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APHA Scientific Session and Event Listing
2047.0: Sunday, November 04, 2007 - Board 2

Abstract #148604

Assessment of Disparity in Home Health Services among Medicaid Elder Recipients

Chi-Chi Liao, ScD, Executive Office of Health and Human Services, State of Massachusetts, One Ashburton Place, Boston, MA 02108, 617-573-1732, liao@post.harvard.edu and Theodore Chelmow, MEd, MA, Heller School for Social Policy and Management, Brandeis University, 415 South St., Waltham, MA 02454.

Background: In the evolution of the Medicaid program, Medicaid pays for a comprehensive range of home and community base services (HCBS). These services provide alternatives for low-income elderly to live independently in the community as opposed to unnecessary institutional care. The Medicaid services reach a diverse low-income population. To improve this support system and reduce disparity, greater awareness of cultural dimensions needs to be examined in client enrollment and service provision.

Objective: To determine if there are national socio economic disparities in access to HCBS among Medicaid elders.

Methods: Using national data from the 2004 Medical Expenditure Panel Survey, we are examining the correlation between socio economic indicators (SES) and the receipt of a HCBS for elders. This examination uses indicators for age, gender, race, income, education, family size, metropolitan statisical area, and perceived health and mental health status. A Logistic regression model adjusting for the complex survey design is used to examine the association between SES and access to HCBS among Medicaid elders.

Principal Findings: There are significant associations among socio economic indicators and access to HCBS.

Conclusions: The researchers believe that there are significant differences among low-income elder with regard to SES and their utilization of Medicaid HCBS. Future research might examine the further roles of cultural sensitivity in both enrollment and provision of HCBS to diverse populations.

Learning Objectives:

Keywords: Home Care, Medicaid

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Long-Term Care Issues and Innovation

The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA