ERIC Number: ED293059
Record Type: RIE
Publication Date: 1988-Feb-15
Reference Count: N/A
Payments To Informal vs. Formal Home Care Providers: Policy Divergence Affects the Elderly and Their Families in Michigan and Illinois. Revised.
Keigher, Sharon M.; And Others
States' policies vary widely on paying friends and family rather than home care agencies to care for the elderly. This analysis explored two state programs which exemplify different payment options: Michigan, which pays clients' informal caregivers, and Illinois, which generally pays agencies to provide services. It asked how different payment policies affect clients, specifically exploring program structure and financing which shape provider and client preferences, well-being, and assessment of care quality. Comparatively, Illinois' approach favors professionalism, high cost/quality, documentation, and an orientation toward medical and physical need. It has experienced high worker turnover and less regard for caregiver-client relationships. Michigan's approach favors informality, casual accountability, long term stability of helping relationships, and respect for client preferences and autonomy. Both approaches offer important client benefits, but state precedents and incentives to administering agencies have shaped their overall direction. The recent rapid growth of the home care industry in Illinois could proscribe a fuller range of provider options. Greater flexibility is recommended in considering states' payment. (Author)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: N/A
Note: An earlier version of this paper was presented at the Annual Meeting of the Gerontological Society of America (39th, Chicago, IL, November 18-22, 1986).