title: The conceptual and empirical link between health behaviors, self reported health, and the use of home health care in later life.
abstract: The primary qualification for Medicare's home health care benefit is being homebound, typically by a chronic disability. Disability and functional ability in late-life are heavily influenced by the long-term practice of health behaviors. One of the goals of Healthy People 2000 is to increase the years of healthy life which are measured, in part, by self reported health status. This compression of morbidity would, in effect, reduce the need for long term care. This paper examines three conceptual models linking health behaviors to self reported health in a unique sample of older adults who have chosen to participate in a corporate sponsored wellness program. It is hoped that these findings will encourage further research on formulating empirical pathways from health behaviors to reduced need for home health care.
authors.affiliation: University of Washington, Seattle 98195, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Mjelde-Mossey
authors.forename: M E
authors.initials: ME
authors.lastname: Barak
mesh_terms: D000367:Age Factors; D000368:Aged; D005260:Female; D015438:Health Behavior; D017048:Health Care Costs; D006302:Health Services Research; D006699:Home Care Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D018577:Homebound Persons; D006801:Humans; D008297:Male; D006278:Medicare; D017146:Models, Organizational; D015999:Multivariate Analysis; D012647:Self-Assessment; D012737:Sex Factors; D014481:United States / Q000453:epidemiology