http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
Access, distribution and equity of services in two Texas home health care programs
xiii, 214 leaves : illustrations, maps ; 28 cm
This study examines the distribution and equity of services in two community-based home health care programs known as the Primary Home Care Program and the Family Care Program. Using descriptive, explanatory and interpretive modes of inquiry, this research seeks two major objectives: (1) to determine whether access to the two programs is equitable, and (2) to discover the existing structural patterns which create inequitable distribution of services. A theoretical model is proposed from a political economy perspective identifying the characteristics in the delivery of services which maximize utilization of services and those which detract from it. The findings indicate that in order to assess service utilization it is necessary to incorporate both client characteristics and societal influences. Multiple factors external to the individuals in need of services determine service utilization. Recommendations are included for redirecting a commitment of resources to reach and serve the needs of diverse populations with a continuum of options for long-term care services.