Gill Liz, Cameron Ian D
John Walsh Centre for Rehabilitation Research, Sydney Medical School Northern, The University of Sydney, Kolling Institute of Medical Research, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Australas J Ageing. 2015 Dec;34(4):265-8. doi: 10.1111/ajag.12222.
Our aim was to report clinician and researcher observations about the practical difficulties with achieving the articulated objectives of Consumer Directed Care (CDC). The methods used were as follows: identification of key client community services issues through analysis of qualitative data related to a PhD project; review of the summary of these issues by the supervising academic; presentation of the issues to five clinicians involved with a community service clinical trial; verification of the findings through discussions with a senior community service provider. There is anecdotal evidence that the current overlay of CDC in the existing community-based home services sector for people who are older will continue to prevent its effective implementation. The existing culture and underlying philosophies related to this sector maybe unable to support the level of innovative change required. Research is needed into how the stated objectives of CDC can be achieved in Australia and how this can best be managed.
我们的目的是报告临床医生和研究人员对于实现消费者导向型护理（CDC）明确目标过程中实际困难的观察结果。所采用的方法如下：通过分析与一个博士项目相关的定性数据来确定关键的客户社区服务问题；由指导学术人员审查这些问题的总结；向参与一项社区服务临床试验的五名临床医生介绍这些问题；通过与一位资深社区服务提供者的讨论来核实研究结果。有传闻证据表明，目前在现有的针对老年人的社区居家服务部门中叠加的CDC模式将继续阻碍其有效实施。与该部门相关的现有文化和基本理念可能无法支持所需的创新变革水平。需要开展研究，探讨如何在澳大利亚实现CDC的既定目标以及如何对其进行最佳管理。
