Improving primary level home and community care services for older people: The case of Hong Kong

2017 ◽  
Vol 27 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Yuan Yuan Fu ◽  
Ernest Wing Tak Chui ◽  
Wing Shan Kan ◽  
Lisanne Ko
Keyword(s):  
Hong Kong ◽  
Older People ◽  
Community Care ◽  
Primary Level ◽  
Care Services ◽  
Home And Community Care

Vouchers and Consumer-Directed Care: Implications for Community Care Services in Hong Kong

2020 ◽  
Author(s):  
Wing Shan Kan ◽  
Ernest Chui
Keyword(s):  
Hong Kong ◽  
Older People ◽  
Social Services ◽  
Community Care ◽  
Care Service ◽  
The Elderly ◽  
Structured Interview ◽  
Management Approach ◽  
Interview Method ◽  
Care Services

Abstract There has been considerable interest in the concept of consumer-directed care (CDC) for ageing populations. One type of CDC employs vouchers that older people can use to procure a panel of social services that best fits their needs. The voucher-based strategy has been institutionalised in Hong Kong as the Community Care Service Voucher for the Elderly (CCSV). Using a qualitative, semi-structured interview method, researchers probed the experiences of two groups (twenty-six CCSV users and twenty-seven CCSV non-users) with the voucher programme between March 2014 and September 2015 during the first phase of CCSV. The interviews revealed a set of social and institutional supports needed to empower clients to effectively utilise the voucher. These supports (or forms of capital) were consistently present amongst active CCSV users and deficient amongst non-users. The research demonstrates that instituting a voucher does not, by itself, lead to optimised choices but, rather, that a network of institutional and social resources must be assembled in support of the voucher programme. In some instances, a case management approach may be needed, as older people (and family) need to combine different forms of institutional and social support to comprehend the voucher programme and utilise it for their particular needs.

Characteristics of older adults living with HIV accessing home and community care services in British Columbia, Canada

AIDS Care ◽  
2020 ◽  
Vol 33 (1) ◽  
pp. 121-130
Author(s):  
Katrina Koehn ◽  
Heather Burgess ◽  
Sharyle Lyndon ◽  
Michelle Lu ◽  
Monica Ye ◽  
...  
Keyword(s):  
Older Adults ◽  
British Columbia ◽  
Community Care ◽  
Care Services ◽  
Home And Community Care ◽  
Living With Hiv

The Relationship between the Delivery of Day Care Services for Older People and the Design of Day Unit Premises

1997 ◽  
Vol 17 (1) ◽  
pp. 41-64 ◽  
Author(s):  
VALERIE BACON ◽  
CHRISTOPHER LAMBKIN
Keyword(s):  
Service Delivery ◽  
Older People ◽  
Day Care ◽  
Community Care ◽  
Models Of Care ◽  
Care Services ◽  
New Models ◽  
Effective Delivery ◽  
Design Factors ◽  
The Relationship

In response to recent community care policies in Britain, co-ordinated, needs-led models of care have been introduced into day care services for older people. Whilst their introduction has prompted detailed consideration of the changes required in the organisation and management of these services, less attention has been paid to their implications for the design of day care premises. Yet design factors impinge on all aspects of service delivery and any shortcomings in design may undermine the effective delivery of new models of care. This article uses findings from recent research to explore how design factors may facilitate or constrain service delivery, focusing on two aspects of the new models of care – that services should meet the needs of individual users and be locally-based.

scholarly journals Assessment, Allocation, And Management Of Home And Community Care Services For Medically Complex Children : A Case Study

2021 ◽  
Author(s):  
David Salib
Keyword(s):  
Community Care ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Local Health ◽  
Health Human Resource ◽  
Care Needs ◽  
Care Services ◽  
Home And Community Care ◽  
Care Coordinators

This study examines the experiences of CCAC Care Coordinators when assessing, allocating, and managing medically complex children who require home and community care services. A case-study design was implemented, employing a focus group with seven Care Coordinators and an analysis of the 14 Local Health Integration Networks (LHINs) Integrated Health Service Plans (IHSPs) across Ontario. Three major findings arose from the study. First, families are experiencing increased levels of burden related to the child's care responsibilities. Second, there remains a health human resource shortage of individuals with a specialization in paediatrics in the home and community sector. Third, Care Coordinators function as street-level bureaucrats when allocating publicly funded services without the use of a standardized assessment tool. Ultimately, a model of care needs to be implemented supporting a balanced approach to assessment, utilizing standard assessment tools while providing a means for Care Coordinators to utilize their expertise in allocating services.

Gatekeepers to home and community care services: the link between client characteristics and source of referral

2013 ◽  
Vol 37 (3) ◽  
pp. 356 ◽  
Author(s):  
Nerina Vecchio
Keyword(s):  
Home Care ◽  
Community Care ◽  
Health Workers ◽  
Multinomial Logistic Regression ◽  
Care Program ◽  
Ageing Population ◽  
Community Factors ◽  
Care Services ◽  
Healthcare Needs ◽  
Home And Community Care

Objectives. To identify characteristics associated with the likelihood of a client receiving a referral to the Home and Community Care (HACC) program from various sources. Methods. Data were collected from 73 809 home care clients during 2007–08. Binary logistic and multinomial logistic regression were used to investigate the likelihood of a client being referred by health workers v. non-health workers. Results. Females and clients cared for by their parents were less likely to receive referrals from health workers than non-health workers after confounding variables were controlled for. While poorer functional ability of clients increased the probability of receiving a referral from a health worker, the opposite was true for those with behavioural problems. Over 43% of the sample either self-referred or was referred by family or friends. Conclusions. Eligible individuals may miss out on services unless they or their family take the initiative to refer. There is a need for improved methods and incentives to support and encourage health workers to refer eligible individuals to the program. What is known about the topic? The absence or inappropriate referral to a suitable home care program can place pressure on formalised institutions and increase burdens on family members and the community. Factors largely unrelated to healthcare needs carry significant weight in determining hospital discharge decisions and home care referrals by practitioners. What does this paper add? The effectiveness of the HACC program is dependent on the referrer who acts to inform and facilitate individuals to the program. The purpose of this study is to identify the characteristics associated with the likelihood of individuals receiving a referral to the HACC program from various sources. What are the implications for practitioners? This study will assist policy makers and practitioners in developing effective strategies that transition individuals to suitable home care services in a timely manner. An effective referral process would provide opportunities for implementing preventative strategies that reduce disability rates among individuals and the burden of care for the community. For instance, individuals with unmet needs may be at higher risk from injury at home through inadequate monitoring of nutrient and medication intake and inappropriate home surroundings. Improving knowledge about care options and providing appropriate incentives that encourage health workers to refer individuals would be an effective start in improving the health outcomes of an ageing population.

Towards a Measure of Function for Home and Community Care Services in Australia: Part 2 - Evaluation of the Screening Tool and Assessment Instruments

2006 ◽  
Vol 12 (1) ◽  
pp. 82 ◽  
Author(s):  
Janette Green ◽  
Kathy Eagar ◽  
Alan Owen ◽  
Rob Gordon ◽  
Karen Quinsey
Keyword(s):  
Screening Tool ◽  
Community Care ◽  
Target Population ◽  
Assessment Instruments ◽  
Care Services ◽  
Home And Community Care ◽  
Stage 1

The National Home and Community Care (HACC) Dependency Data Items Project was established to recommend, for national use, validated and reliable instruments for measuring the dependency of people eligible for HACC services. In Stage 2 of the project - reported here - a screening tool and assessment instruments selected in Stage 1 of the project were field-tested in a range of HACC agencies. The performance of the screen and the associated assessments was evaluated, as was their acceptability to HACC staff and clients. The results suggest that all of the five instruments are suitable for the target population of HACC services and they can be used effectively across a broad range of service types and by providers of diverse professional backgrounds.

scholarly journals Home and community care services: a major opportunity for preventive health care

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Louisa R Jorm ◽  
Scott R Walter ◽  
Sanja Lujic ◽  
Julie E Byles ◽  
Hal L Kendig
Keyword(s):  
Health Care ◽  
Community Care ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Care Services ◽  
Home And Community Care
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