| |
| |
| |
Centre for Policy on Ageing | |
 | |
|
Adding values
— an experiment in systematic attention to values and preferences of community long-term care clients | | Author(s) | Rosalie A Kane, Howard B Degenholtz, Robert L Kane |
| Journal title | The Journals of Gerontology Series B: Psychological sciences and social sciences, vol 54B, no 2, March 1999 |
| Pages | pp S109-S119 |
| Keywords | Key workers ; Management [care] ; Organisation of care ; Services ; Health services ; Long term ; Rights [elderly] ; United States of America. |
| Annotation | Results are discussed of a quasi-experiment intended to make US case managers for home- and community-based services (HCBS) conscious of, and responsive to, the values of their ageing clients, while simultaneously empowering clients to consider their own preferences. Three weeks after enrolment, clients in the experiment were significantly more likely to report that case managers had asked them about their own preferences and offered them choices about services. Actual client values reported at the 3-month follow-up were similar for experimental and control groups, with experimental case managers only slightly more accurate judges of their clients' responses to values questions. At follow-up, experimental case managers reported more case activity tailoring plans to client preferences, a finding confirmed by record reviews. Client acuity, measured by ADL functioning and prior hospital use, was associated with less perceived discussion of client preferences during the initial care planning process, but more case activity related to client preferences during the first three months. Case managers need to be more sensitive to clients' preferences, but this may require changes in the practice environment. (RH). |
| Accession Number | CPA-990430012 A |
| Classmark | QRK: QA: P: I: L: 4Q: IKR: 7T |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|
|