This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Benjamin, A. E. Search for Related Content PubMed PubMed Citation Articles by Benjamin, A. E. Social Bookmarking                   What's this?

A Normative Analysis of Home Care Goals

University of California, Los Angeles

Home-and community-based services (HCBS) can contribute to full social and economic participation in society by people with disabilities. Of 16 client-level and system-level HCBS goals, three are emphasized: targeting the neediest, individual choice, and strengthening informal systems. Projections are made of how selected goals would play out under two different resource conditions. Efforts to expand and strengthen HCBS involve trade-offs—for example, increasing access and comprehensiveness undermines affordability, increased targeting to the neediest means less access for those below the need threshold, and expanding client choice raises fears about trade-offs with quality and effectiveness. Targeting and choice seem to represent central and compatible goals for the design of anHCBSsystem. The combination minimizes trade-offs with affordability and enhances political feasibility.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				J. Capitman Effective Coordination of Medical and Supportive Services J Aging Health, February 1, 2003; 15(1): 124 - 164. [Abstract] [PDF]