Home and Community-Based Service Use by Vulnerable Older Adults

Raven H Weaver; Karen A Roberto

doi:10.1093/geront/gnv149

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Home and Community-Based Service Use by Vulnerable Older Adults

Journal article

Open access

Peer reviewed

Home and Community-Based Service Use by Vulnerable Older Adults

Raven H Weaver and Karen A Roberto

The Gerontologist, Vol.57(3), pp.540-551

06/01/2017

DOI: https://doi.org/10.1093/geront/gnv149

Handle:

https://hdl.handle.net/2376/109993

PMID: 26608335

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Abstract

Caregivers - statistics & numerical data

Disability Evaluation

Independent Living - statistics & numerical data

Residence Characteristics

Risk Assessment - methods

Prognosis

Home Care Services - utilization

United States

Humans

Community Health Services - utilization

Social Support

Male

Frail Elderly

Community Health Services - organization & administration

Health Services for the Aged - utilization

Home Care Services - organization & administration

Aged, 80 and over

Female

Aged

Health Services for the Aged - organization & administration

Nursing Homes - statistics & numerical data

Cluster Analysis

The purpose of this study was to identify different types of clients who use home and community-based services. Enrollment characteristics of 76 clients at risk of nursing home placement and Medicaid spend-down who were enrolled in the Virginia Community Living Program were analyzed. Two-step cluster analysis identified 4 groups of service users. Enabling resources (caregiver relationship to participant, participant living arrangement, and length of time caregiver provided assistance to participant) and disability type (physical, cognitive, traumatic brain injury, or other) differentiated the client groups. Groups differed on average service cost per day and likelihood of nursing home placement if services were not provided. Findings point to the value of having practitioners assist vulnerable clients in tailoring services to meet different care needs and the need for refining policies guiding home and community-based care.

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Details

Title: Home and Community-Based Service Use by Vulnerable Older Adults
Creators: Raven H Weaver - Department of Human Development and Center for Gerontology, Virginia Tech, Blacksburg
Karen A Roberto - Center for Gerontology and The Institute for Society, Culture and Environment, Virginia Tech, Blacksburg
Publication Details: The Gerontologist, Vol.57(3), pp.540-551
Academic Unit: Human Development, Department of
Publisher: United States
Identifiers: 99900547164601842
Language: English
Resource Type: Journal article