Incorporating assistive devices into community-based long-term care: An analysis of the potential for substitution and supplementation

Objectives: This article examines the use of assistive devices as a part of the long-term care arrangements of community-dwelling older Americans. It examines the potential for assistive devices to substitute for and suppleme nt personal care assistance. Methods: Data from the Phase 2 Disability Supp lements to the 1994-1995 National Health Interview Surveys are used to comp are the use of personal care and equipment among persons reporting difficul ty with a given activity of daily living. Results: The capacity of equipmen t to substitute for or supplement personal care is highly task-specific and depends on the characteristics of the devices and the personal care provid ers. In general, those using simple devices are less likely to use informal care, whereas those using complex devices are more likely to use formal ca re services. Discussion: Technology has the potential to confer quality of life enhancements for older persons and their caregivers and cost savings f or payers.