التفاصيل البيبلوغرافية
| العنوان: |
Improving The Quality Of Medicaid Personal Assistance Through Consumer Direction. |
| المؤلفون: |
Foster, Leslie1, Brown, Randall1, Phillips, Barbara1, Schore, Jennifer1, Lepidus Carlson, Barbara1 |
| المصدر: |
Health Affairs. 2003 Supplement, Vol. 22 Issue 1, p162-175. 14p. 6 Charts. |
| مصطلحات موضوعية: |
*CUSTOMER satisfaction, *CONSUMER attitudes, *MEDICAID, *HEALTH insurance, *NATIONAL health insurance, HEALTH policy, SURVEYS, PEOPLE with disabilities, CARE of people with disabilities, SERVICES for people with disabilities |
| مصطلحات جغرافية: |
UNITED States, ARKANSAS |
| مستخلص: |
As states seek to improve home and community-based services for people with disabilities, many are incorporating consumer-directed supportive services into their Medicaid programs. The national Cash and Counseling Demonstration uses a randomized design to compare an innovative model of consumer direction with the traditional agency-directed approach. This paper presents findings from the first demonstration program to be implemented, in Arkansas. Our survey of 1,739 elderly and nonelderly adults showed that relative to agency-directed services, Cash and Counseling greatly improved satisfaction and reduced most unmet needs. Moreover, contrary to some concerns, it did not adversely affect participants' health and safety. [ABSTRACT FROM AUTHOR] |
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