“Just Like I'm Saving Money in the Bank”: Client Perspectives on Care Coordination Services

Freij, Maysoun; Weiss, Linda; Gass, Jonathon; Trezza, Claudia; Wiener, Abigail; Melly, Jeannine; Volland, Patricia J.

doi:10.1080/01634372.2011.594490

Cited by 6 publications

(16 citation statements)

References 12 publications

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“…Five studies were from the United Kingdom (UK) [26,27,28,29,30], four from Canada [31,32,33,34], three from the Netherlands [35,36,37], two from Sweden [38, 39] two from the United States [40,41], one from Germany [42], and one was a cross-cultural study (Canada/France) [43]. Most studies (N = 14) examined service user, carer and/or provider perspectives of specific models of integrated care, including: case management [30,35,38], care coordination [31,40,43], transitional care [28,34], continuum of care [39], comprehensive care [42], interdisciplinary primary care models [37,41], or were described generally as an integrated health and/or social care model [26,27]. In addition, one UK study focused on developing an integrated care intervention [29], and three North American studies examined perspectives on how existing services could be better integrated in primary/community care [33, 41], or across different care sectors [32].…”

Section: Resultsmentioning

confidence: 99%

“…In addition, one UK study focused on developing an integrated care intervention [29], and three North American studies examined perspectives on how existing services could be better integrated in primary/community care [33, 41], or across different care sectors [32]. Nine studies focused on integrated care interventions or services explicitly targeting OPF [28,29,31,32,37,39,40,41,43], whilst eight studies delivered integrated care to older adults with complex health and social care needs and multimorbidity (with frailty implied) [26,27,30,33,34,36,38,42]. One study comprised of a mixture of older adults with frailty, complex care needs and ‘robust’ participants (without frailty and complex care needs) [35].…”

Section: Resultsmentioning

confidence: 99%

“…One study comprised of a mixture of older adults with frailty, complex care needs and ‘robust’ participants (without frailty and complex care needs) [35]. Nine studies used interviews and/or focus groups [28,32,33,35,39,40,41,42,43] or a combination of observations and interviews/focus groups [36,38] and analysis of key documents [30]; whilst one study used video stories [26] and five studies used mixed methods designs [27,29,31,34,37].…”

Section: Resultsmentioning

confidence: 99%

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Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis

et al. 2019

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Introduction Older people with frailty (OPF) can experience reduced quality of care and adverse outcomes due to poorly coordinated and fragmented care, making this patient population a key target group for integrated care. This systematic review explores service user, carer and provider perspectives on integrated care for OPF, and factors perceived to facilitate and hinder implementation, to draw out implications for policy, practice and research. Methods Systematic review and narrative synthesis of qualitative studies identified from MEDLINE, CINAHL, PsycINFO and Social Sciences Citation Index, hand-searching of reference lists and citation tracking of included studies, and review of experts’ online profiles. Quality of included studies was appraised with The Critical Appraisal Skills Programme tool for qualitative research. Results Eighteen studies were included in the synthesis. We identified four themes related to stakeholder perspectives on integrated care for OPF: different preferences for integrated care among service users, system and service organisation components, relational aspects of care and support, and stakeholder perceptions of outcomes. Service users and carers highlighted continuity of care with a professional they could trust, whereas providers emphasised improved coordination of care between providers in different care sectors as key strategies for integrated care. We identified three themes related to factors facilitating and hindering implementation: perceptions of the integrated care intervention and target population, service organisational factors and system level factors influencing implementation. Different stakeholder groups perceived the complexity of care needs of this patient population, difficulties with system navigation and access, and limited service user and carer involvement in care decisions as key factors hindering implementation. Providers mainly also highlighted other organisational and system factors perceived to facilitate and hinder implementation of integrated care for OPF. Conclusions Similarities and differences in lay and professional stakeholder perspectives on integrated care for OPF and factors perceived to facilitate and hinder implementation were evident. Findings highlight the importance of addressing organisational and system level components of integrated care and factors influencing implementation for OPF. Greater attention needs to be placed on collaboratively involving service users, carers and providers to improve the co-design and implementation of integrated care programmes for this patient population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis

et al. 2019

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“…A socioeconomically disadvantaged older person in a rural area is more likely to seek help from primary care if they feel a sense of belonging to a practice 33 35 37 67 which they are able to get to easily, 32 56 64 65 69 believe it will be of help 32 35 66 and are empowered. 33 63 68 These mechanisms are influenced by experience of healthcare, 35 67 educational status, 64 65 personal resources such as self-efficacy 68 and transport. 69 …”

Section: Resultsmentioning

confidence: 99%

Access to primary care for socioeconomically disadvantaged older people in rural areas: a realist review

et al. 2016

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ObjectiveThe aim of this review is to identify and understand the contexts that effect access to high-quality primary care for socioeconomically disadvantaged older people in rural areas.DesignA realist review.Data sourcesMEDLINE and EMBASE electronic databases and grey literature (from inception to December 2014).Eligibility criteria for selecting studiesBroad inclusion criteria were used to allow articles which were not specific, but might be relevant to the population of interest to be considered. Studies meeting the inclusion criteria were assessed for rigour and relevance and coded for concepts relating to context, mechanism or outcome.AnalysisAn overarching patient pathway was generated and used as the basis to explore contexts, causal mechanisms and outcomes.Results162 articles were included. Most were from the USA or the UK, cross-sectional in design and presented subgroup data by age, rurality or deprivation. From these studies, a patient pathway was generated which included 7 steps (problem identified, decision to seek help, actively seek help, obtain appointment, get to appointment, primary care interaction and outcome). Important contexts were stoicism, education status, expectations of ageing, financial resources, understanding the healthcare system, access to suitable transport, capacity within practice, the booking system and experience of healthcare. Prominent causal mechanisms were health literacy, perceived convenience, patient empowerment and responsiveness of the practice.ConclusionsSocioeconomically disadvantaged older people in rural areas face personal, community and healthcare barriers that limit their access to primary care. Initiatives should be targeted at local contextual factors to help individuals recognise problems, feel welcome, navigate the healthcare system, book appointments easily, access appropriate transport and have sufficient time with professional staff to improve their experience of healthcare; all of which will require dedicated primary care resources.

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“…The bulk of evidence suggests that the primary mechanism by which care coordination produces positive outcomes is by helping vulnerable persons to obtain needed resources and services, and overcoming barriers associated with personal or social limitations or structural barriers that affect service availability or accessibility (Challis et al, 2002;Freij et al, 2011). Analyses of care coordination models suggest the particular importance of three services typically provided by social workers: comprehensive initial screening and assessment; client involvement and advocacy; and, family education and support (Hyduk, 2002;Kelsey and Laditka, 2009).…”

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confidence: 99%

Social Work with Older Adults in the United States

Scharlach¹

2015

Arbor

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This article examines ageing services in the United States, which are provided and financed through a mixed economy of care that includes government, the voluntary sector, and the private market. Because of substantial unmet needs, poorly coordinated systems, and social and economic disparities among older adults in the United States, social-work services have an important role to play in overcoming barriers to optimal functioning and emotional well-being in later life. Existing evidence suggests that the ability of social work to meet the needs of a growing ageing population is hampered by insufficient numbers of social workers with adequate training and competence in ageing. The article analyses and discusses recent advances in social work education in the United States designed to produce greater numbers of ageing-competent social work professionals, including initiatives in aging-related curriculum development, training, organisational development, and scholarship.

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“Just Like I'm Saving Money in the Bank”: Client Perspectives on Care Coordination Services

Cited by 6 publications

References 12 publications

Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis

Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis

Access to primary care for socioeconomically disadvantaged older people in rural areas: a realist review

Social Work with Older Adults in the United States

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