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Variation in long-term care needs assessors' willingness to support clients' requests for admission to a residential home
 — a vignette study
Author(s)Frederike Jörg, Natacha Borgers, Augustinus J P Schrijvers
Journal titleJournal of Aging and Health, vol 18, no 6, December 2006
Pagespp 767-790
Sourcehttp://www.sagepublications.com
KeywordsCare homes ; Admission ; Long term ; Needs [elderly] ; Evaluation ; Netherlands.
AnnotationThe purpose of this study of needs assessment agencies (RIOs) in the Netherlands was to determine what client, needs assessors and agency factors explain variation in decision-making by long term care needs assessors concerning clients requesting admission to a residential home. Hypothetical case vignettes were sent to needs assessors allocating services to older people. Multilevel logistic regression analysis provided random and fixed effects. The authors found random effects of the level of needs assessors are negligible, of the level of agencies small though statistically significant, with clients receiving the largest relative share of the variance. The amount of care already present appeared most important in the decision. Needs assessors were willing to support their clients' wishes only when they were clearly motivated. Policy implications considering the tension between clients' preferences and equity are discussed. (RH).
Accession NumberCPA-070124201 A
ClassmarkKW: QKH: 4Q: IK: 4C: 76H

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