Centre for Policy on Ageing
 

 

Who recommends long-term care matters
Author(s)Robert L Kane, Boris Bershadsky, Julie Bershadsky
Journal titleThe Gerontologist, vol 46, no 4, August 2006
Pagespp 474-482
Sourcehttp://www.geron.org
KeywordsServices ; Health services ; Long term ; Consumer choice ; Attitude ; Social workers ; Medical workers ; Social surveys ; United States of America.
AnnotationMaking good consumer decisions requires having good information. This US study compared long-term care recommendations made by various types of health professionals. 211 professionals from varying disciplines and work locations were given randomly varied scenarios and asked to recommend the appropriate forms of long-term care. Although respondents used the full spectrum of options offered to them, some tended to favour the sector they worked in. Advanced practice nurses recommended day care and homemaking more and adult foster care less. Gerontologists used skilled nursing facility placement more actively, and rehabilitation, homemaking and home health care less actively. Geriatricians and primary care physicians both favoured rehabilitation and skilled nursing facility care; both groups were less enthusiastic about assisted living, homemaking and informal care, but the geriatricians favoured day care more than did the physicians. Registered nurses were highly supportive of assisted living, adult foster care, homemaking, and home health care, but opposed skilled nursing facility care. Social workers were less likely than other participants to endorse rehabilitation and adult foster care. In relying on an expert judgement, clients should be aware that the expert's background, experiences and beliefs may influence recommendations made. (RH).
Accession NumberCPA-070926208 A
ClassmarkI: L: 4Q: WYC: DP: QR: QT: 3F: 7T

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