Relationships in consumer-directed care: An integrative literature review

Australas J Ageing. 2017 Sep;36(3):193-204. doi: 10.1111/ajag.12444. Epub 2017 Jul 6.

Abstract

Objective: To undertake an integrative review of the literature on relationships between community aged care recipients, family carers and care providers under consumer-directed care (CDC).

Methods: Seven databases were systematically searched. Peer-reviewed and grey literature on CDC between 1998 and 2014 were assessed using an integrative literature review (ILR) framework. Search terms included CDC, self-directed care, direct payments, community aged care, community dwelling and older adults. Full-text copies were assessed against the inclusion criteria.

Results: Fifteen studies met the inclusion criteria. This ILR found no research with a specific focus on caregiving relationships for older adults. The literature did however identify relational issues such as support, planning and provider attitude as fundamental to the success of CDC.

Conclusion: Relationships within the caregiving triad have important implications for the way CDC is enacted, particularly when the care recipient has dementia, suggesting this population as a priority for future research.

Keywords: consumer-directed care; dementia; family carers; relationships.

Publication types

  • Review

MeSH terms

  • Aged
  • Attitude of Health Personnel
  • Caregivers / organization & administration*
  • Caregivers / psychology
  • Community Health Services / organization & administration*
  • Delivery of Health Care, Integrated / organization & administration*
  • Dementia / diagnosis
  • Dementia / psychology
  • Dementia / therapy*
  • Family Relations
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Personnel / organization & administration*
  • Health Personnel / psychology
  • Health Services for the Aged / organization & administration*
  • Humans
  • Interpersonal Relations*
  • Male
  • Models, Organizational
  • Patient Participation
  • Patient Satisfaction
  • Patient-Centered Care / organization & administration*
  • Professional-Family Relations
  • Professional-Patient Relations
  • Stakeholder Participation