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Consumer-directed personal care: comparing aged and non-aged adult recipient health-related outcomes among those with paid family versus non-relative providers.

Authors
Newcomer-R; Kang-T; Faucett-J
Source
Home Health Care Serv Q 2011 Oct; 30(4):178-197
NIOSHTIC No.
20040579
Abstract
Risk factors associated with the incidence of recipient injuries, bedsores and contractures, and health care use (i.e., emergency department and hospital use) among aged and non-aged adult personal care recipients are investigated. Data are from a statewide survey of aged and non-aged adult personal assistance service (PAS) recipients (n = 913) in California's In-Home Supportive Services (IHSS) program. This is a consumer-directed PAS program. Outcomes among recipients using relatives (other than spouses or parents) as paid providers are compared with those of recipients having non-relatives as providers. No differences were found by provider-recipient relationships. Non-aged recipients, those in poorer health, those with more than three activities of daily living (ADL) limitations, and those changing providers during the year were all at greater risk for adverse health outcomes. African American, Hispanic, and Asian recipients were at lower risk for injuries and hospital stays than were White recipients.
Keywords
Age-groups; Contraction-joints; Humans; Men; Women; Risk-factors; Injuries; Sociological-factors; Health-care; Medical-care; Medical-services; Emergency-treatment; Emergency-care; Author Keywords: consumer-directed; home and community-based services; personal care
Contact
Robert Newcomer, PhD, University of California-San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118
Publication Date
20111001
Document Type
Journal Article
Email Address
robert.newcomer@ucsf.edu
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-008759
Issue of Publication
4
ISSN
0162-1424
Source Name
Home Health Care Services Quarterly
State
CA
Performing Organization
University of California San Francisco
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