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Centre for Policy on Ageing | |
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| A normative analysis of home care goals | | Author(s) | A E Benjamin |
| Journal title | Journal of Aging and Health, vol 11, no 3, August 1999 |
| Pages | pp 445-468 |
| Keywords | Domiciliary services ; Therapeutic services [domiciliary] ; Needs [elderly] ; Usage [services] ; Means testing ; Quality ; United States of America. |
| Annotation | Home- and community-based services (HCBS) can contribute to full social and economic participation in society by people with disabilities. Of 16 client-level and system-level HCBS goals, three are emphasised in this article: targeting the neediest, individual choice, and strengthening informal systems. Projections are made of how selected goals would play out under two different resource conditions. Efforts to expand and strengthen HCBS involve trade-offs, for example, increasing access and comprehensiveness undermines affordability, increased targeting to the neediest means less access for those below the need threshold, and expanding client choice raises fears about trade-offs with quality and effectiveness. Targeting and choice seem to represent central and compatible goals for the design of an HCBS system. The combination minimises trade-offs with affordability and enhances political feasibility. (AKM). |
| Accession Number | CPA-990826244 A |
| Classmark | N: N3: IK: QLD: JF4C: 59: 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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