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Housing policy and home-based care

S J Newman1

  • 1Johns Hopkins University, Baltimore, MD, USA.

The Milbank Quarterly
|January 1, 1995
PubMed
Summary

Housing policy impacts home-based care through financing and regulations. Gaps in housing quality and coordination with health policy hinder access to quality home-based care.

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Area of Science:

  • Public Health
  • Health Policy
  • Urban Planning

Background:

  • Housing policy significantly influences the delivery and accessibility of home-based care services.
  • Existing housing policies address some needs of special populations in subsidized housing but leave gaps in the unsubsidized stock.
  • Coordination between housing and health policies is often lacking, impacting the quality and choice of home-based care.

Purpose of the Study:

  • To examine the multifaceted influence of housing policy on home-based care.
  • To identify gaps in current housing policies that affect the delivery of home-based care.
  • To highlight the need for better integration of housing and health policies to support home-based care.

Main Methods:

  • Literature review on housing policy mechanisms (financing, regulations, social norms).
  • Analysis of housing stock adequacy and neighborhood conditions in relation to home-based care.
  • Examination of the interrelationship between housing, neighborhood factors, and home-based care delivery.

Main Results:

  • Housing policy affects home-based care via financing, regulations, and the coordination of housing and health policies.
  • Subsidized housing shows some accommodation for home-based care needs, but physical and safety issues persist in unsubsidized housing.
  • Limited research exists on the interplay of housing, neighborhood conditions, and home-based care.

Conclusions:

  • Gaps in housing quality and safety in the unsubsidized stock impede effective home-based care.
  • Lack of coordinated housing and health policies is a major barrier to improving home-based care access, quality, and choice.
  • Further research is needed to understand and address the complex relationship between housing environments and home-based care outcomes.

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