Effect of a Voucher Benefit on the Demand for Paid Personal Assistance

Meng, Hongdao; Friedman, Bruce; Dick, Andrew W.; Wamsley, Brenda R.; Eggert, Gerald M.; Mukamel, Dana B.

doi:10.1093/geront/46.2.183

Cited by 13 publications

(17 citation statements)

References 28 publications

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“…The study presented here was carried out at the University of Rochester and was supproted by a Mentored Research Scientist Career Development Award provided to Bruce Friedman, PhD, by the National Institute of Mental Health for "Impact of Depression and Function on Healthcare Use and Cost," NIMH K01 MH64718 (Bruce Friedman, principal investigator). A preliminary version of this article was presented at the 17th annual meeting of the American Association for Geriatric Psychiatry, Baltimore, Maryland, February [21][22][23][24] 2004.…”

Section: Acknowledgmentsmentioning

confidence: 99%

Major Depression and Disability in Older Primary Care Patients With Heart Failure

Friedman

Lyness

Delavan

et al. 2008

J Geriatr Psychiatry Neurol

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The purpose of this study was to examine the association between dependence in activities of daily living (ADL) and instrumental ADL (IADL) and major depression among 415 community-dwelling primary care patients age 65+ with heart failure and significant ADL or IADL dependence. Main findings include (1) a progressive increase in depression prevalence from 0% for no IADL dependence to about 40% for 6 IADL dependencies (P < .001), (2) a steady rise in depression prevalence to 40% for 6 ADL dependencies following a "floor effect" at about 10% for 0 to 2 ADL dependencies (P < .001), and (3) the association in a logistic regression model of major depression with number of IADL dependencies (P = .016) but not with number of ADL dependencies (P = .602). Our principal conclusion is that the progressively greater likelihood of major depression as the number of IADL dependencies increases has important clinical, personal, social, and public health relevance.

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Section: Acknowledgmentsmentioning

confidence: 99%

Major Depression and Disability in Older Primary Care Patients With Heart Failure

Friedman

Lyness

Delavan

et al. 2008

J Geriatr Psychiatry Neurol

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“…In high income countries vouchers have been used extensively in the education sector to extend school choice [5]. There are also examples of the use of vouchers in the health sector including long term home care and social care [6,7]. The evaluation described in this paper provides evidence of the effects of vouchers on both the uptake and quality of maternal care.…”

Section: Introductionmentioning

confidence: 99%

Vouchers as demand side financing instruments for health care: A review of the Bangladesh maternal voucher scheme

et al. 2010

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“…Monies referred to a cash allowance (Infeld, 2005;Kim, Fox, & White, 2006;Phillips & Schneider, 2007), vouchers (Infeld, 2005;Meng, et al, 2006) Third, offering the least individualization, a budget was allocated using capped spending where all participants received the same quantity, such as "a monthly personal assistance voucher benefit of up to $250" (Meng, et al, 2006, p. 185), regardless of abilities, needs, or goals.…”

Section: Budgetingmentioning

confidence: 99%

Identifying and Defining the Activities of Participant Direction Programs

Gross

Blue-Banning

Turnbull

et al. 2013

Journal of Disability Policy Studies

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Nearly 11 million Americans, half of which are nonelderly, need long-term supports and services (Kaye, Harrington, & LaPlante, 2010), including personal assistance services, home and community-based services, and institutional services (Ng, Harrington, & Kitchener, 2010). The paid supports and services these individuals receive are funded primarily through Medicaid and are traditionally provided through agency direction models that provide little opportunity for participant decision-making regarding the services provided (Clark, Hagglund, & Sherman, 2008;O'Keeffe, Wiener, & Greene, 2005). Individuals are recipients of the agency's services and the agency generally recruits, hires, trains, schedules, manages, disciplines, and pays the service providers, determining provider wages and job tasks (Jamison Rissi, 2007).Conversely, participant direction models hold that individuals or their surrogate decision-makers (hereafter referred to as "participants") should "have the primary authority to make choices that work best for them, regardless of the nature or extent of their disability or the source of payment for services" (National Institute on Consumer-Directed Long-Term Services, 1996, p. 3). As such, service providers work for participants, and participants may have input or authority over multiple aspects of service delivery, including how money is spent, how and where services are implemented, and who provides them. However, there are many variations in these programs that blur the line that divides agency direction and participant direction programs.There is a "lack of clarity of what is meant by [participant] direction" (Infeld, 2005, p. 14), and no two programs are identical. Programs of participant direction vary in a myriad of ways: (a) number of participants enrolled (e.g., fewer than 100 participants to more than 5,000 participants; Doty & Flanagan, 2002), (b) disabilities of participants 502538D PSXXX10.

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Effect of a Voucher Benefit on the Demand for Paid Personal Assistance

Cited by 13 publications

References 28 publications

Major Depression and Disability in Older Primary Care Patients With Heart Failure

Major Depression and Disability in Older Primary Care Patients With Heart Failure

Vouchers as demand side financing instruments for health care: A review of the Bangladesh maternal voucher scheme

Identifying and Defining the Activities of Participant Direction Programs

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