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Developing personal care programs: national trends and interstate variation, 1992-2002.

Martin Kitchener1, Terence Ng, Helen Carrillo

  • 1Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California St., Suite 455, San Francisco, CA 94118, USA. Martin.Kitchener@ucsf.edu

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|June 23, 2007
PubMed
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This study analyzes trends in personal care programs for the elderly and disabled, finding that older populations and liberal politics predict program growth. Factors like Medicare home health use negatively impact development.

Area of Science:

  • Health Services Research
  • Gerontology
  • Public Policy

Background:

  • Personal care services are crucial for the elderly and disabled.
  • Understanding program development is key to improving eldercare.
  • Medicaid PCS, 1915(c) waivers, and Older Americans Act Title III are major programs.

Purpose of the Study:

  • To analyze national trends in personal care program participation and expenditure.
  • To examine state-level variations in personal care program development.
  • To identify socioeconomic, political, and policy factors influencing personal care program growth.

Main Methods:

  • Trend analysis of national participant and expenditure data.
  • Time-series regression models to assess interstate variation.

Related Experiment Videos

  • Control for state-level socioeconomic, political, policy, and provider characteristics.

    • Main Results:

    • Positive predictors of personal care development include higher percentages of the population aged 85+, nonwhite populations, increased per capita income, and liberal state politics.
    • Negative predictors include higher rates of Medicare home health users and hospital beds.
    • Significant interstate variations in personal care program development were observed.

    Conclusions:

    • State demographics, economic status, political leaning, and healthcare utilization influence personal care program development.
    • Policy and political factors play a significant role in the expansion of services for the elderly and disabled.
    • Further research can inform targeted interventions to enhance personal care access.