Are consumer-directed home care beneficiaries satisfied? Evidence from Washington state

The Gerontologist
Joshua M WienerGalina Khatutsky

Abstract

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. The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study, we developed an 8-item Satisfaction With Paid Personal Assistance Scale as the measure of satisfaction. In predicting satisfaction with personal assistance services, we estimated an ordinary least squares regression model that was right-censored 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 consumer-directed services were more satisfied than individuals 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 un...Continue Reading

References

Jan 1, 1982·Social Science & Medicine·S U Linder-Pelz
Apr 1, 1993·The Gerontologist·L Simon-Rusinowitz, B F Hofland
Jun 18, 1998·Archives of Physical Medicine and Rehabilitation·P W BeattyG DeJong
Jan 3, 1994·Medical Care Review·L Aharony, S Strasser
Dec 8, 1996·Home Health Care Services Quarterly·L L GlickmanF G Caro
Mar 16, 2000·Health Affairs·H A HuskampJ P Newhouse
Sep 14, 2000·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·S M GeronL Kasten
Sep 28, 2001·The Gerontologist·A E Benjamin, R E Matthias
Jan 14, 2004·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Stephen J Aragon, Sabina B Gesell
Jan 25, 2007·Health Services Research·Barbara Phillips, Barbara Schneider
Jan 25, 2007·Health Services Research·Jennifer SchoreBarbara Phillips
Jan 25, 2007·Health Services Research·Barbara Lepidus CarlsonRandall Brown

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Citations

May 10, 2011·BMC Health Services Research·Lee-Fay LowHenry Brodaty
Mar 24, 2016·Disability and Health Journal·Jamie G SwaineRobyn M Powell
Oct 22, 2011·Disability and Health Journal·Monika MitraDennis Heaphy
Feb 4, 2012·Journal of Gerontological Nursing·Susan EnguidanosPaula Jamison
Aug 20, 2009·Health & Social Care in the Community·Goetz OttmannMichelle Haddon
Mar 8, 2013·Health & Social Care in the Community·Goetz OttmannPeter Feldman
Jun 4, 2014·Health & Social Care in the Community·Goetz Ottmann, Mohammedreza Mohebbi
Nov 27, 2015·The Gerontologist·Raven H Weaver, Karen A Roberto
Nov 24, 2011·Home Health Care Services Quarterly·Kerry ByrneAnne Martin-Matthews
Sep 30, 2015·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Christy Nishita, Meredith Trockman
Jan 25, 2017·Health & Social Care in the Community·Michele AbendsternDavid Challis
Jul 7, 2017·Australasian Journal on Ageing·Tracee CashSiobhan O'Dwyer
Apr 8, 2018·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·T LehnertH H König
May 19, 2011·Home Health Care Services Quarterly·Joseph E GauglerPat Yahnke
Mar 6, 2018·Journal of Gerontological Social Work·Mark SciegajCasey DeLuca

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