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Transition from home care to nursing home: unmet needs in a home- and community-based program for older adults



Transition from home care to nursing home: unmet needs in a home- and community-based program for older adults



Journal of Aging and Social Policy 24(3): 251-270



A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.

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Accession: 056648576

Download citation: RISBibTeXText

PMID: 22720886

DOI: 10.1080/08959420.2012.676315


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