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 voor dit werk

    Onderzoeksoutput: ArticleAcademicpeer review

    7 Citaten (Scopus)

    Samenvatting

    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.

    Originele taal-2English
    Pagina's (van-tot)767-790
    Aantal pagina's24
    TijdschriftJournal of Aging and Health
    Volume18
    Nummer van het tijdschrift6
    DOI's
    StatusPublished - dec.-2006

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