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Medical Care:
August 2007 - Volume 45 - Issue 8 - pp 729-738
doi: 10.1097/MLR.0b013e3180618b6e
Original Article

The Search and Selection of Assisted Living Facilities by Elders and Family

Castle, Nicholas G. PhD; Sonon, Kristen E. MHA

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Abstract

Background: In this study, we examine factors associated with the search, selection, and satisfaction of residents and family members in assisted living.

Methods: Data were collected from 375 residents of 25 assisted living facilities matched with 375 family members. We conducted face-to-face interviews with the residents to determine: (1) the principal decision maker; (2) the process of searching for a facility; (3) the factors crucial to facility selection; (4) the time frame from the relocation decision to relocation; and (5) satisfaction with selection. Similar questions were asked of family members, using a mail survey.

Results: Residents described themselves as extremely influential in 39% of cases when searching for a facility, and in 27% of cases when selecting a facility. Quality, cost, and location were the most influential factors for both residents and family members in selecting a facility. Almost all residents and family would use different search and selection processes if they had to select a facility again, and almost all were dissatisfied with the sources of information available.

Conclusions: Consumers and policy makers both favor the use of assisted living settings; but, the information available to choose a setting is far from ideal, and may represent a barrier to both consumer and policy makers' agendas.

© 2007 Lippincott Williams & Wilkins, Inc.

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