Research Report Consumer-Directed Home and Community Services Programs in Five Countries
Policy Issues for Older People and Government
Alison Evans Cuellar, Jane Tilly, Joshua M. Wiener
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A major innovation in long-term care for elderly persons in the United States and Europe is the development of consumer-directed home care. These governmental programs give consumers, rather than home care agencies, control over who provides services and how these services are delivered. Typically, consumer-directed programs allow the consumer to hire, train, supervise, and fire the home care worker. In some programs, beneficiaries receive cash payments enabling them to purchase the services they want. In contrast, traditional home care programs rely on public or private agencies to supply and supervise the workers who serve program beneficiaries.
Research Areas International development Aging and retirement
Tags International social sector reform Long-term services and support