Long term care needs and personal care services under Medicaid: a survey of administrators.
Home and community based care services constitute a public initiative in the development of a long term care service network. One such home based initiative is the personal care service program of Medicaid. The authors conducted a national survey of administrators of this program. They received a response from 16 administrators of such programs in 1987-1988. The responses raise significant issues regarding training, access to and equity of services, quality of services, administrative oversight and the coordination of home-based care in a network of available services. Based on administrator responses, the authors draw several conclusions.
Palley
H A
HA
School of Social Work and Community Planning, University of Maryland, Baltimore 21201.
Oktay
J S
JS
D000288:Administrative Personnel / Q000706:statistics & numerical data; D000368:Aged; D017028:Caregivers / Q000191:economics / Q000193:education / Q000592:standards; D002908:Chronic Disease / Q000191:economics / Q000453:epidemiology; D003625:Data Collection; D005102:Health Expenditures / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006801:Humans; D008134:Long-Term Care / Q000191:economics* / Q000592:standards; D008484:Medicaid / Q000706:statistics & numerical data*; D010548:Personal Health Services / Q000191:economics* / Q000458:organization & administration / Q000592:standards; D012456:Salaries and Fringe Benefits / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology