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Are consumer-directed home care beneficiaries satisfied?
 — evidence from Washington State
Author(s)Joshua M Wiener, Wayne L Anderson, Galina Khatutsky
Journal titleThe Gerontologist, vol 47, no 6, December 2007
Pagespp 763-774
Sourcehttp://www.geron.org
KeywordsHome care services ; Quality ; Attitude ; Consumer ; Satisfactory ; Social surveys ; United States of America.
AnnotationThe study analysed a survey of 513 Medicaid beneficiaries receiving home- and community-based services in Washington State. As part of a larger study, the authors developed an 8-item Satisfaction With Paid Personal Assistance Scale as the measure of satisfaction. In predicting satisfaction with personal assistance services, they estimated an ordinary least squares regression model that was right-cornered to account for the large percentage of respondents who were highly satisfied with their care. Among the older population, but not younger people with disabilities, beneficiaries receiving services were more satisfied than those receiving agency-directed care. There was no evidence that quality of care was less with consumer-directed services. In addition, overall satisfaction levels with paid home care were very high. This study supports the premise that consumer satisfaction, an important measure of quality, in consumer-directed home care is not inferior to that in agency-directed care. The positive effect of consumer direction for older people underlines the fact that this service option is relevant for this population. The research also provides evidence that home- and community-based services are of high quality, at least on one dimension. (RH).
Accession NumberCPA-080326207 A
ClassmarkNH: 59: DP: WY: 5HH: 3F: 7T

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