TAILIEUCHUNG - The Effects of Land Use on the Mobility of Elderly and Disabled and Their Homecare Workers, and the Effects of Care on Client Mobility: Findings from Contra Costa, California

Most health centers will be serving elders with disabilities in their normal adult clinics. Some may wish to set aside special clinic times for the elderly including those with disabilities and special needs. Set-aside times can allow for somewhat longer patient visits which are helpful in treating elders with long histories and multiple chronic problems. Some health centers may also choose to set up additional services as part of their approach to primary care for the elderly. These may include adult day health care, home health care, assisted living, and nursing homes. Unfortunately we do not have an accurate count. | i The Effects of Land Use on the Mobility of Elderly and Disabled and Their Homecare Workers and the Effects of Care on Client Mobility Findings from Contra Costa California by Anne Orelind Decker . Harvard University 1996 A thesis submitted in partial satisfaction of the requirements for the degree of Master in City and Regional Planning in the GRADUATE DIVISION of the UNIVERSITY OF CALIFORNIA BERKELEY Committee in charge Professor Martin Wachs Professor Elizabeth Deakin Professor Paola Timeras Summer 20051 1 Note that a few typographical errors were corrected in December 2005 so this version differs slightly from the one submitted as a master s thesis. ii Abstract The Effects of Land Use on the Mobility of Elderly and Disabled and Their Homecare Workers and the Effects of Care on Client Mobility Findings from Contra Costa California This study looks at the relationships among land use the mobility of disabled and elderly recipients of public home healthcare the mobility of their homecare workers and how much care those homecare workers provide. The findings are based on nearly 1 300 survey responses from clients and homecare workers in the In-Home Supportive Services IHSS program in Contra Costa County California a publicly funded program for individuals with disabilities who have low incomes. The homecare workers I surveyed belong to the Service Employees International Union SEIU . The qualitative data and descriptive statistics paint a portrait of both populations transportation habits and challenges. Regression analyses controlling for variables such as car ownership disability level gender age and race tested the interactions between the variables of interest in six hypotheses. The results are complex and occasionally conflicting yet patterns appear. For example the IHSS clients have car-use rates far lower than average with only 10 driving themselves when they leave home and almost half live alone these facts combined with their low incomes and .

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