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Article
Access Barriers to and Unmet Needs for Home- and Community-Based Services Among Older Korean Americans
Home Health Care Services Quarterly (2012)
  • Banghwa Lee Casado, University of Maryland at Baltimore
  • Sang E. Lee, San Jose State University
Abstract
This cross-sectional survey study of 146 caregivers of older Korean Americans explored access barriers to and unmet needs for home- and community-based services (HCBS) programs (respite care, adult day care, personal care, home health, housekeeping, and transportation). Most often reported access barriers were lack of awareness and care recipient refusal. Predictors of unmet needs varied depending on the type of service, but included caregiver gender, relationship, education, caregiving duration, Medicaid coverage, English proficiency, caregiver self-efficacy, care recipient functional dependency, cognitive impairment, and caregiving hours. This study highlighted unmet needs for HCBS in Korean American communities, pointing to the pressing need for a collaborative effort to develop plans that modify and expand HCBS programs for older Korean Americans.
Keywords
  • home- and community-based services,
  • Korean Americans,
  • service access barriers
Disciplines
Publication Date
2012
DOI
10.1080/01621424.2012.703540
Citation Information
Banghwa Lee Casado and Sang E. Lee. "Access Barriers to and Unmet Needs for Home- and Community-Based Services Among Older Korean Americans" Home Health Care Services Quarterly Vol. 31 Iss. 3 (2012) p. 219 - 242 ISSN: 0162-1424
Available at: http://works.bepress.com/sang-lee/8/