TY - JOUR
T1 - The integration of informal care, case management and community-based services for persons with HIV/AIDS
AU - London, A. S.
AU - Leblanc, A. J.
AU - Aneshensel, C. S.
N1 - Funding Information:
This research was supported by a N IM H-funded study entitled `Stress and coping among AIDS caregivers’ (1RO1 MH 44600; Leonard I. Pearlin, PI) and a study entitled `Family caregivers for persons with AIDS’ funded by the University of California University-Wide AIDS Research Program (2± 784349± 20529; Leonard I. Pearlin, PI). Andrew S. London received support as a postdoctoral fellow in a NIM H-funded training programm e entitled `Psychosocial issues and mental health services for persons with HIV/AIDS’ (5 T32 M H-19127; Oscar Grusky, PI). An earlier version of this paper was presented at the annual m eeting of the American Public Health Association, Washington, DC, October 30± November3,1994.
PY - 1998
Y1 - 1998
N2 - This research examines the integration of informal and formal care for persons with HIV/AIDS. Data come from a panel survey of informal informal HIV/AIDS caregivers (N = 642) and are analyzed using a modified version of the Behavioral Model that allows for inclusion of predisposing, enabling and need characteristics of persons with HIV/AIDS and the caregivers. The outcome component of our model emphasizes the role of case management as an intermediary service designed to facilitate linkage to other services. Results indicate: substantial use of case management and other services among persons receiving informal care; characteristics of care recipients, caregivers and dyads directly influence case management and service use; case management positively influences service use at baseline and change in service use over time; and the association between case management and service use generates indirect influences on service use related to characteristics of care recipients, caregivers, and dyads. These results highlight the importance of case management as a mechanism for integrating informal and formal care and demonstrate that service utilization is influenced by the social context of illness.
AB - This research examines the integration of informal and formal care for persons with HIV/AIDS. Data come from a panel survey of informal informal HIV/AIDS caregivers (N = 642) and are analyzed using a modified version of the Behavioral Model that allows for inclusion of predisposing, enabling and need characteristics of persons with HIV/AIDS and the caregivers. The outcome component of our model emphasizes the role of case management as an intermediary service designed to facilitate linkage to other services. Results indicate: substantial use of case management and other services among persons receiving informal care; characteristics of care recipients, caregivers and dyads directly influence case management and service use; case management positively influences service use at baseline and change in service use over time; and the association between case management and service use generates indirect influences on service use related to characteristics of care recipients, caregivers, and dyads. These results highlight the importance of case management as a mechanism for integrating informal and formal care and demonstrate that service utilization is influenced by the social context of illness.
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U2 - 10.1080/09540129850124019
DO - 10.1080/09540129850124019
M3 - Article
C2 - 9828968
AN - SCOPUS:0031876329
VL - 10
SP - 481
EP - 503
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
SN - 0954-0121
IS - 4
ER -