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Related Experiment Videos

Consumer-directed home care: client profiles and service challenges

M A Scala1, P S Mayberry, S R Kunkel

  • 1Scripps Gerontology Center, Miami University, Oxford, OH 45056, USA.

Journal of Case Management
|October 1, 1996
PubMed
Summary

This study profiles potential consumer-directed care clients in home care programs. Findings reveal consumer-directed candidates often have fewer impairments and live alone, impacting service delivery.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Social Work

Background:

  • Home care programs increasingly adopt consumer-directed care models.
  • Understanding client profiles is crucial for effective service allocation and program design.
  • Assessing client suitability for different care levels is a key challenge in home care.

Purpose of the Study:

  • To develop a comprehensive profile of potential consumer-directed care clients within a countywide home care program.
  • To identify characteristics differentiating clients suitable for consumer-directed care from those requiring more intensive case management.
  • To explore the agreement and disagreement between telephone case managers and in-home assessors regarding client care needs.

Main Methods:

  • A study involving 278 clients assessed by both a telephone case manager and an in-home assessor.

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  • Independent assessments of appropriate case management levels were conducted by each professional.
  • Analysis of client demographics, impairments, service utilization, income, living situation, health status, and support systems.

    • Main Results:

    • 16.5% of clients were identified by both professionals as candidates for consumer-directed care.
    • 42.1% of clients were agreed upon by both professionals for a more intense level of care.
    • 41.4% of clients showed disagreement between assessments regarding the appropriate level of case management.
    • Consumer-directed candidates were more likely to be female, have fewer impairments, low incomes, live alone, possess stable health, and have a good support system.

    Conclusions:

    • Consumer-directed care candidates often exhibit specific demographic and health characteristics, including fewer impairments and strong support systems.
    • Discrepancies in assessment between case managers and assessors highlight the need for refined client evaluation tools.
    • The findings have significant implications for home care service providers in tailoring their programs and resource allocation.