Research Matters, Monash University, Frankston, Victoria, Australia.
Department of Geriatric Medicine, Peninsula Health, Frankston, Victoria, Australia.
Australas J Ageing. 2020 Sep;39(3):e402-e409. doi: 10.1111/ajag.12771. Epub 2020 Jan 24.
The study aimed to explore consumers' experiences of receiving a home care package (HCP).
Community engagement was used to recruit older people approved for a HCP. Data were collected through face-to-face interviews, and data analysis identified themes.
Effective consumer-directed care depends on access to reliable information. Participants who reported satisfactory experiences had: (a) providers that charged reasonable fees; (b) case managers who delivered person-centred care; (c) support workers who were consistently assigned to them; (d) a family member for support and advocacy; and (5) ongoing community engagement.
Consumer experience requires tighter regulation of providers and policy attention to fees and minimal standards of staff training. The policy of full cost recovery restricts consumers' access to local government services.
本研究旨在探讨消费者接受家庭护理包(HCP)的体验。
采用社区参与的方式招募获得 HCP 批准的老年人。通过面对面访谈收集数据,数据分析确定主题。
有效的消费者导向型护理取决于获得可靠信息的途径。报告满意体验的参与者具有以下特点:(a)收费合理的提供者;(b)提供以患者为中心护理的个案经理;(c)为他们持续分配的支持人员;(d)提供支持和倡导的家庭成员;以及(e)持续的社区参与。
消费者体验需要对提供者进行更严格的监管,并关注政策方面的费用和员工培训的最低标准。全额成本回收政策限制了消费者获得地方政府服务的机会。