scholarly journals Factors Related to the Care Management Practice for Old Public Assistance Recipients in Osaka City of Japan

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 946-947
Author(s):  
Takako Ayabe ◽  
Yoshihito Takemoto ◽  
Shinichi Okada ◽  
Johannes Kiener ◽  
Masakazu Shirasawa

Abstract The research was conducted between January 22 and February 25, 2021. The data was collected by self-administered questionnaires mailed to the participants at 800 care management centers and comprehensive community support centers in Osaka City. The centers were randomly selected. The response rate was 19.1%. The independent variables were: obtaining the qualification of a Senior Care Manager (SCM), who was a qualified person that acquired advanced knowledge and skills in care management by advanced training; experience years in Social Work (SW); experience years in care management; experiences in training programs for team approach; and experiences in training programs for supporting Old Public Assistance Recipients (OPAR). The dependent variables were the categorized contents in the Care Management Practice for old public assistance recipients. They were: Care planning and Implementation (CI); Assessment; Financial Support and Evaluation (FSE); Contract and Explanations in care management; Coordinating Informal support and Formal services in Care planning; and Arrangements in Financial supports for Formal service costs. The Structural Equation Modeling was performed for the examinations of the relationships. As a result, the goodness of the fit indices was acceptable, and we retained the models. In correlational analyses, CI and Assessment were significantly correlated with SCM (p<.05). FSE was significantly correlated with SW (p<.001) and OPAR (p<.05). In conclusion, the results implied that advanced qualification of a Senior Care Manager and a specified training program for supporting old public assistance recipients were effective in providing appropriate care management services.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 958-958
Author(s):  
Takako Ayabe ◽  
Shinichi Okada

Abstract The research was conducted between February 9 and 28, 2017. The care management centers were randomly selected from the national list of the centers. The data were collected by self-administered questionnaires mailed to the care managers at 500 care management centers in six prefectures in the Kinki area of Japan. The independent variables were gender, age, experience years of care managers and/or social workers, Clients’ Physical and Mental conditions (CPM), Client’s Lifestyle (CL), Physical and Mental conditions of the Caregivers (PMC), and Human and Financial resources for Clients and their Caregivers (HFCC). The dependent of variables were the categorized contents in the care planning. They included the Approach for exploring Client’s needs (AC), Coordination among Care services within the program in accordance with the needs of client (CC), Coordination among Formal services and informal supports without the program in accordance with the needs of clients (CF). We examined the relationships between the dependent and independent variables by using the Structural Equation Modeling. The results indicated that the goodness of the fit indices was acceptable, and we retained the models. In correlational analyses, AC was significantly correlated with PMC (p<.01), CPM (p<.05), and CL (p<.001). CC was significantly correlated with PMC (p<.001), CPM (p<.001), and CL (p<.01). CF was significantly correlated with PMC (p<.05), HFCC (p<.05), and CL (p<.05). In conclusion, our findings suggest that care managers should recognize that information concerning the clients’ and their caregivers’ conditions is significant in making appropriate care planning for the clients and their caregivers.


Pflege ◽  
2010 ◽  
Vol 23 (4) ◽  
pp. 223-239 ◽  
Author(s):  
Franco Mantovan ◽  
Dietmar Ausserhofer ◽  
Markus Huber ◽  
Eva Schulc ◽  
Christa Them

Durch die häusliche Pflegesituation sind pflegende Angehörige von Menschen mit Demenz einer Vielzahl an physischen, psychischen und sozialen Belastungen bzw. Einschränkungen ausgesetzt und laufen Gefahr, selbst zu erkranken. Pflegende Angehörige benötigen adäquate Entlastungsangebote, um die Pflege ihres Familienmitglieds zuhause so lange und so gesund wie möglich durchführen zu können. In der vorliegenden Arbeit wurden anhand einer systematischen Literaturübersicht Entlastungs- und Förderinterventionen und deren Effekte auf pflegende Angehörige von Demenzerkrankten recherchiert und dargestellt. Aus der Ergebnisdarstellung geht hervor, dass psychoedukative, pflegeentlastende, unterstützende, psychotherapeutische und multimodale Angebote sowie Case und Care Management bei pflegenden Angehörigen signifikante Effekte auf Ergebnisparameter wie Belastungen, Depressivität, subjektives Wohlbefinden, Fähigkeiten/Wissen sowie Symptome und Institutionalisierung des Pflegebedürftigen zeigen. Keine der untersuchten Interventionen deckt jedoch alle Ergebnisparameter ab. Um eine individuelle Versorgung pflegender Angehöriger sicherstellen zu können, bedarf es eines übergeordneten organisatorischen Konzepts (z. B. Case/Care Management, Family Health Nursing) das die Bedürfnisse der pflegenden Angehörigen erkennt, bedarfsgerechte Angebote für pflegende Angehöriger kombiniert und vernetzt. Diplomierte Gesundheits- und Krankenpflegepersonen könnten als «Care Manager» oder «Family Health Nurses» bei der Sicherstellung der häuslichen Pflege von Menschen mit Demenz eine zentrale Rolle spielen. Weitere Untersuchungen zu multimodalen Angeboten bzw. Case bzw. Care Management werden benötigt, wobei eine sorgfältige Wahl des Studiendesigns, der Stichprobengröße und der Ergebnisparameter (Assessmentinstrumente) getroffen werden muss, um signifikante Ergebnisse und homogene Daten zu produzieren.


2019 ◽  
Vol 32 (1) ◽  
pp. 75-97 ◽  
Author(s):  
Razatulshima Ghazali ◽  
Mohammad Nazir Ahmad ◽  
Darshana Sedera ◽  
Nor Hidayati Zakaria

PurposeThe purpose of this paper is to empirically demonstrate how knowledge management, particularly knowledge integration (KI), acts as a mediator in enterprise systems (ES) post-implementation stage and how transactional and transformational leadership styles are impacted toward ES success.Design/methodology/approachDrawing on the insights of 508 valid respondents from various business backgrounds that used ES in Malaysia, structural equation modeling was employed and the path modeling approach was used to investigate the underlying relationships between variables. The mediating effects were tested using the bootstrapping procedures presented by Preacher and Hayes.FindingsThe results support the mediating effects of KI mechanisms and both leadership styles toward ES success. The analysis revealed the importance of KI in an organization, especially by the leaders who manage the complexity of the ES in the post-implementation stage.Research limitations/implicationsThe study can be extended by analyzing other leadership styles in-detail.Practical implicationsThis paper is useful for practitioners as it acts as a guide to conduct management practice for business managers.Originality/valueThe results demonstrate the importance of leaders’ adoption of KI mechanisms in various business domains. This study approach can be used to investigate which sub-items of the leadership styles are more likely to promote KI mechanisms.


2004 ◽  
Vol 5 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Joan Quinn ◽  
Patricia Pannone ◽  
Cynthia Gruman ◽  
Maria Roja

There are numerous articles about the pros and cons of long-term care insurance. However, for many people it is a solution for funding long-term care when they are in need of these services. The provision of appropriate care management to individuals, providers, and insurers results in a “win-win” for everyone. The article discusses the issues surrounding long-term care financing and delivery from the perspective of the groups mentioned previously.


2016 ◽  
Vol 22 (1) ◽  
Author(s):  
Sandra Torres ◽  
Anna Olaison ◽  
Emilia Forssell

Care managers on need assessment with late-in-life immigrants: insights into how an institutional category is created Research on the implications of cross-cultural interaction for needs assessment practice is scarce. This is particularly the case when it comes to research on care management within elderly care. There is therefore a need to explore the ways in which care managers regard and experience cross-cultural interaction when assessing older people’s needs prior to granting access to elderly care services. This article is based on a project that aimed to explore just that through focus group interviews with care managers (n=60) who work within the context of Swedish elderly care. The analysis presented here addresses the ways through which an institutional category is created as care managers discuss the kind of cross-cultural interaction that they find the most challenging (which is the one involving older people who migrated late, do not speak Swedish and come from cultures that are deemed to be too different). The analysis discloses the underlying assumptions about Otherness that the care managers alluded to when sharing their views on, and experiences of, assessing needs by way of cross-cultural interaction with late-in-life immigrants. The article discusses the implications that these findings have for care management practice in Sweden considering that the legislation dictates that care managers need to attend to older people’s “uniqueness”. The analysis reveals that the uniqueness associated with certain client categories is too unique to cater for


2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Mishal Mufti ◽  
Syed Jamal Shah ◽  
Peng Xiaobao ◽  
Asma Sarwar ◽  
Mariya Razzaghian ◽  
...  

BACKGROUND: Despite wide global attention to training programs in business organizations, research on training programs and their outcomes at the social enterprises in general is very limited. This study aims to explicate the drivers and effects of manager’s training.OBJECTIVE: Based on institutional theory, this research explores the reasons why social enterprises train their managers as well as how the legitimacy and performance improves in response to training.METHODS: Our theoretically derived model is tested using survey data obtained from ninety-nine senior managers of social enterprises in Pakistan. Data was analyzed through Partial Least Square structural equation modeling method (PLS-SEM).RESULTS: The results of analysis support the idea that training of managers is synergistically and interactively driven by institutional forces e.g. normative, mimetic and coercive pressures. These institutional pressures spur social enterprises and induce them to adopt training programs to enhance their external and internal legitimacy and improve their performance.CONCLUSIONS: This research emphasizes the importance of institutional pressures in adopting training programs in social enterprises. In sum, the present study provides important insights for senior managers in social enterprises who seek to foster external and internal legitimacy and improve performance. This study makes important contribution to the literature by developing an empirical link between institutional pressures and social enterprises performance. This research reiterates finding in previous studies to show the significance of the institutional forces in adoption of certain practices e.g. training of managers, to monitor the outcomes of training and providing further explanation regarding effects of training on legitimacy and performance.


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