Abstract
Policy initiatives increasingly seek greater use of home-and community-based services for older persons and those with chronic care needs, yet large gaps persist in our knowledge of home care, an indispensable component of long-term services and supports. Unrecognized data gaps, including the scope of home care provided by private hire and nonmedical providers, can distort knowledge and poorly inform long-term services and supports policy. The purpose of this article is to examine these gaps by describing the universe of formal home care services and provider types in relationship to major national sources. Findings reveal four distinct home care sectors and that the majority of formal home care is provided in the sectors that are understudied. We discuss the policy implications of data gaps and conclude with recommendations on where to expand and refine home care research.
Original language | English (US) |
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Pages (from-to) | 622-640 |
Number of pages | 19 |
Journal | Medical Care Research and Review |
Volume | 72 |
Issue number | 5 |
DOIs | |
State | Published - Oct 2015 |
Externally published | Yes |
Bibliographical note
Funding Information:The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Support from an NIA student training grant (No. T32AG000037).
Publisher Copyright:
© 2015, Medical Care Research and Review. All rights reserved.
Keywords
- aging and disability services
- home care
- home health care
- home-and community-based services (HCBS)
- personal care aides