The Gerontologist, Vol 33, Issue 1 55-63, Copyright © 1993 by The Gerontological Society of America
Home care reimbursement and effects on personnel
M MacAdam
Baycrest Center for Geriatric Care, Toronto, Ontario, Canada.
Reimbursement policy plays a critical role affecting the ability of
providers to recruit and retain paraprofessional home care workers in an
industry heavily influenced by public funding. In this article, estimates
of paraprofessional home care revenue and size, the composition of the
industry, and the workforce incentives inherent in different forms of
reimbursement are presented. The findings from this review indicate that
the industry's reliance on public funding places special importance on
payment policies that recognize the critical role of trained caring staff
in meeting long-term care policy goals.
