Presents data from diverse sources that lead to conclusion that jobs of paraprofessional home care workers who provide ongoing care for older clients would be more intrinsically rewarding and offer better conditions for high-quality care if workers had more contact with supervisors and peers, more information about clients and care plans, clearer…

Assesses applied relevance of research on home care, reviewing literature on predictors of use of home care services, experience of receiving home care, and efficacy studies. Notes that efficacy studies have not concluded that home care is less costly or better for quality of life of older adults when compared with institutional care. (Author/NB)

Hospitalization is a sentinel event that leads to loss of independence for many seniors. This study of long-stay hospitalizations (more than 30 days) in seniors was undertaken to identify risk factors for not going home, to characterize patients with risk factors who did go home and to describe one year outcomes following home discharge. Using…

This document contains the transcripts of testimony and prepared statements from the Congressional hearing called to gather information on Michigan's Older Americans Act programs. Following the opening statement of Representative Albosta, briefly summarizing the objectives of the Act, the prepared statement of Representative Hertel is given.…

Administrative home care data from the Manitoba Support Services Payroll (MSSP) system for fiscal years 1995/1996 to 1998/1999 were utilized to study home care client characteristics and changes in home care use over time. Patterns in home care access and use after hospitalization, before admission to a nursing home, and before death were…

Presents three articles on housing policies for the elderly. Topics include the need for housing assistance and targeting aid to the disabled, the practicality of delivering support services to impaired elderly in current housing, and potential future directions of federal housing policy. (NRB)

Reviews existing gerontological literature, pointing to the prevailing familial, nonfamilial distinction, and presents an argument for drawing conceptual boundaries along peer, intergenerational lines. Explores the potential utility of this distinction by examining home care, to draw attention to a potentially useful distinction which has been…

Presents estimates of paraprofessional home care revenue and size, the composition of the industry, and the workforce incentives inherent in different forms of reimbursement. Findings from the review are discussed, including indications that industry's reliance on public funding places special importance on payment policies that recognize critical…

Demographic changes, changes in women's work roles, and changes in the nature of the family have increased the importance of identifying the effects of government policy on family cohesion and living arrangement decisions. The effect of public policy on the nation's largest source of caregivers, the family support system, is a key issue. While…