Alliances for academic home care offer a new approach to advance the knowledge base related to home care, to improve quality and cost effectiveness of home care services, to prepare the next generation of providers to manage and deliver care in a restructured practice paradigm, and to influence health and social policy. (JOW)

Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

The paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a "managed competition" delivery model. The second is the Ministry of Health and Long-Term Care's privileging of "health care" over "social care" through changes to which…

The final manual of a series on attendant care for severely disabled persons is intended to help persons with a disability to hire and manage personal care attendants (PCAs). Models--private and shared systems--are reviewed, and advantages and disadvantages of each noted. Suggestions for interviewing and hiring PCAs include guidelines for…

A review of the kinds of jobs available in services developed to help the homebound elderly: Home health care, homemaker-home health aide, chore service, home repair and maintenance, home-delivered meals, telephone reassurance, and friendly visiting. (JT)

The social service and health care occupation of homemaker-home health aide is described including job information, employment outlook, and benefits and drawbacks. (JT)

Lower costs, new technology, and expanded Medicare benefits are some of the reasons for the rapid increase in employment in home health services. Employment in the drugs manufacturing industry has increased despite recessions and structural changes in the economy. (Author/JOW)

These lessons were designed to help the trainer agent give aides the background in food and nutrition they will need for their work with low-income families. The 15 basic lessons provide aides with the necessary information to begin the job of helping families improve their diets. During the initial training period, training agents need time to…

Indigenous homemakers were employed in this Arkansas program as health education aides. They provided participant families with information on: (1) healthy daily living habits; (2) preventive health practices; (3) self-care/professional care needs; (4) home environment influences in health; and (5) local health services. (MJB)

An interorganizational program designed for elderly excluded from existing home care programs was investigated to determine participant characteristics and status of cases after one year. The program demonstrates the need to eliminate restrictive eligibility criteria as well as the value of interagency staff consolidation to increase service…

The authors explain how role playing helps home health aides learn to cope with common problems that arise in their work with the homebound elderly and their families. (CT)

Describes a block nursing program established in St. Paul, Minnesota that focused on nursing care delivered by neighbor to neighbor, enabling older people to remain independent as long as possible through health education, disease prevention, and maintenance. (JOW)

Screening interviews and clinical assessments were conducted of Manitobans over age 85: 74 had no cognitive impairments, 94 had impairments with no dementia, and 58 had dementia. Half of those with dementia and one-quarter of those with impairments received home care. Type, cost, and amount of community health services used varied with each…

A Teaching Home Care Program, featuring collaboration between schools of nursing and home care agencies, could improve the quality of home care and increase the amount of data available on home care for the elderly and infirm. (Author/JOW)

Examined trends of publicly owned, for-profit providers of custodial home care. Found that restrictive public payments and lack of private insurance coverage have contributed to financial woes of providers. Suggests that changes are urgently needed which address the financing of home care. (Author/NB)