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Consumer-directed services

Lessons and implications for integrated systems of care

Datos Bibliográficos

ID12830436
AutoresDennis L Kodner (City University of New York, autor de correspondencia)
Año2003
Volumen3
Número2
Páginase12-e12
Fecha de publicación2003-06-17
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Integrated Care (JOURNAL)
Identificadores de la revistaISSN: 1568-4156 • E-ISSN: 1568-4156
EditorialUbiquity Press (PUBLISHER • GB)
DOI10.5334/ijic.80
PMID16896379
OpenAlexW1899645193
IdiomaEN
Citas recibidas13
Referencias citadas3

Over the past decade, policy makers in developed countries have begun to pay increasing attention to reform of the long-term care system for the frail elderly and younger people with disabilities. A continuum of strategies have generated interest, including integrated systems of care with agency/professionally managed service packages on the one end, and programs offering cash benefits along with the flexibility to decide how to best use these funds to meet individual needs and preferences, on the other. The latter approach, known as "consumer-directed care," is found in various forms and degrees in Europe and North America. Primarily organised around the provision of home and community care, consumer-directed services are aimed at empowering clients and family carers, giving them major control over the what, who and when of needed care. Consumer-directed care appears to be the antithesis of integrated care. However, it actually holds important lessons and implications for the latter. This policy paper explores the rationale and models of consumer-directed services at home, reviews developments, designs and outcomes of programs in the Austria, Germany, The Netherlands, and the US. It also discusses how this experience could be helpful in shaping better and more responsive integrated models of care for vulnerable long term care populations

Agency (philosophy · Antithesis · Business · Economic growth · Economics · Flexibility (engineering · Health care · Integrated care · Long-term care · Management · Political science · Public relations · Sociology · Sustainability · Geriatric Care and Nursing Homes · Healthcare innovation and challenges · Interprofessional Education and Collaboration · Medicine · Nursing · Marketing

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Citas por año0,59
Intervalo de citas2004 - 2025 (22)
Altamente citadoNo

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