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
N1 - Funding Information:
This report presents the findings and views of the authors. It does not necessarily represent those of the Veteran’s Administration or Health Services Research and Development Service. The research reported here was supported by Department of Veterans Affairs, Health Services Research and Development Project #IIR 02–228.
PY - 2009
Y1 - 2009
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
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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 -