Expanding Self Direction and Its Impact on Quality

October 18, 2016


  • Robert A. Applebaum

The premise of this paper is that self-direction has impacted service and system design and approaches to quality. Admittedly, the system still strives to improve, but it has made major advances over the past two decades, and some of these important changes we believe were inspired by the development and expansion of self-direction.

Public Policy Aging Report, 26 (4), 138-142. doi:https://doi.org/10.1093/ppar/prw022

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  • Home and Community Based Services
  • Long-Term Care Policy and Financing