Requests and outcomes in care management: Processing older persons as clients in old age care
(English)Manuscript (Other academic)
Old age care has undergone a marketisation in recent years in which various models for care management have been introduced with the aim of making assessments efficient. This article investigates the effects the care management model has on resource allocation for home care when handling the requests of older persons in the needs assessment process. Sixteen tape-recorded assessment conversations with associated case-file texts were analysed through discourse analysis. The results show that managerialist thinking has had a partial impact on the assessment process where the documentation requirements have entailed bureaucratisation in terms of the transfer that occurs from talk to text. The findings from the study nevertheless indicate that the assessment conversations have clear elements of an individual-centred perspective in which there is room for a care rational dialogue. This constitutes a welfare policy dilemma today. Providing for older people’s requests should be on the basis of quality and an individual-centred perspective and care management has had a contrary effect in which focus is directed instead towards needs assessment and bureaucratic processes.
Health Care Service and Management, Health Policy and Services and Health Economy
IdentifiersURN: urn:nbn:se:liu:diva-15967OAI: oai:DiVA.org:liu-15967DiVA: diva2:132444