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Are community health workers more effective in identifying persons in need of home and community-based long-term services than standard-passive approaches.
- Source :
-
Home health care services quarterly [Home Health Care Serv Q] 2019 Jul-Sep; Vol. 38 (3), pp. 194-208. Date of Electronic Publication: 2019 May 06. - Publication Year :
- 2019
-
Abstract
- Consumers prefer home and community-based long-term care (LTC) services (HCBS) but lack information on those services. We examined the use of community health workers (CHWs) to find and help Medicaid beneficiaries with unmet LTC needs access HCBS compared to standard HCBS outreach approaches. We found that CHWs were very effective at finding persons with greater needs and were better able to help them access a greater range of HCBS services. We also found that five times fewer HCBS beneficiaries helped by CHWs had to use nursing home care services than those not helped by the CHWs despite the fact that their health status was poorer than those not helped by the CHWs. Our study provides evidence of the effectiveness of CHWs for HCBS service awareness and navigation.
- Subjects :
- Adult
Female
Humans
Male
Medicaid
Middle Aged
United States
Community Health Services statistics & numerical data
Community Health Workers statistics & numerical data
Disabled Persons rehabilitation
Home Care Services statistics & numerical data
Long-Term Care statistics & numerical data
Referral and Consultation statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1545-0856
- Volume :
- 38
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Home health care services quarterly
- Publication Type :
- Academic Journal
- Accession number :
- 31060448
- Full Text :
- https://doi.org/10.1080/01621424.2019.1604461