Balancing formal and informal care for older persons: how case managers respond
Abstract
RÉSUMÉ Cette étude a examiné la façon dont les gestionnaires de cas de soins à domicile et en milieu communautaire dans la première ligne de la profession voir le rôle des aidants naturels et les facteurs qui contribuent aux décisions de ces gestionnaires en ce qui concerne l’allocation des ressources. La recherche pour l’étude a utilisé deux méthodes de collecte de données: (a) l’analyse secondaire des résultats de simulations de la balance de soins, réalisées dans neuf régions de l’Ontario, et (b) des entretiens en profondeur de suivi avec les différents gestionnaires de la B de S. Les résultats indiquent que les gestionnaires de cas sont d’accord à l’unanimité que l’unité des soins dans le secteur SDMC ne se limite pas à l’individu, tel qu’en soins aigus, mais englobe à la fois l’individu et le soignant. Nous avons constaté, cependant, des variations considérables dans l’assortiment et le volume des services SDMC recommandés par les gestionnaires de cas. Nous concluons que la variabilité de la prise de décision peut refléter la manque de réglementation, de meilleures pratiques, et de lignes directrices pour la responsabilité dans le secteur SDMC.
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Discretion in home care can be inequitable, inadequate, or inconsistent, which may lead to sub-optimal or discrepant decisions across cases.
“Such discretion can be thought of as inequitable, inadequate, or inconsistent, which may lead to sub-optimal or discrepant decisions across cases [51].”
From Towards defining quality in home care for persons living with dementia (2022) · cites this paper as [51]
Canadian literature has identified variable resource allocation in home care and factors including differences in older clients and caregivers, and discretion and flexibility based on professional training and insight.
“Canadian literature has identified variable resource allocation in home care and the factors at play, including differences in the older client and caregivers themselves, as well as the discretion and flexibility based on professional training and insight [51].”
From Towards defining quality in home care for persons living with dementia (2022) · cites this paper as [51]
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Towards defining quality in home care for persons living with dementia
Saragosa, M., Jeffs, L., Okrainec, K., & Kuluski, K. (2022) · PLOS ONE · doi:10.1371/journal.pone.0274269 · Cited by 10 · see citing works
- Authors
- Peckham, A., Williams, A. P., & Neysmith, S.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Peckham, Allie
- ORCID
- Peckham, Allie
- Venue
- Canadian Journal on Aging / La Revue canadienne du vieillissement
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-04-29
- Volume
- 33
- Issue
- 2
- Pages
- 123-136
- ISSN
- 0714-9808 (ISSN-L)
- 1710-1107
- OpenAlex
- W2084019500
- Cited by
- 36
- References
- 29
- Citations by year
- 2026: 1 · 2024: 3 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 6 · 2018: 5 · 2017: 5 · 2016: 1 · 2015: 5 · 2014: 4
- FWCI
- 9.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Journal on Aging / La Revue canadienne du vieillissement (publishedVersion)
- PubMed (publishedVersion)
- Project Muse (Johns Hopkins University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- case management, home care, community-based care, older adults, informal caregivers, family caregivers, resource allocation decisions, care coordination, primary care, legislative gaps, best practices
- MeSH terms
- Aged, Aged, 80 and over, Decision Making, Delivery of Health Care, Patient Care, Home Care Services, Humans, Ontario, Caregivers, Case Management, Needs Assessment, Resource Allocation
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