Centre for Research in Integrated Care, 96944University of New Brunswick Saint John, New Brunswick, Canada.
J Appl Gerontol. 2023 Apr;42(4):536-543. doi: 10.1177/07334648221130743. Epub 2022 Oct 6.
Integrated care programs reshape the processes of health and social care delivery in the home care sector to be more continuous, cooperative, equitable, and efficient. An independent contracting model is one approach being used to overcome issues related to home care fragmentation. To better understand the implications of this model of service delivery for clients and carers, interviews were conducted in 2013 with 22 key informants. Data were analyzed using thematic analysis and interpreted using a feminist political economy framework. This study finds that independent contracting arrangements improve care continuity for clients while simultaneously reinforcing precarious working conditions for home care workers. This research calls for reform to this model of service delivery to better support home care workers as they provide the care necessary for older adults to age in place.
综合护理计划重塑了家庭护理领域的医疗和社会保健服务提供流程，使服务更加连续、协作、公平和高效。独立承包模式是克服家庭护理碎片化问题的一种方法。为了更好地了解这种服务提供模式对客户和护理人员的影响，研究人员在 2013 年对 22 名关键知情者进行了访谈。研究人员使用主题分析方法对数据进行分析，并使用女性主义政治经济学框架进行解释。本研究发现，独立承包安排改善了客户的护理连续性，同时也加剧了家庭护理工作者不稳定的工作条件。这项研究呼吁对这种服务提供模式进行改革，以更好地支持家庭护理工作者，为老年人提供必要的护理，让他们能够在家中安享晚年。
