Personal Assistance Services
The Hub of the Policy Wheel for Community Integration of People with Severe Physical Disabilities
Bibliographic Data
| ID | 6329952 |
|---|---|
| Authors | Margaret A Nosek (Baylor College of Medicine), Carol A Howland (Baylor College of Medicine) |
| Year | 1993 |
| Volume | 21 |
| Issue | 4 |
| Pages | 789-800 |
| Publication date | 1993-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Policy Studies Journal (JOURNAL) |
| Journal identifiers | ISSN: 0190-292X • E-ISSN: 1541-0072 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1541-0072.1993.tb02175.x |
| OpenAlex | W2025406564 |
| Language | EN |
| Citations received | 8 |
| References cited | 5 |
The success of persons with severe physical disabilities in living independently in the community, engaging in self‐directed productive activities, and staying healthy depends, in part, on getting and maintaining adequate personal assistance with basic tasks such as getting out of bed and tending to personal hygiene. Although few policymakers would disagree with the contention that many people with disabilities need assistance with daily tasks, there is considerable debate about who should provide assistance, what services should be included, who should pay, who should be entitled to publicly provided and paid services, how much assistance should be provided, and who should control its administration. The prevailing model for delivery of personal assistance services has been primarily medical, with control of services by health care professionals, rather than independent living, with control by consumers receiving services. Traditionally there has been an institutional bias of funding for disability‐related service, despite its much higher expense than community‐based personal assistance services and its violation of basic human rights. Proponents of various solutions to health care reform have given little consideration to the provision of support services for people with disabilities. The advantages of implementing a uniform national system for the delivery of personal assistance services based on consumer control are discussed
Business · Control (management · Economic growth · Economics · Health care · Human services · Personal care · Personal hygiene · Political science · Public relations · Service (business · Geriatric Care and Nursing Homes · Healthcare innovation and challenges · Medicine · Social Sciences and Governance · Marketing
Disability, Work, and Cash Benefits
European Experiences with Disability Policy
Access to Community-Based Long-Term Care
Estimating the Size of the Adult Population Needing Personal Assistance Services
Design Features for Employment-Supportive Personal Assistance Services in Medicaid Programs
Exploring Personal Assistance Services for People with Psychiatric Disabilities
Personal assistance—direct payments or alternative public service. Does it matter for the promotion of user control
Why Are Some People's Needs Unmet
| Citations per year | 0.27 |
|---|---|
| Citation span | 1996 - 2010 (15) |
| Highly cited | No |