Although Congress has rejected the concept of mandatory cost-sharing under the Older Americans Act, many states already use client fee systems under state-funded home and community-based services programs. This research included a survey of actual state experiences and a review of earlier studies. States are compared on issues concerning policy and experience with fee systems, including income verification, fee schedules, termination policies, and costs of administration. Although policy and practice differ markedly across states, certain states are close to operationalizing comprehensive policies in this area. The author concludes that there is a need to conduct additional state-level demonstrations that address policy issues identified in the research. Evaluation research is needed to determine program effectiveness and efficiency, particularly concerning whether cost-sharing increases the amount of services available and ensures a high level of services to minorities.

译文

尽管国会拒绝了《老年人法案》规定的强制性费用分摊的概念,但许多州已经在州政府资助的基于家庭和社区的服务计划下使用了客户收费系统。这项研究包括对实际状态经验的调查和对早期研究的回顾。对州进行收费政策和经验方面的比较,包括收入核查,收费表,终止政策和行政费用。尽管各州的政策和实践明显不同,但某些州已接近在该领域实施全面的政策。作者得出结论,有必要进行额外的州级示威,以解决研究中确定的政策问题。需要进行评估研究来确定计划的有效性和效率,尤其是在分担费用是否会增加可用服务量并确保为少数群体提供高水平服务方面。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录