Consumer choice in home- and community-based long-term care: policy implications for decisionally incapacitated consumers.
There is a strong national and international movement to enhance the role of consumer choice, control, and direction regarding important aspects of publicly financed home- and community-based long-term care. The research project described in this article set out to examine, with a particular focus on Ohio, policy-relevant issues pertaining to how choices about publicly financed home- and community-based long-term care are actually made, implemented, and monitored under a consumer direction model, but when the care recipient is unable to act as an autonomous, independent consumer selecting rationally among various home- and community-based long-term care options competing for the consumer's business in the marketplace.
Kapp
M B
MB
Wright State University School of Medicine, Box 927, Dayton, OH 45401-0927, USA. marshall.kapp@wright.edu
D002755:Choice Behavior; D003153:Community Health Services / Q000458:organization & administration*; D003256:Community Participation; D005190:Family; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007258:Informed Consent; D008134:Long-Term Care / Q000458:organization & administration*; D016743:Mental Competency; D009820:Ohio; D019727:Proxy; D011640:Public Policy