老年人在家庭护理套餐引入消费者导向型护理后的经历：一项质性描述性研究。
Experiences of older people following the introduction of consumer-directed care to home care packages: A qualitative descriptive study.
作者信息
Day Jenny, Thorington Taylor Ann C, Hunter Sharyn, Summons Peter, van der Riet Pamela, Harris Margaret, Maguire Jane, Dilworth Sophie, Jeong Sarah, Bellchambers Helen, Haydon Gunilla, Higgins Isabel
机构信息
Faculty of Health and Medicine, School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia.
Faculty of Education and Arts, School of Humanities and Social Science, University of Newcastle, Newcastle, New South Wales, Australia.
出版信息
Australas J Ageing. 2018 Dec;37(4):275-282. doi: 10.1111/ajag.12553. Epub 2018 Jun 12.
OBJECTIVE
To explore the experiences of older people receiving home care package (HCP) support following the introduction of consumer-directed care (CDC) by the Australian government on 1 July 2015.
METHODS
Thirty-one older people with existing HCP support from two service providers in regional New South Wales, Australia, participated in a face-to-face interview and/or a qualitative survey.
RESULTS
Analysis revealed the theme of Choices: Preferences, constraints, balancing and choosing. Participants described choosing to live at home with HCP support; however, they were constrained by poor communication and information about service changes and options, personal budgets and access to future care. HCP services remained largely unchanged during transition to CDC.
CONCLUSION
Many aspects of the initial implementation of CDC were challenging for older people. Clear, relevant and timely communication and information about CDC and its consequences for consumers appear to be needed to enhance CDC.
目的
探讨自2015年7月1日澳大利亚政府引入消费者导向型护理（CDC）后，接受居家护理套餐（HCP）支持的老年人的经历。
方法
来自澳大利亚新南威尔士州地区两家服务提供商的31名接受现有HCP支持的老年人参与了面对面访谈和/或定性调查。
结果
分析揭示了“选择：偏好、限制、平衡与抉择”这一主题。参与者描述了在HCP支持下选择居家生活；然而，他们受到服务变更和选项的沟通不畅与信息不足、个人预算以及未来护理获取等方面的限制。在向CDC过渡期间，HCP服务在很大程度上保持不变。
结论
CDC初始实施的许多方面对老年人来说具有挑战性。似乎需要关于CDC及其对消费者影响的清晰、相关且及时的沟通和信息，以加强CDC。
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