Consumer-directed personal care: comparing aged and non-aged adult recipient health-related outcomes among those with paid family versus non-relative providers.
Newcomer-R; Kang-T; Faucett-J
Home Health Care Serv Q 2011 Oct; 30(4):178-197
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.
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
Robert Newcomer, PhD, University of California-San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118
Home Health Care Services Quarterly
University of California San Francisco