A Clients' Perspective on Demand-Oriented and Demand-Driven Health Care

Rijckmans, M.J.N.; Bongers, I.M.B.; Garretsen, H.F.L.; Goor, Ien A. M. van de

doi:10.1177/0020764006074292

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…Clients value being involved in the care process, being taken seriously and being consulted in the determination of their needs for care and services [48] with respect to their goals and preferences. As such, an organisation providing HWC services should arrange its care and service processes in such a way that they explicitly and adequately cater to the needs and requirements of elderly clients [68].…”

Section: Conversion To Daily Practice: Implications For Providersmentioning

confidence: 99%

Demand-based Provision of Housing, Welfare and Care Services to Elderly Clients: From Policy to Daily Practice Through Operations Management

2008

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Practical implementation of notions such as patient-orientation, clientcentredness, and demand-driven care is far from straightforward in care and service supply to elderly clients living independently. This paper aims to provide preliminary insights into how it is possible to bridge the gap between policy intent, which reflects an increasing client orientation, and actual practice of care and service provision. Differences in personal objectives and characteristics generate different sets of needs among elderly clients that must have an appropriate response in the daily routines of care and service providers. From a study of the available literature and by conceptual reasoning, we identify several important operational implications of client-oriented care and service provision. To deal with these implications the authors turn to the field of operations management. This field has deepened the understanding of translating an organisation's policy into daily activities and working methods. More specifically, we elaborate on the concept of modularity, which stems from the field of operations management. With respect to elderly people who live independently, this concept, among others, seems to be particularly useful in providing options and variation in individual care and service packages. Based on our line of reasoning, we propose that modularity provides possibilities to enhance the provision of demand-based care and services. 123Health Care Anal (2009) 17:68-84 DOI 10.1007 Furthermore, our findings offer direction on how organisations in housing, welfare and care can be guided in translating demand-based care to their operational processes.

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Section: Conversion To Daily Practice: Implications For Providersmentioning

confidence: 99%

Demand-based Provision of Housing, Welfare and Care Services to Elderly Clients: From Policy to Daily Practice Through Operations Management

2008

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“…However, although numerous studies have shown that clients support the core values of demand‐driven care, many authors point that clients are a heterogeneous group with different views about and different preferences for participation . Client characteristics that are known to affect participation in health care include age, gender, education, occupation and severity of disease .…”

Section: Introductionmentioning

confidence: 99%

‘I'm happy that I can still walk’ – Participation of the elderly in home care as a specific group with specific needs and wishes

Bagchus

Dedding

Bunders

2014

Health Expectations

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Background Taking the needs, wishes and experiential knowledge of clients into account is considered to result in a better fit between the supply and demand of modern health care, contributing to the improvement of individual care, organizations, institutions and policy. However, the current generation of the elderly have had little experience of consumer-oriented public services. They are said to be less likely to discuss their needs and wishes with individual caregivers and health-care organisations. As a result, they might not receive care matching their needs and wishes.

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“…Therefore, client satisfaction with services has been consistently associated with improved follow-up and adherence to treatment, as well as positive relationships with service providers (Hser et al 2004, Melnick et al 2004, Carlin et al 2005, Greenwood et al 2005, Brochu et al 2006, Rickmans et al 2007, Schulte et al 2007, 2011, Slote-Morris & McKeganey 2007.…”

Section: Introductionmentioning

confidence: 99%

A vacation for the homeless: evaluating a collaborative community respite programme in Canada through clients’ perspectives

Perreault

Jaimes

Rabouin

et al. 2012

Health &Amp; Social Care in the Community

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This study assesses the Urban Breakaway Project, a collaborative project offering a structured vacation in the countryside of the province of Quebec intended for homeless (or street) youths. The objective of this study was to document participants' perspectives regarding this project by examining their satisfaction, intention to change following their stay and perceived improvement with respect to their life situation. Another goal of this research was to investigate the relationship between satisfaction level and perceived improvement of participants. One hundred and seven individuals participated in the study, during Urban Breakaway's first year of operation. Satisfaction with the project, assessed with the global Client Satisfaction Questionnaire-3 score, revealed a positive relationship with global scores of perceived improvement, as measured by the Perceived Improvement Questionnaire [PIQ; r = 0.37 (67), 95% CI (0.15; 0.56)]. Regarding intention to change, the data indicated that 95% of participants had moderate-to-definite intentions to do something to change their lives. Participants reported an improvement for most items covered by the PIQ. They experienced the greatest changes in relation to mood, leisure, appetite, physical condition and self-esteem. Results indicate that the Urban Breakaway Project reaches not only street youths but also an older homeless population. Participants, regardless of their age, were found to be very satisfied with services obtained, and their satisfaction was significantly correlated with the perceived improvement in their situation. Qualitative data indicate that characteristics of the programme, such as the countryside setting, the focus on basic needs, the climate and the opportunity for socialisation, peer support (or belonging) and personal growth were appreciated.

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A Clients' Perspective on Demand-Oriented and Demand-Driven Health Care

Cited by 8 publications

References 6 publications

Demand-based Provision of Housing, Welfare and Care Services to Elderly Clients: From Policy to Daily Practice Through Operations Management

Demand-based Provision of Housing, Welfare and Care Services to Elderly Clients: From Policy to Daily Practice Through Operations Management

‘I'm happy that I can still walk’ – Participation of the elderly in home care as a specific group with specific needs and wishes

A vacation for the homeless: evaluating a collaborative community respite programme in Canada through clients’ perspectives

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