Community Based Service Use with Service Coordinators and Case Managers in a Shared Cost Program

Abstract

This study uses Anderson's model of health care utilization to examine differences between two models of delivering community based services (CBS) in a pilot cost share program: case management and service coordination. Service coordination and cost sharing are innovative, less costly approaches to providing CBS than are the traditional case management approach provided under the Older American's Act. While there has been considerable research on factors influencing use of traditional CBS models, we were able to find no studies that examined factors that determine whether case management or service coordination should be used to determine CBS use. Logistic regression revealed elders were more likely to receive a service coordinator if they had fewer ADL and IADL impairments, no caregiver, and were living alone. Thus, clients received service coordination or case management based upon their level of need.