Centre for Policy on Ageing
 

 

Who is being served?
 — Program eligibility and home- and community-based services use
Author(s)Evelinn A Borrayo, Jennifer R Salmon, Larry Polivka
Journal titleJournal of Applied Gerontology, vol 23, no 2, June 2004
Pagespp 120-140
Sourcehttp://www.sagepub.com
KeywordsCommunity care ; Domiciliary services ; Usage [services] ; Policy ; United States of America.
AnnotationFunctional and economic eligibility criteria for publicly funded programmes are causal factors in the use of home- and community-based services (HCBS) in the US. This study's overall hypothesis is that the main programme eligibility criteria would determine the particular characteristics of consumers in three Florida HCBS programmes: Aged and Disabled Adult Medicaid Waiver (ADW); Community Care for the Elderly; and Home Care for the Elderly (HCE). Data on 464 consumers aged 60+ receiving services from one of these programmes support the hypothesis, but with important exceptions: ADW is not serving a more functionally impaired population than the other programmes; and HCE is serving older people who are more cognitively impaired. Consumer-directed long-term care programmes such as HCE have the potential to better serve frail older people and their caregivers if more public funding is allocated and other policy modifications are made nationwide. (RH).
Accession NumberCPA-040909234 A
ClassmarkPA: N: QLD: QAD: 7T

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