This descriptive study investigates the validity and reliability of two new instruments to measure client satisfaction with transportation (TSM) and handyman/chore (HSM) services and determines the degree to which clients were satisfied with the transportation and handyman chore services that they received in a pilot cost share program. Reliability testing indicated that both the TSM and the HSM had high internal consistency with respective Chronbach's Alphas of .73 and .77. Validity testing with the TSM (r = .52, p < .01) and the HSM (r = .30, p v .05) also yielded significant positive correlations with their criterion measures. Thus, there is some evidence that the TSM and the HSM are methodologically sound instruments that can be used to evaluate client satisfaction with transportation and handyman chore services. [Article copies available for a fee from The Haworth Document Delivery
This study uses Anderson's model of health care utilization to examine differences between two models of delivering community based services (CBS) in a pilot cost share program: case management and service coordination. Service coordination and cost sharing are innovative, less costly approaches to providing CBS than are the traditional case management approach provided under the Older American's Act. While there has been considerable research on factors influencing use of traditional CBS models, we were able to find no studies that examined factors that determine whether case management or service coordination should be used to determine CBS use. Logistic regression revealed elders were more likely to receive a service coordinator if they had fewer ADL and IADL impairments, no caregiver, and were living alone. Thus, clients received service coordination or case management based upon their level of need. [Article copies available for a fee from The Haworth Document Delivery Service:
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