Changing home care aides: Differences between family and non-family care in California Medicaid home and community-based services

Autor:	Denis Hulett, Andrew B. Bindman, Taewoon Kang, Joanne Spetz, Michelle J Ko, Robert Newcomer
Rok vydání:	2019
Předmět:	Male Medicare/medicaid Ethnic group Community Networks California Community and home care 80 and over health care economics and organizations media_common Aged 80 and over Community based 030504 nursing staff roles 030503 health policy & services Health Policy Home Care Aides filial Middle Aged work issues Caregivers Patient Satisfaction Public Health and Health Services Female 0305 other medical science policies/policy analysis medicine.medical_specialty policy analysis caregiving media_common.quotation_subject Nursing Medicare staff roles [Community and home care] 03 medical and health sciences policies Clinical Research staffing patterns medicine Humans Aged Quality of Health Care Community and Home Care Medicaid Medicare/Medicaid Public Health Environmental and Occupational Health Home Health Aides filial [caregiving] Payment United States Good Health and Well Being Family medicine Unemployment Business staff responsibilities Gerontology
Zdroj:	Home health care services quarterly, vol 39, iss 1
ISSN:	1545-0856 0162-1424
DOI:	10.1080/01621424.2019.1701601
Popis:	In California Medicaid home-and-community-based services (HCBS), recipients' family members receive payment as home care aides (HCAs). We analyzed data on first-time HCBS recipients to examine factors associated with the likelihood of switching HCAs within the first year of services. Those with family HCAs were less than half as likely to change than those with non-family HCAs and racial/ethnic minorities with non-family HCAs had the highest switching rates. Lower wages and local unemployment were associated with switching of non-family HCAs but not family HCAs. Policymakers can foster continuity of home care by paying family members for home care and raising worker wages.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fe93e5c1742d2f0993d200ccc530bd22 https://doi.org/10.1080/01621424.2019.1701601 Zobrazit plný text záznamu