The Gerontologist
 QUICK SEARCH:   [advanced]


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sciegaj, M.
Right arrow Articles by Kyriacou, C. K.
Right arrow Search for Related Content
Right arrow PubMed Citation
Right arrow Articles by Sciegaj, M.
Right arrow Articles by Kyriacou, C. K.
The Gerontologist 44:489-499 (2004)
© 2004 The Gerontological Society of America

Consumer-Directed Community Care: Race/Ethnicity and Individual Differences in Preferences for Control

Mark Sciegaj, PhD, MPH1,, John A. Capitman, PhD2 and Corrine Kay Kyriacou, PhD, MPH3

Correspondence: Address correspondence to Mark Sciegaj, Rose Mary B. Fuss Center for Aging and Intergenerational Studies, Lasell College, 1844 Commonwealth Ave., Newton, MA 02466. E-mail: msciegaj{at}

Purpose. Even though consumer-directed care models are being advocated for use among elder populations, there are few data on the extent of elder interest in participating in the management of community long-term-care services, who they want involved in making these decisions, or their perceptions regarding the relative importance of different service choices. In addition, little is known about how elder preferences for consumer direction may vary by race/ethnicity. Design and Methods. With use of a cross-sectional research design, a sample of 731 elders including 200 African American, 200 Chinese, 131 Latino, and 200 White Western European American elders was investigated. New measures were created to assess level of control desired by elders in different areas of community long-term-care service delivery and preference for consumer direction. Results. Multivariate analyses found significant differences between and within race/ethnic groups for preferences for levels of consumer-directed care. Implications. Study findings suggest that consumer direction occurs along a continuum, with elders desiring control over some service areas but not others, and the importance of recognizing heterogeneity within racial/ethnic groups regarding consumer-directed care.

Key Words: Consumer-directed care • Long-term care • Decision making

This article has been cited by other articles:

Home page
GerontologistHome page
J. M. Wiener, W. L. Anderson, and G. Khatutsky
Are Consumer-Directed Home Care Beneficiaries Satisfied? Evidence From Washington State
Gerontologist, December 1, 2007; 47(6): 763 - 774.
[Abstract] [Full Text] [PDF]

Home page
GerontologistHome page
G. E. Alkema, J. Y. Reyes, and K. H. Wilber
Characteristics Associated With Home- and Community-Based Service Utilization for Medicare Managed Care Consumers
Gerontologist, April 1, 2006; 46(2): 173 - 182.
[Abstract] [Full Text] [PDF]

All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2004 by The Gerontological Society of America.