Related Experiment Video
Updated: Jul 21, 2026

14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
The Medicaid personal care services program: implications for social work practice
1School of Social Work, University of Maryland, Baltimore 21201.
Health & Social Work
|May 1, 1991
Summary
Medicaid personal care programs face significant challenges, including low wages and slow payments, hindering worker recruitment and retention. Inequities in access, training, and state-level support also plague these essential services.
Area of Science:
- Health Services Research
- Public Health Policy
- Social Work Administration
Background:
- Medicaid personal care programs are crucial for supporting individuals needing assistance.
- Understanding program challenges is vital for improving service delivery and recipient outcomes.
Purpose of the Study:
- To identify and analyze the key problems within Medicaid personal care programs.
- To assess the extent of these issues across multiple states.
Main Methods:
- A survey was conducted in 1987.
- Data was collected from 15 states and the District of Columbia.
Main Results:
- Low wages and delayed payments impede the recruitment and retention of qualified care workers.
- Significant issues include poor inter-agency coordination, inadequate training and supervision standards, unequal program access, and state-level disparities.
Conclusions:
- The findings highlight critical systemic weaknesses in Medicaid personal care programs.
- Addressing these problems is essential for ensuring equitable and effective care delivery and requires consideration for social work practice.
Related Concept Videos
Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
Standards of Care I
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including: