Changing home care aides: Differences between family and non-family care in California Medicaid home and community-based services.
Home Health Care Serv Q
; 39(1): 1-16, 2020.
Article
en En
| MEDLINE
| ID: mdl-31826707
ABSTRACT
In California Medicaid home-and-community-based services (HCBS), recipients' family members receive payment as home care aides (HCAs). We analyzed data on first-time HCBS recipients to examine factors associated with the likelihood of switching HCAs within the first year of services. Those with family HCAs were less than half as likely to change than those with non-family HCAs and racial/ethnic minorities with non-family HCAs had the highest switching rates. Lower wages and local unemployment were associated with switching of non-family HCAs but not family HCAs. Policymakers can foster continuity of home care by paying family members for home care and raising worker wages.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Calidad de la Atención de Salud
/
Cuidadores
/
Auxiliares de Salud a Domicilio
/
Redes Comunitarias
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Home Health Care Serv Q
Año:
2020
Tipo del documento:
Article
País de afiliación:
Estados Unidos