ERIC Number: EJ824247
Record Type: Journal
Publication Date: 2002-Feb
Abstractor: As Provided
Reference Count: 0
Hydra Revisited: Substituting Formal for Self- and Informal In-Home Care among Older Adults with Disabilities
Penning, Margaret J.
Gerontologist, v42 n1 p4-16 Feb 2002
Purpose: In response to concerns among policymakers and others that increases in the availability of publicly funded formal services will lead to reductions in self- and informal care, this study examines the relationship between the extent of formal in-home care received and levels of self- and informal care. Design and Methods: Two-stage least squares regression analyses were conducted, using data drawn from interviews conducted with a sample of 661 older users and nonusers of publicly subsidized home care services. Results: No evidence was found to indicate that more extensive use of formal services is associated with less extensive self- or informal care. This is true among those receiving publicly subsidized services as well as those required to pay part or all of the cost of the in-home services they receive. Implications: The findings provide little support for the substitution hypothesis that an increase in the use of formal in-home services will tend to erode levels of informal or self-care.
Descriptors: Least Squares Statistics, Older Adults, Social Services, Daily Living Skills, Independent Living, Respite Care, Health Services, Federal Programs, Correlation, Interviews, Gerontology
Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: email@example.com; Web site: http://www.geron.org/journals/gsapub.htm
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A