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家庭护理包支出决策。

Decision-making in home care package spending.

机构信息

Benetas, Melbourne, Vic, Australia.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Vic, Australia.

出版信息

Australas J Ageing. 2020 Dec;39(4):e559-e567. doi: 10.1111/ajag.12838. Epub 2020 Aug 18.

DOI:10.1111/ajag.12838
PMID:32808402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7818399/
Abstract

OBJECTIVE

To understand the motivations and drivers of spending decisions made by home care package recipients, in the context of high levels of unspent funds.

METHODS

Qualitative study using 30 semi-structured interviews with 38 home care package clients and/or client representatives in rural and urban Victoria conducted between December 2018 and March 2019. Interview transcripts were analysed to determine themes.

RESULTS

Spending decisions were influenced by assessment and entry experiences, knowledge and understanding of package funds, availability and acceptability of services, and attitudes to spending.

CONCLUSION

Clients need confidence in their individual funds and their use in order to maximise the potential benefits. Clear, consistent communication at all stages, and additional supports to build consumer capability, will enable clients to better understand packages and their application. This in turn will optimise the capacity of home care package recipients to maximise their health and well-being.

摘要

目的

在高未支出资金的情况下,了解家庭护理套餐接受者做出支出决策的动机和驱动因素。

方法

2018 年 12 月至 2019 年 3 月,在维多利亚州农村和城市地区对 38 名家庭护理套餐接受者和/或接受者代表进行了 30 次半结构化访谈的定性研究。对访谈记录进行了分析以确定主题。

结果

支出决策受评估和进入体验、对套餐资金的了解和理解、服务的可用性和可接受性以及对支出的态度的影响。

结论

为了最大限度地发挥潜在效益,客户需要对其个人资金及其使用有信心。在所有阶段进行清晰、一致的沟通,并提供额外的支持以增强消费者能力,将使客户能够更好地了解套餐及其应用。这反过来将优化家庭护理套餐接受者的能力,以最大限度地提高他们的健康和福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b39b/7818399/043adb22491c/AJAG-39-e559-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b39b/7818399/043adb22491c/AJAG-39-e559-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b39b/7818399/043adb22491c/AJAG-39-e559-g001.jpg

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本文引用的文献

1
An early investigation of individual budget expenditures in the era of consumer-directed care.消费者导向型医疗时代个人预算支出的早期调查。
Australas J Ageing. 2020 Mar;39(1):e145-e152. doi: 10.1111/ajag.12715. Epub 2019 Aug 9.
2
Questioning "choice": A multinational metasynthesis of research on directly funded home-care programs for older people.质疑“选择”:一项针对老年人直接资助家庭护理计划的跨国元分析研究。
Health Soc Care Community. 2019 May;27(3):e37-e56. doi: 10.1111/hsc.12646. Epub 2018 Sep 9.
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A triadic approach to health and dependence in aging adults: incongruence in perception.
三重方法看待老年人的健康和依赖:感知上的不一致。
Qual Life Res. 2018 Nov;27(11):3047-3055. doi: 10.1007/s11136-018-1950-0. Epub 2018 Aug 1.
4
How do clients in Australia experience Consumer Directed Care?澳大利亚的客户如何体验消费者导向型护理?
BMC Geriatr. 2018 Jun 26;18(1):148. doi: 10.1186/s12877-018-0838-8.
5
Experiences of older people following the introduction of consumer-directed care to home care packages: A qualitative descriptive study.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。
Australas J Ageing. 2018 Dec;37(4):275-282. doi: 10.1111/ajag.12553. Epub 2018 Jun 12.
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Innovation and Consumer Directed Care: Identifying the challenges.创新与消费者导向型护理:识别挑战
Australas J Ageing. 2015 Dec;34(4):265-8. doi: 10.1111/ajag.12222.
7
Differences in proxy-reported and patient-reported outcomes: assessing health and functional status among medicare beneficiaries.代理报告结果与患者报告结果的差异:评估医疗保险受益人的健康和功能状况。
BMC Med Res Methodol. 2015 Aug 12;15:62. doi: 10.1186/s12874-015-0053-7.