TY - JOUR
T1 - Barriers to home and community-based service referrals
T2 - The physician's role
AU - Reder, Sheri
AU - Hedrick, Susan
AU - Guihan, Marylou
AU - Miller, Sara
PY - 2009/2/27
Y1 - 2009/2/27
N2 - The purpose of this study was to obtain information about Department of Veteran Affairs (VA) long-term care (LTC) referrals that could be used to develop interventions that increase the likelihood of referrals to home and community-based services (HCBS) instead of institutional care. This primarily qualitative study was conducted at five VA Medical Centers. The study used three linked methods: interviews with patients and informal caregivers; focus groups with LTC administrators, providers, and social workers; and written rankings of the barriers to HCBS referrals. We unexpectedly identified a cluster of findings indicating the importance of physicians' role in the LTC referral process and the need for more LTC training, particularly about HCBS.
AB - The purpose of this study was to obtain information about Department of Veteran Affairs (VA) long-term care (LTC) referrals that could be used to develop interventions that increase the likelihood of referrals to home and community-based services (HCBS) instead of institutional care. This primarily qualitative study was conducted at five VA Medical Centers. The study used three linked methods: interviews with patients and informal caregivers; focus groups with LTC administrators, providers, and social workers; and written rankings of the barriers to HCBS referrals. We unexpectedly identified a cluster of findings indicating the importance of physicians' role in the LTC referral process and the need for more LTC training, particularly about HCBS.
KW - Access to health care
KW - Aging
KW - Health education
KW - Long-term care
KW - Qualitative research
UR - http://www.scopus.com/inward/record.url?scp=60749093951&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=60749093951&partnerID=8YFLogxK
U2 - 10.1080/02701960802690241
DO - 10.1080/02701960802690241
M3 - Article
C2 - 19214844
AN - SCOPUS:60749093951
VL - 30
SP - 21
EP - 33
JO - Gerontology and Geriatrics Education
JF - Gerontology and Geriatrics Education
SN - 0270-1960
IS - 1
ER -