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Centre for Policy on Ageing | |
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The relative effects of home care client characteristics on the resource allocation process
— do personality and demeanor matter? | | Author(s) | Kirsten Corazzini-Gomez |
| Journal title | The Gerontologist, vol 42, no 6, December 2002 |
| Pages | pp 740-750 |
| Keywords | Domiciliary services ; Consumer ; Needs [elderly] ; Grant allocation ; United States of America. |
| Annotation | 355 case managers in Massachusetts' state-funded home care programme for older people selected care plan eligibility levels for 2,054 vignette clients generated in accordance with a previously devised factorial vignette survey methodology. Robust regression models estimated the effects of standardised and non-standardised client characteristics on care plan eligibility level. Client characteristics of physical functioning, psychological functioning and resources best predicted care plan generosity, in accordance with home care programme policy to match services with standardised cues of client need. Non-standardised client characteristics, however, also significantly predicted care plan generosity. Clients who denied needing home care services were allocated less generous care plans than those who were passive and appreciative service recipients. This finding persisted when controlling for client disability level and cognitive status. Overall, the findings suggest that, although case managers recognise the importance of integrating client care preferences into care planning, additional training is needed to support complex considerations of client autonomy. (RH). |
| Accession Number | CPA-030305201 A |
| Classmark | N: WY: IK: QCG: 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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