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What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study

BACKGROUND: Changes in Dutch policy towards long-term care led to the Dutch Health and Youth Care Inspectorate testing a regulatory framework focusing on care networks around older adults living independently. This regulatory activity involved all care providers and the older adults themselves. METH...

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Autores principales: Verver, Didi, Stoopendaal, Annemiek, Merten, Hanneke, Robben, Paul, Wagner, Cordula
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282343/
https://www.ncbi.nlm.nih.gov/pubmed/30522469
http://dx.doi.org/10.1186/s12913-018-3770-x
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author Verver, Didi
Stoopendaal, Annemiek
Merten, Hanneke
Robben, Paul
Wagner, Cordula
author_facet Verver, Didi
Stoopendaal, Annemiek
Merten, Hanneke
Robben, Paul
Wagner, Cordula
author_sort Verver, Didi
collection PubMed
description BACKGROUND: Changes in Dutch policy towards long-term care led to the Dutch Health and Youth Care Inspectorate testing a regulatory framework focusing on care networks around older adults living independently. This regulatory activity involved all care providers and the older adults themselves. METHODS: Semi-structured interviews with the older adults, and focus groups with care providers and inspectors were used to assess the perceived added value of, and barriers to the framework. RESULTS: The positive elements of this framework were the involvement of the older adults in the regulatory activity, the focus of the framework on care networks and the open character of the conversations with the inspectors. However, applying the framework requires a substantial investment of time. Care providers often did not perceive themselves as being part of a care network around one person and they expressed concerns about financial and privacy issues when thinking in terms of care networks. CONCLUSIONS: The experiences of the client were seen as important in regulating long-term care. Regulating care networks as a whole puts cooperation between care providers involved around one person on the agenda. However, barriers for this form of regulation were also perceived and, therefore, careful consideration when and how to regulate care networks is recommended.
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spelling pubmed-62823432018-12-10 What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study Verver, Didi Stoopendaal, Annemiek Merten, Hanneke Robben, Paul Wagner, Cordula BMC Health Serv Res Research Article BACKGROUND: Changes in Dutch policy towards long-term care led to the Dutch Health and Youth Care Inspectorate testing a regulatory framework focusing on care networks around older adults living independently. This regulatory activity involved all care providers and the older adults themselves. METHODS: Semi-structured interviews with the older adults, and focus groups with care providers and inspectors were used to assess the perceived added value of, and barriers to the framework. RESULTS: The positive elements of this framework were the involvement of the older adults in the regulatory activity, the focus of the framework on care networks and the open character of the conversations with the inspectors. However, applying the framework requires a substantial investment of time. Care providers often did not perceive themselves as being part of a care network around one person and they expressed concerns about financial and privacy issues when thinking in terms of care networks. CONCLUSIONS: The experiences of the client were seen as important in regulating long-term care. Regulating care networks as a whole puts cooperation between care providers involved around one person on the agenda. However, barriers for this form of regulation were also perceived and, therefore, careful consideration when and how to regulate care networks is recommended. BioMed Central 2018-12-06 /pmc/articles/PMC6282343/ /pubmed/30522469 http://dx.doi.org/10.1186/s12913-018-3770-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Verver, Didi
Stoopendaal, Annemiek
Merten, Hanneke
Robben, Paul
Wagner, Cordula
What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study
title What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study
title_full What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study
title_fullStr What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study
title_full_unstemmed What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study
title_short What are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study
title_sort what are the perceived added values and barriers of regulating long-term care in the home environment using a care network perspective: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282343/
https://www.ncbi.nlm.nih.gov/pubmed/30522469
http://dx.doi.org/10.1186/s12913-018-3770-x
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