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Self-directed community services for older Australians: a stepped capacity-building approach.
- Source :
- Health & Social Care in the Community; Nov2014, Vol. 22 Issue 6, p598-611, 14p, 1 Diagram, 5 Charts
- Publication Year :
- 2014
-
Abstract
- Consumer-directed care (CDC) is increasingly widespread among aged care service options in Organisation for Economic Co-operation and Development (OECD) countries. However, the evidence base regarding the programmatic and contextual factors that affect the outcome of CDC interventions is surprisingly small. This paper reports on a self-directed care approach for older Australians with complex care needs. A multimethods longitudinal comparative cohort study was employed comprising 4 survey tools and 56 semi-structured interviews. Participation rates were around 20%. A total of 185 (98 in the intervention and 87 in the control group) older people and carers were recruited at baseline. Eleven months later, 109 participants (59 in the intervention and 50 in the control group) completed the repeat measure. Attrition rates were around 40%. Data collection occurred between July 2010 and April 2012. The data suggest that intervention group participants were likely to be more satisfied with the way they were treated (P = 0.013), their care options (P = 0.014), the 'say' they had in their care (P < 0.001), the information they received regarding their care (P = 0.012), what they were achieving in life (P = 0.031), that the services changed their view on what could be achieved in life (P = 0.020) and with their standard of living (P = 0.008). The evaluation suggests that while only a very small segment of older people is interested in a voucher or cash option, a substantially larger group would like to have greater say over and more direct access to their care, without, however, assuming administrative and financial responsibilities. The paper concludes that a stepped capacity-building approach to CDC may improve the acceptability of CDC to older people and generate synergies that improve older people's care outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- BUDGET
CHI-squared test
COMPARATIVE studies
CONGREGATE housing
CUSTOMER satisfaction
STATISTICAL correlation
DECISION making
DEMENTIA
FAMILIES
FRAIL elderly
HOME care services
INTERVIEWING
LONGITUDINAL method
MATHEMATICAL models
RESEARCH methodology
MEDICAL needs assessment
PATIENTS
LEGAL status of patients
PROBABILITY theory
QUESTIONNAIRES
RESEARCH funding
RESOURCE allocation
STATISTICAL sampling
SCALE analysis (Psychology)
SOCIAL services
SURVEYS
T-test (Statistics)
PATIENT participation
HOUSEKEEPING
QUALITATIVE research
LOGISTIC regression analysis
THEORY
QUANTITATIVE research
EDUCATIONAL attainment
THEMATIC analysis
SOCIAL services case management
REPEATED measures design
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 22
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 102210244
- Full Text :
- https://doi.org/10.1111/hsc.12111