Program and policy issues affecting home and community-based long-term care use: findings from a qualitative study.

Abstract

This paper describes a qualitative study of factors affecting decisions about use of Medicaid-funded long-term care (LTC) services in Arkansas for the elderly (aged 65+), non-elderly adults with physical disabilities (aged 21-64), and adults with developmental disabilities (aged 18+). From focus groups with LTC service providers and key informant interviews with consumers and other decision-makers, three themes for improving LTC services emerged: (1) Leveling the playing field for home and community-based services (HCBS) and institutional services; (2) information dissemination and counseling; and (3) expanding services to meet unmet needs. Policy recommendations are made to improve access to HCBS.

• Authors: M Kate Stewart, Holly Felix, Nancy Dockter, Dana M Perry, Jinger R Morgan
• Journal: Home health care services quarterly (Home Health Care Serv Q) Vol. 25 Issue 3-4 Pg. 107-27 ( 2006) ISSN: 0162-1424 [Print] England
• PMID: 17062514 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Arkansas
• Disabled Persons
• Female
• Focus Groups
• Home Care Services (statistics & numerical data)
• Humans
• Interviews as Topic
• Long-Term Care
• Male
• Medicaid
• Middle Aged
• Nursing Homes (statistics & numerical data)
• Policy Making
• Qualitative Research