffe, Sharon K Long, Korbin Liu |
| Journal title | Home Health Care Services Quarterly, vol 20, no 4, 2001 |
| Pages | pp 73-90 |
| Source | http://www.tandfonline.com |
| Keywords | Physical disabilities ; Living in the community ; Community care ; Domiciliary services ; Health services ; Long term ; Usage [services] ; United States of America. |
| Annotation | 25 functionally impaired older Americans living in the community were interviewed, who applied for but did not enrol in Connecticut's Home Care Program for Elders (CHCPE). Many of those in the sample had high levels of impairment and multiple chronic health conditions, yet remained in the community without CHCPE services because of Medicare home health services combined with extensive levels of informal care. However, these informal care networks were over-extended and vulnerable to breakdown. All but a few of those interviewed were not receiving services through the waiver programme for financial reasons. It was concluded that additional formal help is needed to avoid eventual nursing home placement for many sample members. This could be achieved by expanding the availability of case management services and relaxing programme financial requirements. Furthermore, efforts to reduce Medicare home health expenditures must recognise the heightened vulnerability of many beneficiaries for potentially costly adverse outcomes. (KJ/RH). |
| Accession Number | CPA-020902204 A |
| Classmark | BN: K4: PA: N: L: 4Q: QLD: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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