Les services de soutien à domicile au Québec

Grenier, Josée; Marchand, Isabelle; Bourque, Mélanie

doi:10.7202/1080868ar

Cited by 8 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, case managers tend to focus on discharge issues [ 33 , 97 ]. Power issues with partners are also discussed indirectly in the literature on home care (e.g., [ 82 , 83 , 85 , 101 , 102 ]). These issues include partners not providing the planned care [ 82 , 102 ], difficulties in collaborating [ 83 ] and lesser quality services [ 82 , 101 ].…”

Section: Discussionmentioning

confidence: 99%

“…Power issues with partners are also discussed indirectly in the literature on home care (e.g., [ 82 , 83 , 85 , 101 , 102 ]). These issues include partners not providing the planned care [ 82 , 102 ], difficulties in collaborating [ 83 ] and lesser quality services [ 82 , 101 ]. However, the available literature does not focus on power issues between partners and case managers.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tensions experienced by case managers working in home care for older adults in Quebec: first level analysis of an institutional ethnography

Ethier,

Dubois,

Savaria

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background Case managers play a vital role in integrating the necessary services to optimise health-related goals and outcomes. Studies suggest that in home care, case managers encounter tensions in their day-to-day work, that is, disjuncture between what they should do, in theory, and what they actually do, in practice. However, direct exploration of these tensions is lacking. As such, this study aimed to describe the tensions encountered by case managers in public home care for older adults in Quebec and their influence on day-to-day work. Methods An institutional ethnography was conducted through observations of work, interviews and a survey with case managers working in home care in Quebec. Data were analysed using institutional ethnography first-level analysis procedures. This included mapping the work sequences as well as identifying the tensions experienced by case managers through the words they used. Results Three main tensions were identified. First, case managers perceive that, despite working to return hospitalised older adults at home safely, their work also aims to help free up hospital beds. Thus, they often find themselves needing to respond quickly to hospital-related inquiries or expedite requests for home care services. Second, they are supposed to delegate the care to “partners” (e.g., private organisations). However, they feel that they are in effect managing the quality of the services provided by the “partners.” Consequently, they go to great lengths to ensure that good care will be provided. Finally, they must choose between meeting organisational requirements (e.g., reporting statistics about the work, documenting information in the older adults’ file, doing mandatory assessments) and spending time providing direct care. This often leads to prioritising direct care provision over administrative tasks, resulting in minimal reporting of essential information. Conclusion The results are discussed using the three lenses of professional practice context analyses (i.e., accountability, ethics, and professional-as-worker) to formulate recommendations for practice and research. They suggest that, despite their important role, case managers have limited power in home care (e.g., with partners, with the hospital).

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tensions experienced by case managers working in home care for older adults in Quebec: first level analysis of an institutional ethnography

Ethier,

Dubois,

Savaria

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

When hidden politics become visible: Administrative burden experiences of older adults and professionals in home care

Benoit,

Marier

2024

Int J Soc Welfare

View full text Add to dashboard Cite

In the context of constraining services and support within public home care, this contribution analyses how older adults and home care workers experience and navigate administrative burdens. Relying on focus groups, interviews, and a survey conducted in the province of Québec (Canada), we demonstrate that older adults face an increasing number of administrative burdens designed to alter, delay, and restrict access to public services while homecare workers experience a loss of discretion in their practice due to the introduction of administrative requirements with dubious purposes. As such, administrative burdens play a vital role in the hidden politics of the welfare state and contribute to foster cynicism and a loss of faith in essential public services.

show abstract

Decentralized Management of Homecare Services for Seniors: Protocol for a Participatory Action Research (Preprint)

Savaria,

Queenton,

Carrier

2024

JMIR Research Protocols

View full text Add to dashboard Cite

Les services de soutien à domicile au Québec

Cited by 8 publications

References 21 publications

Tensions experienced by case managers working in home care for older adults in Quebec: first level analysis of an institutional ethnography

Tensions experienced by case managers working in home care for older adults in Quebec: first level analysis of an institutional ethnography

When hidden politics become visible: Administrative burden experiences of older adults and professionals in home care

Decentralized Management of Homecare Services for Seniors: Protocol for a Participatory Action Research (Preprint)

Contact Info

Product

Resources

About