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Centre for Policy on Ageing | |
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Objectivity in needs assessment practice
— admission to a residential home | | Author(s) | F Jorg, H R Boeije, R Huijsman |
| Journal title | Health & Social Care in the Community, vol 10, no 6, November 2002 |
| Pages | pp 445-456 |
| Keywords | Admission [care homes] ; Needs [elderly] ; Evaluation ; Standards of provision ; Netherlands. |
| Annotation | In 1997, the Dutch government installed independent agencies to assess the long-term care needs of individual clients and to give advice on the allocation of appropriate services. According to guidelines, needs assessors have to assess clients' eligibility for nursing home admission objectively and independent of care providers and health care insurers. This paper examines how needs assessors explore clients' expressed needs, perform these tasks in a situation where a clear professional framework is absent, and where residential home capacity is limited. 13 house calls to clients requesting admission to a residential home were observed in a qualitative study; needs assessors were also interviewed. It was found that needs assessors use comparable methods in exploring clients' motivation and assessing their needs in the relevant areas, apparently using a professional framework. However, when transforming clients' needs into an adequate allocation, needs assessors struggled with interpreting criteria, and included their own ideas of services into the allocation decision. Further professionalisation may lead to a greater uniformity in needs assessment practice. (RH). |
| Accession Number | CPA-021216201 A |
| Classmark | KW:QKH: IK: 4C: 583: 76H |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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