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How would case managers' practice change in a consumer-directed care environment in Australia?
Emily Chuanmei You1,2, David Dunt2, Colleen Doyle3,4
1Institute for Health and Ageing, Australian Catholic University & Villa Maria Catholic Homes, Melbourne, Victoria, Australia.
Case managers anticipate shifts in their roles with consumer-directed care (CDC), focusing more on client empowerment and partnership, rather than direct budget management. They expect to manage more clients with less individual support.
Area of Science:
- Gerontology
- Health Services Research
- Social Work
Background:
- Australia's community aged care system is transitioning towards consumer-directed care (CDC).
- Understanding the impact of this shift on case manager roles is crucial for effective implementation.
- Empowerment theory provides a framework for analyzing these practice changes.
Purpose of the Study:
- To explore case managers' perceived practice changes under widespread consumer-directed care (CDC) implementation in Australia.
- To identify specific role adjustments and challenges anticipated by case managers.
- To analyze these perceptions through the lens of empowerment theory.
Main Methods:
- Purposeful sampling of case managers administering publicly funded aged care packages in Victoria, Australia.
- Semi-structured individual and group interviews conducted between September 2012 and March 2013.
- Thematic analysis guided by empowerment theory.
Main Results:
- Case managers foresee a shift from direct budget management to roles focused on financial guidance and monitoring.
- Anticipated increased emphasis on empowering, educating, and facilitating clients to enhance self-management.
- Expectation of managing more clients, with reduced individual support and care coordination.
- Perceived need for skillful communication and partnership with clients.
Conclusions:
- Case managers anticipate significant practice evolution in a consumer-directed care (CDC) environment.
- Key changes include a redefined role in budget oversight, enhanced client empowerment, and increased client partnerships.
- Attention to power dynamics in budget management and the development of new skills for effective client support are essential.
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