title: Personal care satisfaction among aged and physically disabled Medicaid beneficiaries.
abstract: We analyzed survey data from 2,325 Medicaid home and community-based services (HCBS) beneficiaries in six States to estimate satisfaction with personal care services. We constructed an eight-item scale rating various aspects of paid assistance and estimated satisfaction for the total sample and for older and younger persons with disabilities. Younger persons with significant health problems and those residing in group settings were less satisfied. Higher unmet need for assistance with activities of daily living (ADLs), and instrumental activities of daily living (IADLs) was associated with decreased satisfaction, and matching race between a client and paid caregiver was associated with significantly increased satisfaction in all age groups.
authors.affiliation: RTI International, Waltham, MA 02451-1623, USA. gkhatutsky@rti.org
authors.forename: Galina
authors.initials: G
authors.lastname: Khatutsky
authors.forename: Wayne L
authors.initials: WL
authors.lastname: Anderson
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Wiener
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D003153:Community Health Services; D003258:Consumer Behavior; D003625:Data Collection; D006233:Persons with Disabilities; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014481:United States