The relationship between home and community-based services utilization and self-reported quality of life for community-dwelling and assisted living residents with and without dementia
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View abstract on PubMed
Summary
This summary is machine-generated.Personal care assistant services improve home and community-based services (HCBS) quality for community-dwelling individuals. Dementia patients reported lower quality, highlighting the need for tailored HCBS support.
Area Of Science
- Gerontology
- Health Services Research
- Public Health
Background
- Home and community-based services (HCBS) aim to support aging in place.
- The link between specific HCBS types and perceived quality is not well understood.
Purpose Of The Study
- To examine the association between specific HCBS utilization and person-reported HCBS quality.
- To investigate how dementia diagnosis influences this relationship.
Main Methods
- Linked survey data (N=1413) on HCBS quality with Medicaid claims.
- Used linear regression to analyze associations between HCBS types and quality scores.
- Stratified analyses by living situation (community vs. assisted living) and dementia status.
Main Results
- Personal care assistant services were linked to higher quality scores for community-dwelling HCBS users.
- Other services like home health, transportation, and adult day care showed no significant association with overall quality.
- HCBS users with dementia generally reported lower quality, with variations in assisted living settings.
Conclusions
- Personal care assistant services may enhance HCBS quality by supporting daily activities and social interaction.
- Dementia status significantly impacts perceived HCBS quality, necessitating person-centered approaches.
- Subdomain quality analyses in assisted living revealed service use associations not apparent in overall scores.
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