Transition from home care to nursing home: unmet needs in a home- and community-based program for older adults.
A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.
Center on Aging, University of Connecticut Health Center, Farmington, Connecticut 06030, USA. jrobison@uchc.edu
Julie
J
Robison
Noreen
N
Shugrue
Martha
M
Porter
Richard H
RH
Fortinsky
Leslie A
LA
Curry
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003237:Connecticut; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005190:Family; D017144:Focus Groups; D015577:Geriatric Assessment; D006699:Home Care Services / Q000458:organization & administration*; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D057187:Independent Living; D007345:Insurance Claim Review; D008134:Long-Term Care / Q000458:organization & administration; D008484:Medicaid / Q000706:statistics & numerical data; D008603:Mental Health; D009735:Nursing Homes / Q000458:organization & administration*; D012737:Sex Factors; D012944:Social Support; D012947:Social Work / Q000458:organization & administration; D013997:Time Factors; D014481:United States