scholarly journals Assessment, Allocation, And Management Of Home And Community Care Services For Medically Complex Children : A Case Study

2021 ◽  
Author(s):  
David Salib

This study examines the experiences of CCAC Care Coordinators when assessing, allocating, and managing medically complex children who require home and community care services. A case-study design was implemented, employing a focus group with seven Care Coordinators and an analysis of the 14 Local Health Integration Networks (LHINs) Integrated Health Service Plans (IHSPs) across Ontario. Three major findings arose from the study. First, families are experiencing increased levels of burden related to the child's care responsibilities. Second, there remains a health human resource shortage of individuals with a specialization in paediatrics in the home and community sector. Third, Care Coordinators function as street-level bureaucrats when allocating publicly funded services without the use of a standardized assessment tool. Ultimately, a model of care needs to be implemented supporting a balanced approach to assessment, utilizing standard assessment tools while providing a means for Care Coordinators to utilize their expertise in allocating services.

2021 ◽  
Author(s):  
David Salib

This study examines the experiences of CCAC Care Coordinators when assessing, allocating, and managing medically complex children who require home and community care services. A case-study design was implemented, employing a focus group with seven Care Coordinators and an analysis of the 14 Local Health Integration Networks (LHINs) Integrated Health Service Plans (IHSPs) across Ontario. Three major findings arose from the study. First, families are experiencing increased levels of burden related to the child's care responsibilities. Second, there remains a health human resource shortage of individuals with a specialization in paediatrics in the home and community sector. Third, Care Coordinators function as street-level bureaucrats when allocating publicly funded services without the use of a standardized assessment tool. Ultimately, a model of care needs to be implemented supporting a balanced approach to assessment, utilizing standard assessment tools while providing a means for Care Coordinators to utilize their expertise in allocating services.


2017 ◽  
Vol 27 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Yuan Yuan Fu ◽  
Ernest Wing Tak Chui ◽  
Wing Shan Kan ◽  
Lisanne Ko

Author(s):  
R.A. Rutkowski ◽  
S. Ponnala ◽  
J. Gonzalez-Vargas ◽  
A. Gilmore-Bykovskyi ◽  
L. Block ◽  
...  

Persons with dementia (PwD) are heavily dependent on the support of informal, dementia caregivers to fulfill their day-to-day care needs. Dementia caregivers, often friends and family members of the PwD, are unpaid, non-professional individuals who take on many of the care responsibilities. Due to the lack of formal training, social support, and information resources, among other factors, dementia caregivers are often at risk for negative outcomes such as stress and burden. There have not been any comprehensive assessment tools to predict these negative outcomes. Therefore, we employ the NASA TLX dimensions to conceptualize caregiver workload. This study operationalizes the NASA TLX dimensions in the context of dementia caregiving and illustrates examples for each of the dimensions. The results indicate that the NASA TLX does not include all of the factors necessary to conceptualize caregiver workload and prescribe a need for developing a robust caregiver workload assessment tool.


2020 ◽  
Vol 12 (18) ◽  
pp. 7451
Author(s):  
Enrique Barra ◽  
Sonsoles López-Pernas ◽  
Álvaro Alonso ◽  
Juan Fernando Sánchez-Rada ◽  
Aldo Gordillo ◽  
...  

The COVID-19 pandemic imposed in many countries, in the short term, the interruption of face-to-face teaching activities and, in the medium term, the existence of a ‘new normal’, in which teaching methods should be able to switch from face-to-face to remote overnight. However, this flexibility can pose a great difficulty, especially in the assessment of practical courses with a high student–teacher ratio, in which the assessment tools or methods used in face-to-face learning are not ready to be adopted within a fully online environment. This article presents a case study describing the transformation of the assessment method of a programming course in higher education to a fully online format during the COVID-19 pandemic, by means of an automated student-centered assessment tool. To evaluate the new assessment method, we studied students’ interactions with the tool, as well as students’ perceptions, which were measured with two different surveys: one for the programming assignments and one for the final exam. The results show that the students’ perceptions of the assessment tool were highly positive: if using the tool had been optional, the majority of them would have chosen to use it without a doubt, and they would like other courses to involve a tool like the one presented in this article. A discussion about the use of this tool in subsequent years in the same and related courses is also presented, analyzing the sustainability of this new assessment method.


AIDS Care ◽  
2020 ◽  
Vol 33 (1) ◽  
pp. 121-130
Author(s):  
Katrina Koehn ◽  
Heather Burgess ◽  
Sharyle Lyndon ◽  
Michelle Lu ◽  
Monica Ye ◽  
...  

2020 ◽  
pp. 073346482093897
Author(s):  
Joyce Siette ◽  
Helen Berry ◽  
Mikaela Jorgensen ◽  
Lindsey Brett ◽  
Andrew Georgiou ◽  
...  

Aged care services have the potential to support social participation for the growing number of adults aging at home, but little is known about the types of social activities older adults in community care are engaged in. We used cluster analysis to examine the current profiles of social participation across seven domains in 1,114 older Australians, and chi-square analyses to explore between-group differences in social participation and sociodemographic and community care service use. Two distinct participation profiles were identified: (a) connected, capable, older rural women and (b) isolated, high-needs, urban-dwelling men. The first group had higher levels of engagement across six social participation domains compared with the second group. Social participation among older adults receiving community care services varies by gender, age, individual care needs, and geographical location. More targeted service provision at both the individual and community levels may assist older adults to access social participation opportunities.


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