End Product Oriented Targeting: The Relationship of Needs Patterns and Services to Outcomes

摘要

The text discusses research undertaken to determine the feasibility of developing an end product targeting model. To study the effects of services on functional effectiveness, 35 services were identified and categorized into formal, informal, and generic services. Chi square analysis revealed that of seven generic services, five were significantly related to functional outcomes. Eleven of the twelve informal services were found to be related to functional outcomes, and twelve of the sixteen formal services were found to be significantly related to t2 functional outcomes. Stepwise multiple regression analyses provided predicting formulas for use in estimating the effects of services on functional status. Eleven services were found to be significant predictors of general health functional effectiveness. Of these services, four were generic, three were informal, and four were formal. Only eight services were found to be good predictors of instrumental activities of daily living - three generic, three family, and two agency services. Ten services were related to physical activities of daily living - three generic, three family, and four agency services. Fourteen services predict mental health - three generic, five informal, and six formal. Mental orientation is predicted by five services - four informal, one formal. Twelve services predict social contact - two generic, three family, and seven agency. Results emphasize the importance of family services in providing the foundation of support for older persons and highlight the need for formal (agency) services. A user's guide for targeting services for the aged is included.