User choice in Swedish eldercare – conditions for informed choice and enhanced service quality

Moberg, Linda; Blomqvist, Paula; Winblad, Ulrika

doi:10.1177/0958928716645076

Cited by 27 publications

(30 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many users of home care services, within the Swedish Free Choice System, did not find the received information a sufficient basis for their choice of provider (Hjalmarsson & Norman, 2004;National Board of Health and Welfare, 2015). An analysis of the information from providers showed that it provided little guidance for users to make informed choices (Moberg, Blomqvist & Winblad, 2016). Many older people do not see the value of choosing between different, more or less anonymous, service providing agencies and very few change their initial choice of provider of eldercare (Edebalk & Svensson, 2010;National Board of Health and Welfare, 2015;Vamstad, 2016).…”

Section: Literature Reviewmentioning

confidence: 99%

Autonomy, Choice and Control for Older Users of Home Care Services: Current Developments in Swedish Eldercare

Dunér

Bjälkebring

Johansson

2018

Journal of Social Service Research

View full text Add to dashboard Cite

In Sweden, a policy shift towards more individualized eldercare, with an emphasis on consumer choice, has taken place. The aim of this study was to analyze the processes and practices of individualized eldercare, focusing on preconditions for older peoples' choice and control. Data consist of qualitative interviews with users of home care services (n-12) and staff (n-12) and participant observations (n-7) of meetings between staff and older people. The choice and control available to older users emerged as decisions about 'what' care and services, 'who' should provide the care and services, and 'how' the care and services should be performed. Three approaches to enable older people choice and control over their home care services were revealed: test and revise, services elaborated in close collaboration between users, care managers and home care staff; choices in the moment, users could choose services at each occasion; and quality improvement through competition, competing providers develop attractive services. The findings could guide policy makers in combining the strengths of these approaches to enable older people in need of support to become co-producers in designing, managing, as well as consuming, care and services. Future quantitative research is needed to achieve generalizable knowledge about the strengths and weaknesses of different ways to organize eldercare services.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Autonomy, Choice and Control for Older Users of Home Care Services: Current Developments in Swedish Eldercare

Dunér

Bjälkebring

Johansson

2018

Journal of Social Service Research

View full text Add to dashboard Cite

show abstract

“…Personalization, choice, and control are key elements of adult social care in many countries (Moberg, Blomqvist, & Winblad, ). Operationalized through personal budgets (PBs) and direct payments (DPs) in England and other forms of cash for care payments internationally (Glendinning & Kemp, ; Ungerson & Yeandle, ), a fundamental assumption is that enabling people to manage the resources available to them will enhance their ability to access appropriate care and support, and tailor it to their needs.…”

Section: Introductionmentioning

confidence: 99%

“…Important to both quasi‐market and consumerist approaches is the availability and quality of information and the capacity to use that information (Dixon, Robertson, & Bal, ; Moberg et al, ). Glendinning () summarizes some of the issues facing social care service users in making choices, including issues specific to people likely to be self‐funders.…”

Section: Introductionmentioning

confidence: 99%

Choice and control in social care: Experiences of older self‐funders in England

2019

View full text Add to dashboard Cite

This paper considers the experiences of older self-funders in England in the context of policies promoting choice and control. Self-funders are people who are not state-funded; they pay for social care from their own resources. Choice and control have been operationalized through personal budgets, based on the assumption that managing resources enhances ability to access appropriate care and support. This paper uses data from 40 qualitative interviews with self-funders and their relatives, and 19 with professionals. It explores the impact of the financial and social capital that self-funders are assumed to have and asks how older selffunders experience choice and control. The study found that older self-funders drew on personal experiences, family, and friends for information; were reluctant to spend their wealth on care due to competing priorities; and felt they had more control over the timing of decisions than people who were state-funded. Personal wealth appears to be perceived differently to funds "gifted" to people through cash for care schemes. K E Y W O R D S self-funders, choice and control, social care, older people

show abstract

“…Second, Hypothesis 2, that the care-service evaluation indexes of 2013 and 2016 would separately affect the user satisfaction, was confirmed (30). According to the hierarchical regression analysis for 2013, education time, attire management, contract termination, document filing, etc., had an effect on user satisfaction.…”

Section: Discussionmentioning

confidence: 82%

Quality of Community-based Care Services in Korea

Yoon

In-Soo

Lee

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Aging societies are increasing the need for care services. In order to solve the problem of care, we suggest community care, and through this, we will provide medical services that meet individual needs. Korea provides care services in advance of the community care project and implements quality control to improve the quality of these social services. Therefore, this study aims is to intend to compare and analyze the factors affecting user satisfaction in care services in both 2013 and 2016. Methods We used quantified secondary data based on social services performed analysis reports. Based on the evaluation indexes for care service in 2013 and 2016, we used commonly used indexes for analysis. Results As a result, there was a difference between care services quality evaluation (QE) indexes by profit type, and care services evaluation indexes had an effect on user satisfaction. In addition, the change rate in the care service evaluation scores affects the change rate in user satisfaction Conclusions Therefore, in order to increase satisfaction with care service, evaluation indexes by service type should be diversified and differentiated. In addition, it should be composed of field evaluations related to user satisfaction to provide care services appropriate for local characteristics.

show abstract

User choice in Swedish eldercare – conditions for informed choice and enhanced service quality

Cited by 27 publications

References 38 publications

Autonomy, Choice and Control for Older Users of Home Care Services: Current Developments in Swedish Eldercare

Autonomy, Choice and Control for Older Users of Home Care Services: Current Developments in Swedish Eldercare

Choice and control in social care: Experiences of older self‐funders in England

Quality of Community-based Care Services in Korea

Contact Info

Product

Resources

About