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Conundrums in Implementing Consumer Direction in Home-Based Care: Perspectives of Older Adults and Family Members in China.
J Aging Soc Policy
November 2024
Associate Professor, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Consumer-directed care (CDC) for older people enables clients to arrange personalized services and improves their well-being. However, little is known about clients' preferences for policies in collectivist cultures. We investigate the views of older clients and family members about policies that promote consumer direction in a collectivist cultural setting - Guangzhou, China.
View Article and Find Full Text PDFTen health policy challenges for the next 10 years.
Health Aff Sch
July 2023
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55455, United States.
Health policies and associated research initiatives are constantly evolving and changing. In recent years, there has been a dizzying increase in research on emerging topics such as the implications of changing public and private health payment models, the global impact of pandemics, novel initiatives to tackle the persistence of health inequities, broad efforts to reduce the impact of climate change, the emergence of novel technologies such as whole-genome sequencing and artificial intelligence, and the increase in consumer-directed care. This evolution demands future-thinking research to meet the needs of policymakers in translating science into policy.
View Article and Find Full Text PDFOlder people with disabilities living independently often use attendant care, also known as Personal Assistive Services (PAS). The aides providing care can come from a home health agency contracted by the state Medicaid authority, known as agency-directed PAS, or the Medicaid recipient can receive a monthly budget and arrange their own care, known as consumer-directed care. Consumer-directed care is hypothesized to have some possible benefits but could also potentially lead to health hazards.
View Article and Find Full Text PDFExamining the effects of home modifications on perceptions of exertion and safety among people with mobility disabilities.
Disabil Health J
February 2024
University of Kansas, Research and Training Center on Independent Living (KU-RTC/IL), 1000 Sunnyside Ave., Room 4089 Lawrence, KS, 66045, USA. Electronic address:
Background: People with mobility disabilities often have reduced stamina and limited energy, making daily activities physically demanding. Home modifications, such as installing grab bars and optimizing the environment, have the potential to reduce exertion and enhance safety in the home, enabling individuals to participate more in other activities.
Objective: The purpose of this study was to evaluate the effects of a home modification intervention on perceptions of exertion and safety among people with mobility disabilities.
Utilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives.
Res Aging
April 2024
Center for Chinese Public Administration Research/School of Government, Sun Yat-sen University, Guangzhou, China.
Consumer-directed Care (CDC) empowers older people to flexibly arrange services and enhances their well-being. Prior studies have suggested that limited attention and hassle costs are major demand-side barriers to using CDC. However, many other psychosocial factors were unexplored.
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