Home care poverty is the inability of older people to access adequate home care services and their unmet needs for home care. With the increasing number of older adults (60 years old and above) with disability in China, the Chinese government pays more and more attention to home care. In this case, it is of great significance to explore whether…

Discusses critical factors complicating efforts to assure quality of in-home care for people with chronic disabilities: client and provider characteristics, fiscal restraints, inadequate regulation, lack of quality assurance methods, and lack of coherent social policy for long-term care. Identifies three areas of policy to be addressed if efforts…

Research has found that approximately 80 percent of the care received by elderly people living at home is provided by family members. Although assistance provided by informal supports can be important in sustaining the functionally disabled elderly at home, caregiving can have important negative effects on the informal providers. To examine the…

Describes the Elderly Support Project designed to teach families better home care of the mentally and physically impaired elderly. Findings supported the procedures as valuable for promoting continuing home care, better mental status, and improved behavior of elderly clients by offering families alternative positive responses. (Author/JAC)

Purpose: The authors examine differences in reports of residual disability and unmet need by type of long-term care arrangement (assistive technology or personal care).Design and Methods: This study compares three specific dimensions of residual difficulty (pain, fatigue, and time intensity) and reports of unmet need across care arrangements.…

Respite and in-home services have been identified by caregivers as vital for maintaining a frail older person in the community. A program called The Alzheimer Support/Tender Loving Caregivers Project was undertaken in northwest Indiana to strengthen the informal support network of disabled elderly in the community. An interfaith coalition of…

Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)

Presents three articles on housing policies for the elderly. Topics include the need for housing assistance and targeting aid to the disabled, the practicality of delivering support services to impaired elderly in current housing, and potential future directions of federal housing policy. (NRB)

Assessed effect of changes in minimum number of activities of daily living (ALD) and instrumental activities of daily living (IADL) limitations, types of help, and duration of disability required on size of population potentially eligible for home care benefits. Only 411,000 elders met restrictive disability criteria; over 4 million would qualify…

Presents estimates of paraprofessional home care revenue and size, the composition of the industry, and the workforce incentives inherent in different forms of reimbursement. Findings from the review are discussed, including indications that industry's reliance on public funding places special importance on payment policies that recognize critical…

Examines among- and within-group needs and in-home and community-based service utilization by Mexican American, Cuban American, and Puerto Rican elderly people. Needs for care were the strongest predictors of in-home service utilization, and enabling factors were the strongest predictors of community-based service utilization. (JPS)

An attempt was made to determine predictors of service need, use, and outcome among chronically impaired adults and aged who were living in the community and using the home-based, long term care services of the Chronic Illness Center (CIC) of the Cuyahoga County Hospitals (Ohio). Randomly selected consumer service records (N=200) were coded for…

The Community Care Organization-Milwaukee, sought to provide care at less cost and with higher resultant quality of life than nursing home care. Most frequently used services were transportation and nutrition. Much of the cost savings resulted from reduced hospitalization and nursing home utilization. (Author)

Home care has not consistently proven to prevent institutionalization, reduce mortality rates, reduce hospital use, or improve functional status and morale; and indeed, these objectives may be unreasonable. Rather, the purpose of home care should be to meet immediate needs of recipients which they can no longer meet themselves. Publicly-funded…