What do people value when they provide unpaid care for an older person? A meta-ethnography with interview follow-up
What do people value when they provide unpaid care for an older person? A meta-ethnography with interview follow-up
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DOI：
10.1016/j.socscimed.2008.03.032
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发表时间：
2008-07-01
影响因子：
5.4
通讯作者：
Flynn, Terry N.
中科院分区：
文献类型：
--
作者：
Al-Janabi, Hareth;Coast, Joanna;Flynn, Terry N.
政府将护理转移到社区的政策和人口结构的变化意味着，越来越多的人将依赖无偿(非正式)插入物来提供护理，特别是对老年人。因此，在经济评估中需要仔细考虑非正规护理。目前的经济评估方法可能忽略了非正式护理的重要方面。本文报告了一种用于经济评估的关怀体验的简单测量方法的发展。元民族志被用来将定性研究归结为关爱的六个概念属性。随后，对老年人的照顾者进行了16次半结构化访谈，以检查这些属性并将其发展为测量工具。关怀体验的6个属性构成了最终测量：相处、组织帮助、社会支持、活动、控制和成就感。最后一项衡量标准(护理者体验量表)侧重于提供护理的过程，而不是护理带来的健康结果。可以说，这提供了对照顾者福利的更直接的评估。在测试和衡量这一措施的工作之后，它可能会提供一种有希望的方式，将对餐饮的影响纳入经济评估。(C)2008爱思唯尔有限公司。保留所有权利。
Government policies to shift care into the community and demographic changes mean that unpaid (informal) carets will increasingly be relied on to deliver care, particularly to older people. As a result, careful consideration needs to be given to informal care in economic evaluations. Current methods for economic evaluations may neglect important aspects of informal care. This paper reports the development of a simple measure of the caring experience for use in economic evaluations. A meta-ethnography was used to reduce qualitative research to six conceptual attributes of caring. Sixteen semi-structured interviews were then conducted with carers of older people, to check the attributes and develop them into the measure.Six attributes of the caring experience comprise the final measure: getting on, organisational assistance, social support, activities, control, and fulfilment. The final measure (the Carer Experience Scale) focuses on the process of providing care, rather than health outcomes from caring. Arguably this provides a more direct assessment of carers' welfare. Following work to test and scale the measure, it may offer a promising way of incorporating the impact on caters in economic evaluations. (C) 2008 Elsevier Ltd. All rights reserved.