title: Providing appropriate services to individuals in the community: a preliminary case-mix for model allocating personal care services.
abstract: Personal care services are often provided to clients in community settings through highly discretionary processes. Such processes provide little guidance for caseworkers concerning how public resources should be allocated. The results of such processes almost guarantee that individuals with very similar needs will receive very different levels of care resources. Such disparities in treatment open the door to inequity and ineffectiveness. One way to address this problem is through case-mix classification systems that allocate hours of care according to client needs. This paper outlines the preliminary steps taken by one state in its movement toward such a system.
authors.affiliation: Department of Health Policy and Management, School of Rural Public Health, Texas A&M University System Health Science Center, USA.
authors.forename: Charles D
authors.initials: CD
authors.lastname: Phillips
authors.forename: James
authors.initials: J
authors.lastname: Dyer
authors.forename: Vit
authors.initials: V
authors.lastname: Janousek
authors.forename: Lisa
authors.initials: L
authors.lastname: Halperin
authors.forename: Catherine
authors.initials: C
authors.lastname: Hawes
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003953:Diagnosis-Related Groups / Q000145:classification*; D005260:Female; D015276:Health Care Rationing / Q000458:organization & administration; D054625:Healthcare Disparities; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D017146:Models, Organizational; D020380:Needs Assessment / Q000458:organization & administration*; D013781:Texas