File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Developing an Operationalized Framework for Comparing Consumer-Directed Care for Older Adults: Evidence from Expert Survey and Cross-National Comparison

TitleDeveloping an Operationalized Framework for Comparing Consumer-Directed Care for Older Adults: Evidence from Expert Survey and Cross-National Comparison
Authors
KeywordsCash-for-care
international comparison
long-term care insurance
participant-directed care
self-direction
Issue Date27-Dec-2023
PublisherTaylor and Francis Group
Citation
Journal of Aging and Social Policy, 2023 How to Cite?
Abstract

Consumer-directed care (CDC) programs for older people aim to optimize health outcomes by offering clients control and flexibility regarding service arrangements. However, policy design features may differ due to heterogenous sociostructural systems. By operationalizing a framework with three dimensions of CDC, i.e. control and direct servicesvariety of service options, and information and support, we analyzed how countries vary in their policy designs to achieve consumer direction. Using an expert survey (n = 20) and cross-national document analysis, we analyzed 12 CDC programs from seven selected countries: the United States, the United Kingdom, Germany, the Netherlands, China, Australia, and Spain. Among the three dimensions, CDC programs placed more emphasis on and displayed more homogenous performance of policy designs that achieve consumer direction in the dimension of control and direct services, while less emphasis was placed on and more heterogenous performance displayed in the dimensions of variety of service options and information and support. We offer a systematically operationalized framework to investigate CDC policy designs. Findings advance our understanding of CDC policy features from a cross-national perspective. Policymakers could incorporate these findings to empower older people in their respective societies.


Persistent Identifierhttp://hdl.handle.net/10722/339509
ISSN
2023 Impact Factor: 2.0
2023 SCImago Journal Rankings: 1.365
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZhang, Jinbao-
dc.contributor.authorChen, Yu-Chih-
dc.contributor.authorShi, Cheng-
dc.contributor.authorWang, Julia Shu-Huah -
dc.date.accessioned2024-03-11T10:37:13Z-
dc.date.available2024-03-11T10:37:13Z-
dc.date.issued2023-12-27-
dc.identifier.citationJournal of Aging and Social Policy, 2023-
dc.identifier.issn0895-9420-
dc.identifier.urihttp://hdl.handle.net/10722/339509-
dc.description.abstract<p>Consumer-directed care (CDC) programs for older people aim to optimize health outcomes by offering clients control and flexibility regarding service arrangements. However, policy design features may differ due to heterogenous sociostructural systems. By operationalizing a framework with three dimensions of CDC, i.e. <em>control and direct services</em>, <em>variety of service options</em>, and <em>information and support</em>, we analyzed how countries vary in their policy designs to achieve consumer direction. Using an expert survey (<em>n</em> = 20) and cross-national document analysis, we analyzed 12 CDC programs from seven selected countries: the United States, the United Kingdom, Germany, the Netherlands, China, Australia, and Spain. Among the three dimensions, CDC programs placed more emphasis on and displayed more homogenous performance of policy designs that achieve consumer direction in the dimension of <em>control and direct services</em>, while less emphasis was placed on and more heterogenous performance displayed in the dimensions of <em>variety of service options</em> and <em>information and support</em>. We offer a systematically operationalized framework to investigate CDC policy designs. Findings advance our understanding of CDC policy features from a cross-national perspective. Policymakers could incorporate these findings to empower older people in their respective societies.</p>-
dc.languageeng-
dc.publisherTaylor and Francis Group-
dc.relation.ispartofJournal of Aging and Social Policy-
dc.subjectCash-for-care-
dc.subjectinternational comparison-
dc.subjectlong-term care insurance-
dc.subjectparticipant-directed care-
dc.subjectself-direction-
dc.titleDeveloping an Operationalized Framework for Comparing Consumer-Directed Care for Older Adults: Evidence from Expert Survey and Cross-National Comparison-
dc.typeArticle-
dc.identifier.doi10.1080/08959420.2023.2297594-
dc.identifier.scopuseid_2-s2.0-85180843928-
dc.identifier.eissn1545-0821-
dc.identifier.isiWOS:001131742000001-
dc.identifier.issnl0895-9420-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats