Table 3. Relative Importance of Home Care Outcomes, as Perceived by Multiple Constituencies, for a Client With Heavy Personal Care Needs and/or Medical Needs1.
Home Care Outcomes | Consumer Representatives n=9 |
Professional Providers n=9 |
Insurers/Payers n=6 |
Regulators n=11 |
Paraprofessional Providers n=6 |
Home Care Users n=4 |
---|---|---|---|---|---|---|
Physical Functioning | 82 | 74 | 87 | 92 | 73 | 81 |
Cognitive Functioning | 75 | 50 | 74 | 63 | 68 | 79 |
Symptom Control | 81 | 73 | 74 | 94 | 60 | 70 |
Physiological Functioning | 73 | 79 | 73 | 96 | 78 | 69 |
Psychological Functioning | 69 | 63 | 59 | 66 | 70 | 59 |
Social Activity | 55 | 30 | 62 | 47 | 66 | 43 |
Compliance With Regimen | 68 | 62 | 88 | 77 | 63 | 83 |
Client Knowledge | 83 | 84 | 80 | 86 | 74 | 84 |
Physical Safety | 46 | 79 | 87 | 81 | 88 | 73 |
Freedom From Abuse | 92 | 84 | 97 | 91 | 93 | 81 |
Satisfaction With Care | 82 | 73 | 80 | 90 | 86 | 88 |
Satisfaction With Life | 68 | 59 | 42 | 65 | 66 | 59 |
Client Choice | 83 | 70 | 59 | 87 | 68 | 68 |
Hospitalization | 55 | 58 | 87 | 59 | 80 | 48 |
Nursing Home Admission | 59 | 51 | 89 | 57 | 78 | 66 |
Other Congregate Setting | 45 | 52 | 62 | 53 | 72 | 74 |
Death | 37 | 53 | 69 | 51 | 67 | 73 |
Morbidity | 68 | 74 | 82 | 92 | 85 | 80 |
Family Stress | 61 | 57 | 72 | 66 | 63 | 71 |
Family Knowledge | 62 | 71 | 58 | 74 | 63 | 84 |
Affordability | 88 | 59 | 93 | 69 | 60 | 73 |
Importance score from 100 (most Important) to 0 (least Important).
NOTE: All scores were assigned by considering the extent to which home care providers should be held responsible for achieving positive outcomes or slowing down or preventing negative outcomes, with the understanding that average achieved outcomes would be compared with expected outcomes for groups of clients.
SOURCE: (Kane et al., 1991).