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Can J Aging. 2014 Jun;33(2):123-36. doi: 10.1017/S0714980814000105. Epub 2014 Apr 29.

Balancing formal and informal care for older persons: how case managers respond.

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Institute of Health Policy,Management and Evaluation,University of Toronto.
Factor-Inwentash Faculty of Social Work,University of Toronto.


This study examined how front-line home and community-care (H&CC) case managers view the role of informal caregivers, and the factors that contribute to H&CC managers' resource allocation decisions. The study research used two methods of data collection: (a) secondary analysis of the results from balance of care (BoC) simulations conducted in nine regions of Ontario, and (b) in-depth follow-up interviews with participating BoC case managers. Results suggest that case managers unanimously agree that the unit of care in the H&CC sector is not confined to the individual, as in acute care, but encompasses both the individual and the caregiver. We found, however, considerable variation in the mix and volume of H&CC services recommended by case managers. We conclude that variability in decision making may reflect the lack of regulations, best practices, and accountability guidelines in the H&CC sector.

[Indexed for MEDLINE]

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