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At least 19 recordsLinked to original sources
PubMed1991

[Adequacy of homemaker services in Gironde according to the PAQUID program].

Allocation of home-help for the elderly is often unsatisfactory, because of the lack of objective assessment of the potential needs. The PAQUID project, a prospective study of 2,792 residents of the Gironde, aged 65 and over, can be used for the determination of the potential need for home-help, and its level of satisfaction in the area. The need is defined by two conditions: living alone and beeing dependent for at least one of 5 Instrumental Activities of Daily Living of the Lawton's scale. The coverage rate is 48.7% and the targetting rate is 45.2%. These rates show a high level of potential needs which are not satisfied especially in rural areas. This approach can be helpful in the planning of home services for the aged.

Activities of Daily Living↗
PubMed1986

[Formal and informal assistance in the elderly. A study on the division of tasks among the elderly, informal support persons and homemaker services].

This article deals with the division of tasks between formal and informal networks of the elderly. Research has been done on the kind and degree of participation in the care of elderly by the elderly themselves, the role of the 'most important' persons in their social network as well as on the role of family home service. Sixty-seven clients of the '7 X 24-hours' home help in Velp were involved. The effect of household composition was also investigated. As regards to three different kinds of activities, the results indicate a division of tasks between formal and informal networks; clients themselves perform especially ADL-activities, informal caregivers supporting/supervising activities and the home help household activities. Furthermore it appears that of the total number of activities performed by home help nearly three quarters is neither performed by the elderly themselves nor by the 'most important' person in their social network.

Activities of Daily Living↗
PubMed1992

Service utilization by well-organized frail elderly individuals.

In spite of extensive legislation intended to provide social services for elderly individuals, there is a lingering question about how much elderly persons actually use these services. This article reports findings from a study involving an innovative program called STAES (System to Assure Elderly Services), located in downtown St. Louis, Missouri and in particular finds that frail elderly individuals in the STAES program are using services in greater numbers than the review of the literature seems to suggest. In-home services such as homemaker services and visiting nurses' services are indeed used by elderly individuals who are in greater need than others. Through discussing the objective and operation of this program, the article explains why elderly individuals participating in the STAES program are effective users of publicly provided social services.

Aged↗
PubMedDate not supplied

Use and sources of payment for health and community services for children with impaired mobility.

A survey was made of the parents of 380 children whose mobility impairments require the use of a wheelchair, walker, or braces. They were asked about equipment, health services, related services, and family support services used during the previous year. There was extensive use of equipment and traditional medical and health services, such as visits to primary care and specialist physicians; there was moderate use of related health services, such as physical or occupational therapy and child counseling; and there was very little use of community-based family support services, such as respite care, after-school care, homemaker services, and summer camp. The cost of health care, particularly medical specialty care, was defrayed in large part by private insurance and public programs, such as Medicaid and Title V Programs for children with special health care needs, while financial support for related services, such as physical therapy and speech therapy, came largely through the schools. Compared to funding for health and related services, financial aid for community-based family support services is largely lacking.

Adolescent↗
PubMed1988

The evaluation of the National Long Term Care Demonstration. 5. Formal community services under channeling.

Channeling was intended to improve access to formal community services, both through the facilitating activities of case managers and through direct purchase of services. It was expected that formal community service use would increase both because more individuals would stay in the community and because use would increase for those in the community. Only the latter effect was observed. Even though a majority of individuals in the control group also received formal services, for those in the community, channeling achieved increases in in-home care. The largest effects were for personal care and homemaker services. These effects were substantially stronger under the financial control model of channeling, which included expanded funding for such services. There were also increases in home-delivered meals, transportation, and day-care services under the financial model but not under the basic model. Both models increased the use of special equipment.

Aged↗
PubMed1992

Getting by at home. Community-based long-term care of Latino elders.

Although evidence suggests that the morbidity and mortality of Latino elders (of any Hispanic ancestry) are similar to those of non-Latino whites, Latinos have higher rates of disability. Little is known about influences on the use of in-home health services designed to assist disabled Latino elders. We examine the effects of various cultural and structural factors on the use of visiting nurse, home health aide, and homemaker services. Data are from the Commonwealth Fund Commission's 1988 national survey of 2,299 Latinos aged 65 and older. Mexican-American elders are less likely than the average Latino to use in-home health services despite similar levels of need. Structural factors including insurance status are important reasons, but acculturation is not pertinent. Physicians should not assume that Latino families are taking care of their disabled elders simply because of a cultural preference. They should provide information and advice on the use of in-home health services when an older Latino patient is physically disabled.

Activities of Daily Living↗
PubMed1986

The effects of Quebec home aid services on the utilization profile of sociosanitory resources: a substitution study.

The development of home aid services in Quebec is based on the hypothesis that this new program will help to maintain at home people who would otherwise be institutionalized and also contribute to reducing costs in the health care sector. Accordingly, home aid services can be viewed as a substitute for conventional health care services. This study evaluates utilization modifications of health care services subsequent to the introduction of a home-aid program in October 1977. A modified, non-equivalent, control group design was used on a target population including all residents aged 65 or more in one region of Quebec. Multiple regression was used to explain variations in resources utilization in relation to population characteristics and different health care settings. Results for the utilization of hospitals are discussed. We discovered that the anticipated substitutive effects of a home-aid program on the use of health care services cannot be ascertained.

Activities of Daily Living↗
PubMed1989

A nontraditional supportive services program: VNA independence plus.

The Visiting Nurse Association (VNA) of Texas received a grant from the Robert Wood Johnson Foundation to develop a financially self-sustaining program of nontraditional, homebased supportive services for the elderly in March 1987. The new, fee-for-service program, VNA Independence Plus, used market research to develop a service package that would meet the needs of area elderly. Services offered include housekeeping, transportation, yard care, and handyman services.

Aged↗