Developing and utilising a new funding model for home‐care services in New Zealand.
Abstract: Worldwide increases in the numbers of older people alongside an accompanying international policy incentive to support ageing‐in‐place have focussed the importance of home‐care services as an alternative to institutionalisation. Despite this, funding models that facilitate a responsive, fl...
| Publicado en: | Health & Social Care in the Community Vol. 26; no. 3; pp. 345 - 356 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128973581&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128973581 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: May2018 vid: 26 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 128973581 128973581 128973581 10.1111/hsc.12525 128973581 ppf: 345 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Developing and utilising a new funding model for home‐care services in New Zealand. aug: au: Parsons, Matthew Rouse, Paul Sajtos, Laszlo Harrison, Julie Parsons, John Gestro, Lisa affil: Faculty of Medical and Health Sciences, The University of Auckland/Waikato District Health Board, Auckland, New Zealand sug: subj: Gerontologic Care Transitional Care Transitional Programs Evaluation Home Health Care Evaluation Continuity of Patient Care Human Male Female Aged Decision Trees Aged: 65+ years Male Female ab: Abstract: Worldwide increases in the numbers of older people alongside an accompanying international policy incentive to support ageing‐in‐place have focussed the importance of home‐care services as an alternative to institutionalisation. Despite this, funding models that facilitate a responsive, flexible approach are lacking. Casemix provides one solution, but the transition from the well‐established hospital system to community has been problematic. This research seeks to develop a Casemix funding solution for home‐care services through meaningful client profile groups and supporting pathways. Unique assessments from 3,135 older people were collected from two health board regions in 2012. Of these, 1,009 arose from older people with non‐complex needs using the <italic>inter</italic>RAI‐Contact Assessment (CA) and 2,126 from the <italic>inter</italic>RAI‐Home‐Care (HC) from older people with complex needs. Home‐care service hours were collected for 3 months following each assessment and the mean weekly hours were calculated. Data were analysed using a decision tree analysis, whereby mean hours of weekly home‐care was the dependent variable with responses from the assessment tools, the independent variables. A total of three main groups were developed from the <italic>inter</italic>RAI‐CA, each one further classified into “stable” or “flexible.” The classification explained 16% of formal home‐care service hour variability. Analysis of the <italic>inter</italic>RAI‐HC generated 33 clusters, organised through eight disability “sub” groups and five “lead” groups. The groupings explained 24% of formal home‐care services hour variance. Adopting a Casemix system within home‐care services can facilitate a more appropriate response to the changing needs of older people. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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