Are Consumer-Directed Home Care Beneficiaries Satisfied. Evidence from Washington State

摘要

This study analyzed the effect of consumer-directed vs. agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington state. A major focus was on differences between younger persons with disabilities and older people using the two service options. The study used descriptive statistics and multiple regression analysis to analyze a survey of 513 Medicaid beneficiaries receiving home and community-based services in Washington. Survey respondents were linked with state administrative files that identified whether an individual used consumer-directed or agency-directed services. As part of a larger study, we developed an 8-item Satisfaction with Personal Paid Assistance Scale (SPPAS) which we used as the measure of satisfaction.