Adequacy of Care: The Concept and Its Measurement

Morrow‐Howell, Nancy; Proctor, Enola K.; Doré, Peter

doi:10.1177/104973159800800107

Cited by 21 publications

(15 citation statements)

References 18 publications

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“…There is largely no regulation, no assessment of family caregiver skill, and no certification, and yet there is very likely heterogeneity in the skill required and the skill provided. Historically, the only measure of the benefit of unpaid care was adequacy, that is, whether or not the care needs are routinely satisfied (Morrow‐Howell, Proctor, & Dore, ; Morrow‐Howell, Proctor, & Rosario, ; Skinner et al, ). Although this measure can identify unmet needs in the community, it is quite limited in terms of assessing benefits.…”

Section: Introductionmentioning

confidence: 99%

What is the marginal benefit of payment‐induced family care? Impact on Medicaid spending and health of care recipients

et al. 2019

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Research on home‐based long‐term care has centered almost solely on the costs; there has been very little, if any, attention paid to the relative benefits. This study exploits the randomization built into the Cash and Counseling Demonstration and Evaluation program that directly impacted the likelihood of having family involved in home care delivery. Randomization in the trial is used as an instrumental variable for family involvement in care, resulting in a causal estimate of the effect of changing the combination of home health‐care providers on health‐care utilization and health outcomes of the beneficiary. We find that some family involvement in home‐based care significantly decreases health‐care utilization: lower likelihood of emergency room use, Medicaid‐financed inpatient days, any Medicaid hospital expenditures, and fewer months with Medicaid‐paid inpatient use. We find that individuals who have some family involved in home‐based care are less likely to have several adverse health outcomes within the first 9 months of the trial, including lower prevalence of infections, bedsores, or shortness of breath, suggesting that the lower utilization may be due to better health outcomes.

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Section: Introductionmentioning

confidence: 99%

What is the marginal benefit of payment‐induced family care? Impact on Medicaid spending and health of care recipients

et al. 2019

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“…"Abuse" (Burge, 1998) and "care" (Morrow-Howell, Proctor, & Dore, 1998;White, 1960) direct attention to different aspects of treatment; this becomes clear when it is recognized that animals and people can be simultaneously cared for and abused. Thus, these terms draw attention to two different aspects of human−nonhuman animal interaction.…”

Section: Introductionmentioning

confidence: 99%

Domestic Violence and Dog Care in New Providence, The Bahamas

Fielding

2010

Soc Animals

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Although there has been much research on the connection between nonhuman animal cruelty/ abuse and domestic violence, the link between nonhuman animal care and domestic violence has received less attention. This study, based on responses from 477 college students in New Providence, The Bahamas, indicates that the presence of domestic violence in homes is linked with the level of care and the prevalence of negative interactions with dogs. Dogs received 10 or more of 11 components of essential care in 58.0% of homes without domestic violence compared with 43.7% in homes with domestic violence. A dog was reported being physically injured in 6.8% of homes when domestic violence was absent and in 13.6% of homes when domestic violence was present. The study suggests that in homes with domestic violence, dogs as well as people are at higher risk of intentional harm and/or neglect.

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“…Quality of care is described as being multi dimensional (Christie et al, 2009;Dooley, Schaffer, Lance, & Williamson, 2007). For example, Morrow-Howell, Proctor, and Dore (1998) focus on the adequacy of the care to meet the care recipient's (CR) needs. Christie and colleagues, however, found differential relations between adequate caregiving, potentially harmful behaviors, and exemplary care (EC).…”

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confidence: 99%