Evaluation of Grant Supported PCA Services in Alaska (1996)

Brian Saylor, PhD, MPH
Stacy L. Smith, MFA


Home and community based long term care services are a fast growing component of Alaska’s health care delivery system. They provide a cost efficient and clinically appropriate alternative to costly facility based long term care services that are considered far more acceptable by long term care clients. The Institute for Health Studies evaluated grant sponsored personal care attendant services in Alaska. Personal care attendants provide a wide array of health, social, homemaker, personal and chore services to Alaska’s elderly and disabled adults. By receiving these services, clients with needs and long term health care and social support are better able to remain in their homes and communities.


The evaluation used a variety of techniques including, the development of personal care attendant service principle’s and guidelines, flow charts, and evaluation of clinical assessment tools, management audits of participating grantees, an analysis grantee costs and revenues, an assessment of client satisfaction with services and case controlled review of clinical files of challenging patients.


The final PCA report is available for viewing in pdf format: Staying at Home: An Evaluation of Grant Supported PCA Services in Alaska and the Appendices ( KB, pdf).