Date of Conferral

2023

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Compreca Martin

Abstract

AbstractMedicare and Medicaid are the most used funding sources for long term care (LTC); however, they are insufficient to pay for all social activities needed by individuals with dementia who reside in LTC facilities in the United States. Barriers in accessing funding to provide social activities for these individuals were explored though the theoretical lens of a logic model related to funding. A qualitative exploratory case study design was used to find not only the barriers of accessing funding but also the type of available funding and the eligibility criteria for receiving funds for social activities for those with dementia in LTC facilities. Data collection consisted of semi structured interviews with 10 participants who worked in a LTC facility in a southern U.S. state to provide a thematic analysis of the funding source process. Key findings of the study revealed that respondents used the operating budget to fund social activities. There was a lack of staff-level understanding of the process used to obtain funding, resulting in funding requests being denied. The denials led to external individuals/organizations being used to provide funds or volunteer time to offer social activities. Implications for positive social change include increasing awareness of the importance of adequate funding for social activities for individuals with dementia who reside in LTC facilities and providing policymakers with information needed to revise policies that can alleviate barriers in accessing funding for a population that continues to age.

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