Demand-oriented care: the development and validation of a measuring instrument

Oene, G.H. de Weert-van; Buwalda, V.J.A.; Havenaar, Johan M.; Swildens, Wilma; Keijzerswaard, Albert van; Schrijvers, A. J. P.

doi:10.1007/s00127-005-0019-x

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Also in the Netherlands, government promotes demand‐oriented care as an alternative for supply oriented care, which is primarily based on the perspective of the professional (on medical necessity, effectiveness and efficiency) (Oene et al. 2006).…”

Section: Introductionmentioning

confidence: 99%

“…Making the healthcare system more demand oriented has been an important goal of reforms in European healthcare systems in the past two decades (Kertzam et al 2003). This is increasingly leading to a more person-centred approach to the care process, with the needs of the client increasingly being taken into account (Jordan et al 1998;Vaalburg & Goudriaan 1998, Dwight et al 2004Freeman et al 2004;Oene et al 2006).…”

Section: Introductionmentioning

confidence: 99%

“…The Dutch Council on Public Health and Health Care (RVZ 1998) defined demand‐oriented care as ‘a combined effort by patient and caregiver which results in the patient receiving the help needed to meet his or her needs and expectations whilst also satisfying professional standards’. In short, demand‐oriented care puts more focus on the adjustment of health services to patients’ needs (Oene et al. 2006,Rijckmans et al.…”

Section: Introductionmentioning

confidence: 99%

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Needs of Persons with Severe Intellectual Disabilities: a Q‐Methodological Study of Clients with Severe Behavioural Disorders and Severe Intellectual Disabilities

Kreuger

Exel

Nieboer

2008

Research Intellect Disabil

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Background A demand-oriented approach is becoming increasingly important in care provision. The purpose of this study was to identify the primary needs of clients with Severe Behavioural Disorders and Severe Intellectual Disabilities. Materials and Methods We used the theory of Social Production Function and Maslow's hierarchy of needs to operationalize different types of needs of clients with Severe Behavioural Disorders and Severe Intellectual Disabilities. A Q-methodological study enabled us to distinguish the needs of 23 clients. Results Two needs prioritizations were found. Physical well-being ultimately weighs most heavily for all clients, but in one of the two groups affection and behavioural confirmation (i.e. social needs) were also found to be important. There were no significant differences in needs between clients whose main behavioural difficulty was aggression and clients whose main behavioural difficulty was self-harm. Conclusions A demand-oriented policy for clients with Severe Behavioural Disorders and Severe Intellectual Disabilities should be targeted at groups with different needs prioritizations, rather than groups with different behavioural problems. That does not mean that the same needs of different clients can be met in exactly the same way. It takes creativity and a person-centred approach to find ways to enable clients to realize their social and physical needs.

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Section: Introductionmentioning

confidence: 99%