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                                       Details van artikel 34 van 81 gevonden artikelen
 
 
  Implementation Issues for Consumer-Directed Programs
 
 
Titel: Implementation Issues for Consumer-Directed Programs
Auteur: Simonrusinowitz, Lori
Marks, Lori N.
Loughlin, Dawn M.
Desmond, Sharon M.
Mahoney, Kevin J.
Zacharias, B. Lee
Squillace, Marie R.
Allison, Ann Marie
Verschenen in: Journal of aging & social policy
Paginering: Jaargang 14 (2003) nr. 3-4 pagina's 95-118
Jaar: 2003-04-29
Inhoud: An increasing number of aging community providers and consumers support consumer-direction (CD) in long-term care services. In regard to devolution, consumer-direction goes beyond the usual approach of shifting responsibilities from the federal government to state governments to bring programs “closer to the people.” Consumer-direction goes even further by placing resources directly in the hands of consumers. Yet, many questions remain unanswered regarding how to implement CD personal assistance services in general, and especially for older persons. This article describes the importance of examining views from multiple key stakeholders involved in implementing CD programs. We report on three background studies that have informed the Cash and Counseling Demonstration and Evaluation (CCDE) design and implementation-policy expert interviews as well as surveys and focus groups with consumers and representatives. As a fourth data source, we drew upon experiences in designing the CCDE and initial results from the first year of implementation. Each of the three studies on its own provided essential information for planning the CCDE. However, when we examined the studies together, and added CCDE design and implementation experiences, views expressed by the different stakeholders formed a type of multi-perspective “dialogue” that expanded our knowledge about implementing CD services. We hope this increased knowledge will help expand the availability of such services for consumers of any age who want to direct their own care.
Uitgever: Routledge
Bronbestand: Elektronische Wetenschappelijke Tijdschriften
 
 

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