title: Enhancing consumer independence through delegation.
abstract: Many forces are influencing the development of delegation options, and states are approaching the issue differently. In 1997 Oregon, Texas, New York, and Washington participated in a national symposium on delegation convened by The National Institute of Consumer-Directed Long-Term Services. These states do not necessarily represent four different approaches; however, each illustrates some of the issues involved and the ways that competing forces continue to work together to improve the policies and regulations governing delegation.
authors.affiliation: Towson University, MD, USA.
authors.forename: D L
authors.initials: DL
authors.lastname: Wagner
mesh_terms: D000203:Activities of Daily Living; D017028:Caregivers; D003152:Community Health Nursing / Q000331:legislation & jurisprudence / Q000592:standards; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence*; D018576:Home Health Aides / Q000706:statistics & numerical data; D006801:Humans; D008008:Licensure, Nursing; D010358:Patient Participation / Q000331:legislation & jurisprudence*; D010559:Personnel Management; D011361:Professional Competence; D011785:Quality Assurance, Health Care; D014481:United States; D000078329:Workforce