Khatutsky Galina, Anderson Wayne L, Wiener Joshua M
RTI International, Waltham, MA 02451-1623, USA.
Health Care Financ Rev. 2006 Fall;28(1):69-86.
We analyzed survey data from 2,325 Medicaid home and community-based services (HCBS) beneficiaries in six States to estimate satisfaction with personal care services. We constructed an eight-item scale rating various aspects of paid assistance and estimated satisfaction for the total sample and for older and younger persons with disabilities. Younger persons with significant health problems and those residing in group settings were less satisfied. Higher unmet need for assistance with activities of daily living (ADLs), and instrumental activities of daily living (IADLs) was associated with decreased satisfaction, and matching race between a client and paid caregiver was associated with significantly increased satisfaction in all age groups.
我们分析了来自六个州的2325名医疗补助居家和社区服务（HCBS）受益人的调查数据，以评估他们对个人护理服务的满意度。我们构建了一个包含八个项目的量表，用于对有偿援助的各个方面进行评分，并估算了总样本以及残疾老年人和残疾年轻人的满意度。患有严重健康问题的年轻人以及居住在集体环境中的人满意度较低。日常生活活动（ADL）和工具性日常生活活动（IADL）方面未得到满足的较高需求与满意度降低相关，而客户与有偿护理人员之间的种族匹配在所有年龄组中均与满意度显著提高相关。
