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从业者对老年人护理协调的偏好:一项离散选择实验。

Practitioners preferences of care coordination for older people: A discrete choice experiment.

作者信息

Jasper Rowan, Chester Helen, Hughes Jane, Abendstern Michele, Loynes Niklas, Sutcliffe Caroline, Davies Linda, Challis David

机构信息

a Personal Social Services Research Unit , University of Manchester , Manchester , UK.

b Manchester Centre for Health Economics , University of Manchester , Manchester , UK.

出版信息

J Gerontol Soc Work. 2018 Feb-Mar;61(2):151-170. doi: 10.1080/01634372.2017.1417342. Epub 2017 Dec 27.

Abstract

These findings demonstrate the importance of organisations providing care coordination for older people receiving long-term funding. Further research is required to investigate the influence of service setting on practitioner preferences. This study explored practitioner preferences about the relative value of attributes of care coordination services for older people. A Discrete Choice Experiment (DCE) survey was used to identify the views of 120 practitioners from 17 services in England in 2015. The survey design was informed by an analysis of standards of care coordination, a postal survey and a consultation with carers of older people. Results of the DCE survey were supplemented by a content analysis of qualitative comments and fieldwork notes. Most respondents were over 30 years of age, female and almost half worked part-time. Continuity of care (care provided by the same care coordinator) and the ability to access the range of services outlined in the care plan were the most important service attributes. Service setting influenced practitioner preferences. Those in specialist services for people with dementia identified the length of time a service was provided as another important attribute. The DCE methodology has provided the opportunity to systematically canvas practitioner preferences.

摘要

这些研究结果表明了组织为接受长期资助的老年人提供护理协调的重要性。需要进一步开展研究,以调查服务环境对从业者偏好的影响。本研究探讨了从业者对老年人护理协调服务属性相对价值的偏好。2015年,采用离散选择实验(DCE)调查来确定来自英格兰17家服务机构的120名从业者的观点。该调查设计参考了护理协调标准分析、邮寄调查以及与老年人护理者的磋商。DCE调查结果通过对定性评论和实地考察记录的内容分析得到补充。大多数受访者年龄超过30岁,为女性,且近半数为兼职工作。护理连续性(由同一名护理协调员提供护理)以及获得护理计划中所概述的一系列服务的能力是最重要的服务属性。服务环境影响从业者的偏好。为痴呆症患者提供专科服务的从业者将服务提供时长确定为另一重要属性。DCE方法提供了系统探究从业者偏好的机会。

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