You Emily Chuanmei, Dunt David, Doyle Colleen
Australian Catholic University, Melbourne, Victoria, Australia
The University of Melbourne, Melbourne, Victoria, Australia.
Qual Health Res. 2016 Oct;26(12):1649-61. doi: 10.1177/1049732315601669. Epub 2015 Aug 28.
Case management has been widely implemented in the community aged care setting. In this study, we aimed to explore influences on case-managed community aged care practice from the perspectives of community aged care case managers. We conducted 33 semistructured interviews with 47 participants. We drew these participants from a list of all case managers working in aged care organizations that provided publicly funded case management program(s)/packages in Victoria, Australia. We used a multilevel framework that included such broad categories of factors as structural, organizational, case manager, client, and practice factors to guide the data analysis. Through thematic analysis, we found that policy change, organizational culture and policies, case managers' professional backgrounds, clients with culturally and linguistically diverse backgrounds, and case management models stood out as key influences on case managers' practice. In the future, researchers can use the multilevel framework to undertake implementation research in similar health contexts.
个案管理已在社区老年护理环境中广泛实施。在本研究中，我们旨在从社区老年护理个案经理的角度探讨对个案管理的社区老年护理实践的影响。我们对47名参与者进行了33次半结构化访谈。这些参与者来自澳大利亚维多利亚州提供公共资助的个案管理计划/套餐的老年护理组织的所有个案经理名单。我们使用了一个多层次框架，其中包括结构、组织、个案经理、客户和实践因素等广泛类别的因素来指导数据分析。通过主题分析，我们发现政策变化、组织文化和政策、个案经理的专业背景、具有文化和语言多样化背景的客户以及个案管理模式是对个案经理实践的关键影响因素。未来，研究人员可以使用该多层次框架在类似的健康背景下进行实施研究。
