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Journal of Applied Gerontology, Vol. 23, No. 3, 175-192 (2004)
DOI: 10.1177/0733464804267972

What Quality Paid Home Care Means to Family Caregivers

Kathleen W. Piercy

Utah State University

Gregory J. Dunkley

Intermountain Hospital

The authors investigate the meanings of paid home care for family caregivers to frail older adults, comparing and contrasting what good and poor quality home care means to their caregiving efforts. Semistructured interviews were conducted with caregivers and were analyzed qualitatively, using McCracken’s (1988) five-step method for analysis of long interviews. Data from two studies were combined because of similarities in sample characteristics and interview questions and because data from the second study included both positive and negative experiences with home care providers. The authors find that caregivers perceived that good-quality paid home care facilitated enhanced quality of life for care recipients and improved perceptions of their performances as caregivers. When paid home care was of poor quality, caregivers felt more stress and increased their monitoring of providers. Caregiver circumstances, as well as care recipient needs, should be considered in making decisions about who receives formal home care services.

Key Words: informal care • formal care • caregiver stress • long-term care policy • home care


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 J. Gerontol. B Psychol. Sci. Soc. Sci.Home page
K. W. Piercy
Characteristics of Strong Commitments to Intergenerational Family Care of Older Adults
J. Gerontol. B. Psychol. Sci. Soc. Sci., November 1, 2007; 62(6): S381 - S387.
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