This study examined the relationship between participation in two home
and community-based long-term care case management interventions (col
lectively known as the Channeling demonstration), use of formal in-hom
e care, and satisfaction with care. Maximum likelihood estimation tech
niques were used to analyze the National Long-Term Care Demonstration
data set. It was hypothesized that participation in the two Channeling
interventions would indirectly (rather than directly) enhance satisfa
ction by operating through the increased use of formal in-home care. H
owever, both Channeling models were found to have favorable direct and
indirect effects on patient satisfaction.