Community Based Service Use with Service Coordinators and Case Managers in a Shared Cost Program

Abstract

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:

HIV/AIDS and the Older Adult: An Exploratory Study of the Age-Related Differences in Access to Medical and Social Services

“…However, some studies have used the Behavioral Model, a sub-component of the Health Services Utilization Model, which includes only individual determinants defined by the relationships between predisposing, enabling and illness variables, to investigate service use among older and/or HIV-infected individuals (Aday & Andersen, 1981;Bear, Sauer & Jentsch, 2000;Emlet, 1998;Fleishman, Hsia & Hellinger, 1994;Mitchell & Krout, 1998;Mor, Fleishman, Dresser & Piette, 1992;Palacio et al, 1999;Ward, 1977). Palacio et al (1999) in their study Access to and Utilization of Primary Care Services Among HIV-Infected Women included characteristics of the health services system in addition to individual determinants.…”

Personalization of Helping Relationships: Resident Service Coordinators' Work with Elderly Residents

“…Other key elements of the role discussed in the literature include empowering residents to retain control over their situation by emphasizing their right to make decisions about their needs, as well as addressing social dynamics in the housing (e.g., socialization, interpersonal conflict; Bear, Sauer, Jentsch, 2000;Lanspery, n.d.;Sheehan, 1992). As such, the role extends beyond responsibility for the well-being of a single individual to address the broader social context in which residents live.…”