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In-Home Supportive Services for the Elderly and Disabled: A Comparison of Client Directed and Professional Management Models of Service Delivery, Non-Technical Summary Report

Report
April 1, 1999

This study compared consumer-directed (CD) and professional management (PM) models of financing and delivering publicly funded long-term care, using data from California’s In-Home Supportive Services program. The study found that while the CD model outperformed the PM model on several client outcome measures, home care workers receive significantly higher wages and more benefits with the PM model.

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Key Takeaways

Both models had positive outcomes. CD had better outcomes on satisfaction, empowerment, and quality of life.
Hired family members had no effect on quality of life for CD, but better for safety, satisfaction, and empowerment.
CD workers earned higher pay and better benefits.
 
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