This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted 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 Citing Articles via Scopus Google Scholar Articles by Swan, J. H. Articles by Estes, C. L. Search for Related Content PubMed PubMed Citation Articles by Swan, J. H. Articles by Estes, C. L. Pubmed/NCBI databases Medline Plus Health Information Home Care Services Social Bookmarking                         What's this?

Changes in Aged Populations Served by Home Health Agencies

California State University, Long Beach

Carroll L. Estes, PhD

University of California, San Francisco

This article examines changes in clients served by home health agencies, and how changes are related to recent health care trends and local market structure. Two types of explanatory factors are examined: organizational measures and market factors. A theoretical model of isomorphism is tested, considering the effects of privatization within the context of the growth of chains and multifacility systems. Findings show that (a) system members are more likely than nonmembers to show increases in clients of all ages; (b) for-profits that are not system members are more likely to have increases in total clientele and in clients age 65-74, whereas for-profits' changes in clientele age 85 or over depends on their system membership-increasing among nonmembers, decreasing among members; and (c) agencies in states with home health "certificate of need" (CON) are more likely to have increases in clients age 65-74 and 85 and over. The results for total clientele and those age 65-74 support an isomorphism hypothesis.

Journal of Aging and Health, Vol. 2, No. 3, 373-394 (1990)
DOI: 10.1177/089826439000200306


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

This article has been cited by other articles:

				R. Cockerill, S. Jaglal, L. L. Charles, L. Chambers, K. Brazil, and C. Cohen Components of coordinated care: A new instrument to assess caregivers' and care recipients' experiences with networks of dementia care Dementia, February 1, 2006; 5(1): 51 - 66. [Abstract] [PDF]

				S. I. White-Means Racial Patterns in Disabled Elderly Persons' Use of Medical Services J. Gerontol. B. Psychol. Sci. Soc. Sci., March 1, 2000; 55(2): 76S - 89. [Abstract] [Full Text]