Document Detail

The New York City shared aide program (cluster care): a model for the future.
MedLine Citation:
PMID:  10128386     Owner:  NLM     Status:  MEDLINE    
In order to combat rapidly escalating home health care costs, New York City and State have inaugurated a "shared aide" program in which home attendant "teams," as opposed to individual aides, serve large groups of elderly clients who live in close proximity (e.g., at senior housing sites), thus reducing the aide-to-client ratio. Using New York City as a model, this paper examines the premises underlying the shared aide concept--the program's objectives, methodology, advantages/disadvantages to home care workers and clients, and, most importantly, its potential, if implemented nationwide, for cost containment and a corresponding substantial reduction in the Medicaid budget.
W Balinsky; J F LaPolla
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Home health care services quarterly     Volume:  14     ISSN:  0162-1424     ISO Abbreviation:  Home Health Care Serv Q     Publication Date:  1993  
Date Detail:
Created Date:  1993-10-19     Completed Date:  1993-10-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8000128     Medline TA:  Home Health Care Serv Q     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  41-54     Citation Subset:  H    
New School for Social Research, New York 10011.
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MeSH Terms
Community Health Aides / economics*
Cost Savings / methods
Home Care Services / manpower*
Job Satisfaction
Medicaid / economics
Models, Organizational
New York City
Patient Care Team / economics*,  utilization
Patient Satisfaction
Personnel Staffing and Scheduling / standards*
Program Evaluation
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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