An examination of assessment arrangements and service use for older people in receipt of care management

Caroline Sutcliffe, Jane Hughes, Michele Abendstern, Paul Clarkson, Helen Chester, David Challis

    Research output: Contribution to journalArticlepeer-review

    Abstract

    With anticipated greater demand for formal care services globally, this article examines the sociodemographic and health characteristics of frail older people in receipt of community support. Data were collected from audits of case files of older people receiving care management at two time points during which two government policy initiatives were implemented to promote greater standardization in health and social care provision for older people in England. Findings at Time 2 revealed that there were higher levels of physical and mental impairment and more health care assessments undertaken. There was a slight decrease in home care receipt but a marginal increase of more intensive home care provision. Service users living with a carer were less likely to receive home care but more likely to receive respite care or day care than those living alone. The policy goal of widening access to specialist health and social care services for older people with mental health problems was achieved. Guidance that focused eligibility criteria on the identification of older people with complex needs required the availability of appropriate support and services. Irrespective of policy initiatives, the sociodemographic characteristics of older people and the availability of informal support are principal determinants of service provision. © 2014 Springer Publishing Company.
    Original languageEnglish
    Pages (from-to)66-75
    Number of pages9
    JournalCare Management Journals
    Volume15
    Issue number2
    DOIs
    Publication statusPublished - 1 Jun 2014

    Keywords

    • Care coordination
    • Case mix
    • Dependency
    • Service mix

    Fingerprint

    Dive into the research topics of 'An examination of assessment arrangements and service use for older people in receipt of care management'. Together they form a unique fingerprint.

    Cite this