Abstract
This study used longitudinal data from the Washington Heights-Inwood Columbia Aging Project (WHICAP), a random sample of 2128 Medicare beneficiaries, to examine predictors and outcomes of home care use. Predictors of home care were examined using Grabbe's (1992) Home Care Service Utilization Model. In this model, functional status is the pivotal predictor of home care use. Three other predictor categories were examined: individual factors, family variables, and policy/economic factors. Significant predictors of home care use, other than functional status, were increasing age, female sex, two or more (out of seven) reported medical conditions, hospitalization within the past year, living arrangement, and Medicaid coverage. Household size was inversely related to home care use, as was living with a spouse or an adult child. Two outcomes of home care use were examined mortality and nursing home entry.
Sigma Membership
Phi Epsilon
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Quantitative Research
Keywords:
Patient Outcomes, Functional Status, Older Patients
Advisor
Kristine M. Gebbie
Degree
Doctoral-Other
Degree Grantor
Columbia University
Degree Year
2002
Recommended Citation
Brassard, Andrea B., "Predictors and outcomes of home care use in urban elders" (2020). Dissertations. 1127.
https://www.sigmarepository.org/dissertations/1127
Rights Holder
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All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2020-06-19
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3048097; ProQuest document ID: 304791240. The author still retains copyright.