Barriers to home and community-based service referrals: The physician's role

Sheri Reder*, Susan Hedrick, Marylou Guihan, Sara Miller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)21-33
Number of pages13
JournalGerontology and Geriatrics Education
Issue number1
StatePublished - 2009


  • Access to health care
  • Aging
  • Health education
  • Long-term care
  • Qualitative research

ASJC Scopus subject areas

  • Education
  • Geriatrics and Gerontology


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