Consumer-directed services
Lessons and implications for integrated systems of care
Bibliographic Data
| ID | 12830436 |
|---|---|
| Authors | Dennis L Kodner (City University of New York, corresponding author) |
| Year | 2003 |
| Volume | 3 |
| Issue | 2 |
| Pages | e12-e12 |
| Publication date | 2003-06-17 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Integrated Care (JOURNAL) |
| Journal identifiers | ISSN: 1568-4156 • E-ISSN: 1568-4156 |
| Publisher | Ubiquity Press (PUBLISHER • GB) |
| DOI | 10.5334/ijic.80 |
| PMID | 16896379 |
| OpenAlex | W1899645193 |
| Language | EN |
| Citations received | 13 |
| References cited | 3 |
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
Direct payment is a healthy option
Factors influencing the experience of empowerment in Flemish (proxy) budget holders
Direct Payments in England
The growing caseload of chronic life-long conditions calls for a move towards full self-management in low-income countries
Supporting the involvement of older adults with complex needs in evaluation of outcomes in long‐term care at home programmes
Trying to do a jigsaw without the picture on the box’
Informal work and formal plans
Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand
Consumer engagement in health services in Queensland, Australia
Stated preferences for long-term care
Developing integrated health and social care services for older persons in Europe
Consumer‐directed care for older Australians
The disability self‐direction movement
| Citations per year | 0.59 |
|---|---|
| Citation span | 2004 - 2025 (22) |
| Highly cited | No |