Objectivity in needs assessment practice: admission to a residential home
In 1997, the Dutch government installed independent agencies to assess the long‐term care needs of individual clients and to give advice on the allocation of appropriate services. Needs assessors assess, among other things, the eligibility of clients requesting admission to a residential home. Accor...
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| Veröffentlicht in: | Health & social care in the community 2002-11, Vol.10 (6), p.445-456 |
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| container_title | Health & social care in the community |
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| creator | Jörg, F. Boeije, H. R. Huijsman, R. De Weert, G. H. Schrijvers, A. J. P. |
| description | In 1997, the Dutch government installed independent agencies to assess the long‐term care needs of individual clients and to give advice on the allocation of appropriate services. Needs assessors assess, among other things, the eligibility of clients requesting admission to a residential home. According to guidelines, needs assessors should do this objectively and independently from care providers and health care insurers. The present paper examines how needs assessors explore the clients’ expressed needs, determine their normative needs and advise on allocation. Needs assessors perform these tasks in a situation where a clear professional framework is absent, and moreover, residential home capacity is limited. A qualitative study was undertaken, observing 13 house calls of clients requesting admission to a residential home. Furthermore, interviews were held with all needs assessors and a document analysis was made. It was found that needs assessors use comparable methods in exploring the clients’ motivation and assessing their needs in the relevant areas, apparently using a professional framework. However, when transforming the needs of clients into an adequate allocation, needs assessors struggled with interpretation of criteria and included their personal ideas of services into the allocation decision. The paper concludes with the suggestion that further professionalisation may lead to a greater uniformity in needs assessment practice, and will assist needs assessors in the difficult task of transforming clients’ needs into long‐term care allocation advice. |
| doi_str_mv | 10.1046/j.1365-2524.2002.00386.x |
| format | Article |
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R. ; Huijsman, R. ; De Weert, G. H. ; Schrijvers, A. J. P.</creator><creatorcontrib>Jörg, F. ; Boeije, H. R. ; Huijsman, R. ; De Weert, G. H. ; Schrijvers, A. J. P.</creatorcontrib><description>In 1997, the Dutch government installed independent agencies to assess the long‐term care needs of individual clients and to give advice on the allocation of appropriate services. Needs assessors assess, among other things, the eligibility of clients requesting admission to a residential home. According to guidelines, needs assessors should do this objectively and independently from care providers and health care insurers. The present paper examines how needs assessors explore the clients’ expressed needs, determine their normative needs and advise on allocation. Needs assessors perform these tasks in a situation where a clear professional framework is absent, and moreover, residential home capacity is limited. A qualitative study was undertaken, observing 13 house calls of clients requesting admission to a residential home. Furthermore, interviews were held with all needs assessors and a document analysis was made. It was found that needs assessors use comparable methods in exploring the clients’ motivation and assessing their needs in the relevant areas, apparently using a professional framework. However, when transforming the needs of clients into an adequate allocation, needs assessors struggled with interpretation of criteria and included their personal ideas of services into the allocation decision. The paper concludes with the suggestion that further professionalisation may lead to a greater uniformity in needs assessment practice, and will assist needs assessors in the difficult task of transforming clients’ needs into long‐term care allocation advice.</description><identifier>ISSN: 0966-0410</identifier><identifier>EISSN: 1365-2524</identifier><identifier>DOI: 10.1046/j.1365-2524.2002.00386.x</identifier><identifier>PMID: 12485131</identifier><identifier>CODEN: HSCCEL</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Admissions ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Client Relations ; Elderly people ; Eligibility Determination ; Female ; Geriatric Assessment ; Government Agencies - standards ; Health Care Rationing - organization & administration ; Homes for the Aged - utilization ; Humans ; Interviews as Topic ; Long Term Care ; Long-Term Care - utilization ; Male ; Medical sciences ; Miscellaneous ; Needs Assessment ; Needs Assessment - organization & administration ; Needs Assessment - standards ; Netherlands ; Nursing Homes ; Objectivity ; Patient Admission - standards ; professionalisation ; Professionalization ; Public health. 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R.</creatorcontrib><creatorcontrib>Huijsman, R.</creatorcontrib><creatorcontrib>De Weert, G. H.</creatorcontrib><creatorcontrib>Schrijvers, A. J. P.</creatorcontrib><title>Objectivity in needs assessment practice: admission to a residential home</title><title>Health & social care in the community</title><addtitle>Health Soc Care Community</addtitle><description>In 1997, the Dutch government installed independent agencies to assess the long‐term care needs of individual clients and to give advice on the allocation of appropriate services. Needs assessors assess, among other things, the eligibility of clients requesting admission to a residential home. According to guidelines, needs assessors should do this objectively and independently from care providers and health care insurers. The present paper examines how needs assessors explore the clients’ expressed needs, determine their normative needs and advise on allocation. Needs assessors perform these tasks in a situation where a clear professional framework is absent, and moreover, residential home capacity is limited. A qualitative study was undertaken, observing 13 house calls of clients requesting admission to a residential home. Furthermore, interviews were held with all needs assessors and a document analysis was made. It was found that needs assessors use comparable methods in exploring the clients’ motivation and assessing their needs in the relevant areas, apparently using a professional framework. However, when transforming the needs of clients into an adequate allocation, needs assessors struggled with interpretation of criteria and included their personal ideas of services into the allocation decision. 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| ispartof | Health & social care in the community, 2002-11, Vol.10 (6), p.445-456 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Journals; Sociological Abstracts |
| subjects | Admissions Aged Aged, 80 and over Biological and medical sciences Client Relations Elderly people Eligibility Determination Female Geriatric Assessment Government Agencies - standards Health Care Rationing - organization & administration Homes for the Aged - utilization Humans Interviews as Topic Long Term Care Long-Term Care - utilization Male Medical sciences Miscellaneous Needs Assessment Needs Assessment - organization & administration Needs Assessment - standards Netherlands Nursing Homes Objectivity Patient Admission - standards professionalisation Professionalization Public health. Hygiene Public health. Hygiene-occupational medicine Residential homes Residential Institutions Resource Allocation |
| title | Objectivity in needs assessment practice: admission to a residential home |
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