Variation in long-term care needs assessors' willingness to support clients' requests for admission to a residential home: a vignette study

Frederike Jörg; Natacha Borgers; Augustinus J. P. Schrijvers; Joop J. Hox

doi:10.1177/0898264306293605

Variation in long-term care needs assessors' willingness to support clients' requests for admission to a residential home: a vignette study

Frederike Jörg^*, Natacha Borgers, Augustinus J. P. Schrijvers, Joop J. Hox

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

7 Citations (Scopus)

Abstract

OBJECTIVE: The purpose of this study is to determine what client, needs assessor, and agency factors explain variation in decision making by long-term care needs assessors concerning clients requesting admission to a residential home.

METHOD: Hypothetical case vignettes were sent to needs assessors allocating services for the elderly. Multilevel logistic regression analysis provided random and fixed effects.

RESULTS: The authors found random effects of the level of needs assessors are negligible, of the level of agencies small though statistically significant, clients receiving largest relative share of the variance. The amount of care already present appeared most important in the decision. Needs assessors were willing to support their clients' wishes only when they were clearly motivated. Policy implications considering the tension between clients' preferences and equity are discussed.

Original language	English
Pages (from-to)	767-790
Number of pages	24
Journal	Journal of Aging and Health
Volume	18
Issue number	6
DOIs	https://doi.org/10.1177/0898264306293605
Publication status	Published - Dec-2006

Keywords

intramural care
decision making
multilevel analysis
DECISION-MAKING
STANDARDIZED PATIENTS
PREFERENCES
CONSUMERS
QUALITY
VALUES

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Variation in Long-Term Care Needs Assessors’ Willingness to Support Clients’ Requests for Admission to a Residential Home
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title = "Variation in long-term care needs assessors' willingness to support clients' requests for admission to a residential home: a vignette study",

abstract = "OBJECTIVE: The purpose of this study is to determine what client, needs assessor, and agency factors explain variation in decision making by long-term care needs assessors concerning clients requesting admission to a residential home.METHOD: Hypothetical case vignettes were sent to needs assessors allocating services for the elderly. Multilevel logistic regression analysis provided random and fixed effects.RESULTS: The authors found random effects of the level of needs assessors are negligible, of the level of agencies small though statistically significant, clients receiving largest relative share of the variance. The amount of care already present appeared most important in the decision. Needs assessors were willing to support their clients' wishes only when they were clearly motivated. Policy implications considering the tension between clients' preferences and equity are discussed.",

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author = "Frederike J{\"o}rg and Natacha Borgers and Schrijvers, {Augustinus J. P.} and Hox, {Joop J.}",

year = "2006",

month = dec,

doi = "10.1177/0898264306293605",

language = "English",

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pages = "767--790",

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AU - Borgers, Natacha

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AU - Hox, Joop J.

PY - 2006/12

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AB - OBJECTIVE: The purpose of this study is to determine what client, needs assessor, and agency factors explain variation in decision making by long-term care needs assessors concerning clients requesting admission to a residential home.METHOD: Hypothetical case vignettes were sent to needs assessors allocating services for the elderly. Multilevel logistic regression analysis provided random and fixed effects.RESULTS: The authors found random effects of the level of needs assessors are negligible, of the level of agencies small though statistically significant, clients receiving largest relative share of the variance. The amount of care already present appeared most important in the decision. Needs assessors were willing to support their clients' wishes only when they were clearly motivated. Policy implications considering the tension between clients' preferences and equity are discussed.

KW - intramural care

KW - decision making

KW - multilevel analysis

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KW - STANDARDIZED PATIENTS

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KW - CONSUMERS

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KW - VALUES

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Variation in long-term care needs assessors' willingness to support clients' requests for admission to a residential home: a vignette study

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