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Focus group study of ethnically diverse low-income uses of paid personal assistance services
Author(s)Joseph T Mullan, Brian R Grossman, Mauro Hernandez
Journal titleHome Health Care Services Quarterly, vol 28, no 1, 2009
Pagespp 24-44
Sourcehttp://www.tandfonline.com
KeywordsEthnic groups ; Poor elderly ; Consumer ; Home care services ; Domestic assistance ; Usage [services] ; Qualitative Studies ; United States of America.
AnnotationThis study examined the experiences of ethnically diverse, low-income consumers of paid personal assistance services (PAS) to understand the successes and problems they faced setting up and maintaining their assistance. A thematic analysis was conducted with transcripts from eight focus groups of 67 ethnically homogeneous consumers: African American, Latino, Chinese, Native American, and non-Hispanic white. These experienced consumers were generally satisfied with their current PAS but noted significant difficulties: getting access to appropriate care; obtaining enough paid care to avoid unmet need; and dealing with confusing bureaucracies and cultural differences between them and agency staff or attendants. They desired more control over their care, including the use of paid family attendants when possible. Respondents recommended improved screening and training of attendants, more attendant time, higher wages for attendants, improved cultural sensitivity of attendants and agency staff, and greater consumer control over PAS. Although these low-income PAS consumers are ethnically and geographically diverse, the similarity of findings points to their ongoing struggle to access adequate high quality assistance. The burden they have in obtaining and maintaining services is substantial. (KJ/RH).
Accession NumberCPA-100906201 A
ClassmarkTK: F:W6: WY: NH: NG6: QLD: 3DP: 7T

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