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The elderly population with chronic functional disability: implications for home care eligibility
1AHCRP, Rockville, MD 20857.
The Gerontologist
|August 1, 1990
Summary
Defining eligibility for home care benefits significantly impacts elder access. Restrictive criteria limit access to 411,000 elders, while expansive criteria could cover over 4 million, affecting benefit qualification and exclusion.
Area of Science:
- Gerontology
- Public Health Policy
- Disability Studies
Background:
- Home care benefits are crucial for aging populations.
- Eligibility criteria for home care vary significantly.
- Understanding the impact of these criteria is essential for policy development.
Purpose of the Study:
- To analyze how varying disability criteria affect eligibility for home care benefits.
- To assess the influence of activities of daily living (ADL) and instrumental activities of daily living (IADL) limitations on potential beneficiary numbers.
- To examine the role of help type and disability duration in determining eligibility.
Main Methods:
- Comparative analysis of different disability criteria thresholds.
- Modeling the potential eligible population size based on ADL/IADL limitations.
- Simulation of eligibility under varied help and duration requirements.
Main Results:
- Very restrictive disability criteria result in only 411,000 eligible elders.
- Expansive criteria could make over 4 million elders eligible for home care.
- The choice of criteria significantly alters the composition of the eligible population.
Conclusions:
- Disability criteria critically determine the scope of home care benefit eligibility.
- Policy decisions on eligibility criteria have substantial implications for elder support and resource allocation.
- Careful consideration of criteria is needed to ensure equitable access to home care services.