Practitioners preferences of care coordination for older people: A discrete choice experiment

Jasper, Rowan; Chester, Helen; Hughes, Jane; Abendstern, Michele; Loynes, Niklas; Sutcliffe, Caroline; Davies, Linda; Challis, David

doi:10.1080/01634372.2017.1417342

Cited by 9 publications

(43 citation statements)

References 31 publications

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“…Previous research has identified that a trusting relationship between the staff and the person with dementia and continuity of care with a limited number of staff visiting the same patient are critical for maintaining quality care for people with dementia. The same applies to sufficient time to spend in the patient's home (Gorska et al., 2013; Jansen et al., 2009; Jasper et al., 2018; Samus et al., 2018; Toot et al., 2013; Turjamaa et al., 2014). The results of our study, where staff experienced continuity of care (visiting the same patient) and enough time for each patient as important factors in the organization of homecare services for people with dementia, are consistent with these findings.…”

Section: Discussionmentioning

confidence: 99%

“…People with dementia in Norway often receive homecare services for many years and with frequent visits during a single day (Corbett & Williams, 2014). The assurance of receiving seamless homecare services that maintain continuity of care is important for both the patient, family members and the staff (Donnelly et al., 2017; Gorska et al., 2013; Jansen et al., 2009; Jasper et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Trusting relationships between patients and caregivers are critical for people with dementia in order to continue to live in their own homes (Ministry of Health & Care Services, 2015b; Samus et al., 2018; Turjamaa et al., 2014). A limited number of staff visiting the same patient could contribute to an experience of continuity of care and were considered essential for building relationships and trust between people with dementia and the staff (Aasgaard et al., 2014; Donnelly et al., 2017; Gorska et al., 2013; Jasper et al., 2018; Turjamaa et al., 2014). Moreover, continuity of care appears to be important in regard to staff recognizing the patient's needs and providing high‐quality care services to this population (Gorska et al., 2013; Jasper et al., 2018; Ministry of Health & Care Services, 2018; Toot et al., 2013).…”

Section: Introductionmentioning

confidence: 99%

“…A limited number of staff visiting the same patient could contribute to an experience of continuity of care and were considered essential for building relationships and trust between people with dementia and the staff (Aasgaard et al., 2014; Donnelly et al., 2017; Gorska et al., 2013; Jasper et al., 2018; Turjamaa et al., 2014). Moreover, continuity of care appears to be important in regard to staff recognizing the patient's needs and providing high‐quality care services to this population (Gorska et al., 2013; Jasper et al., 2018; Ministry of Health & Care Services, 2018; Toot et al., 2013). Although continuity of care is prioritized and desired both nationally and internationally, achieving it seems challenging (Gjevjon et al., 2014; Ministry of Health & Care Services, 2015a; Prince, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Staff's perspectives on the organization of homecare services to people with dementia—A qualitative study

et al. 2021

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Aims The aim of the study was to explore the experiences of homecare staff about the impact of the organization of homecare services for people with dementia. Design This study has a qualitative, exploratory design based on a phenomenological‐hermeneutic approach, using individual in‐depth interviews with homecare staff to collect data. Methods A convenience sample of 14 homecare staff from five municipalities participated in the study. Main topics introduced: (a) how homecare services for people with dementia are organized and (b) challenges in respondents' everyday practice of caring for people with dementia. Interviews were conducted from October to December 2017. Results Three main themes were identified from the interviews. (a) Complexity and need for individualized facilitated homecare services; homecare services were described as complex in regard to both the patient and the service. The complexity of the service made it challenging to tailor the service to the individual patient. (b) The importance of trust and relationships; establishing trust in the relationship between the patient and the staff resulted in better‐quality care. This was crucial for identifying the patient's need for help. (c) Organizational challenges; homecare services could be vulnerable to changes in the organization. Practical tasks and following the daily scheduled task list were often prioritized at the expense of an individually tailored service.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Staff's perspectives on the organization of homecare services to people with dementia—A qualitative study

et al. 2021

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“…It was part of a broader mixed methods research project investigating the provision of care coordination for older people in the non-statutory sector in England. The study included: a scoping review of literature and policy (Abendstern et al 2018); a structured internet search of organisations in the non-statutory sector providing care coordination for older people (Jasper et al 2016) and a national survey of these organisations ; the development of a set of care coordination standards relating to both organisational and practice arrangements (Abendstern, et al 2016a) and fieldwork with a small number of organisations to explicate the range and content of care coordination activities undertaken, investigate the costs and validate the standards (Abendstern et al 2016b;Jasper et al 2017;Abendstern et al 2019). The work reported here is from the fieldwork stage of this project, specifically addressing staff activities, time use and cost.…”

Section: Introductionmentioning

confidence: 99%

Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs

Hughes¹,

Jasper²,

Worden³

et al. 2020

Journal of Long Term Care

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Context: Care coordination is one important mechanism to provide effective care at home for frail older people in a world with ageing populations. In England this has usually been undertaken by state funded local authority social care services. The Care Act 2014 promoted greater involvement of the non-statutory sector in the provision of care and support, including care coordination, for older people at home to offer greater flexibility and consumer choice. Objective(s): To explore how organisations in the non-statutory sector in England undertake care coordination activities, targeting, their staff time use and costs to support older people at home. Method(s): A case study approach was used involving semi-structured interviews with practitioners in 17 services selected from a national survey in 2015. Estimates of practitioner time use for a typical case, and associated costs for each service were calculated. Data were analysed to identify the range of care coordination activities undertaken, forms of targeting, patterns of staff time use and service costs. Findings: Two services undertook no targeting activities; of eight care coordination activities only two were undertaken in all services. Costs of care coordination activities varied both within and between services in two distinct settings: hospital discharge and memory services. More time was spent by practitioners in direct contact with service users and carers than on indirect activities in most care coordination services. Limitations: A case study approach is more difficult to generalise; recall bias may have influenced data on time use and costs from practitioner interviews; some costs had to be attributed using national data. Implications: Both service setting and gatekeeping mechanisms shaped care coordination activities. Where services were designed to substitute for statutory services their sustainability needs to be addressed in terms of length of contracts, extent of case responsibility and full costing.

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Preferences for attributes of long-term care in dementia: a scoping review of multi-criteria decision analyses

Speckemeier

2022

J Public Health (Berl.)

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Aim Long-term care considerations for persons with dementia are complex. Multi-criteria decision analysis (MCDA) methods are increasingly used to support healthcare decisions. The objective of this scoping review was to identify and analyze published MCDAs in which preferences for living and care concepts for persons with dementia are determined. Subject and methods A literature search was conducted in PubMed, EMBASE, Web of Science, and Google Scholar in October 2021. Searches were limited to peer-reviewed articles published up to October 14, 2021. The included publications aimed at eliciting care preferences for persons with dementia from patients, relatives, healthcare practitioners or the broader public by means of MCDA. Results Ten studies were included of whom seven were published in 2017 or afterwards. In nine studies, a discrete choice experiment (DCE) was conducted. The majority of studies surveyed the general population or caregivers of persons with dementia. Five studies assessed preferences for attributes of home care and two for long-term care facilities. Willingness to pay was addressed in eight studies. Choice task structure and experimental design varied widely. Despite different objectives, strong preferences for continuous care by the same person, organizational aspects, and caregiver expertise were found across studies. Conclusion This review shows that MCDA methods have successfully been applied to analyze preferences for living and care arrangements for persons with dementia. The majority of publications report on DCEs, and a variety of different study objectives and methodological approaches have been observed. Further research is needed to inform the design of innovative concepts which are a valuable alternative to existing care options.

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Practitioners preferences of care coordination for older people: A discrete choice experiment

Cited by 9 publications

References 31 publications

Staff's perspectives on the organization of homecare services to people with dementia—A qualitative study

Staff's perspectives on the organization of homecare services to people with dementia—A qualitative study

Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs

Preferences for attributes of long-term care in dementia: a scoping review of multi-criteria decision analyses

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