ORCID Profile
0000-0002-1536-0952
Current Organisations
Diabetes Victoria
,
University of Melbourne
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Publisher: Hindawi Limited
Date: 26-10-2015
DOI: 10.1111/HSC.12303
Publisher: SAGE Publications
Date: 10-07-2015
Abstract: Case management has been widely implemented in the community aged care setting. In this study, we aimed to explore influences on case-managed community aged care practice from the perspectives of community aged care case managers. We conducted 33 semistructured interviews with 47 participants. We drew these participants from a list of all case managers working in aged care organizations that provided publicly funded case management program(s) ackages in Victoria, Australia. We used a multilevel framework that included such broad categories of factors as structural, organizational, case manager, client, and practice factors to guide the data analysis. Through thematic analysis, we found that policy change, organizational culture and policies, case managers’ professional backgrounds, clients with culturally and linguistically erse backgrounds, and case management models stood out as key influences on case managers’ practice. In the future, researchers can use the multilevel framework to undertake implementation research in similar health contexts.
Publisher: Springer Science and Business Media LLC
Date: 14-11-2012
Publisher: Oxford University Press (OUP)
Date: 21-04-2016
Publisher: JMIR Publications Inc.
Date: 26-06-2018
Abstract: urrently, over 300 languages are spoken in Australian homes. People without proficient English from non-English speaking countries may not receive equitable care if their health care workers do not speak their primary language. Use of professional interpreters is considered the gold standard however, for a variety of reasons, it is often limited to key aspects of care such as diagnosis and consent. With the emergence of mobile technologies, health care workers are increasingly using digital translation tools to fill this gap. However, many of these technologies have not been developed for health care settings and their use has not been evaluated. his study aimed to evaluate iPad-compatible language translation apps to determine their suitability for enabling everyday conversations in health care settings. ranslation apps were identified by searching the Apple iTunes Store and published and grey literature. Criteria for inclusion were that the apps were available at no cost, able to translate at least one of the top 10 languages spoken in Australia, and available for use on iPad. Apps that met inclusion criteria were reviewed in 2 stages. Stage 1 was the feature analysis conducted by 2 independent researchers, where apps were evaluated for offline use, input and output methods, and number of languages. Stage 2 was the analysis of suitability for everyday communication in the health care setting, conducted by 2 independent professionals with expertise in translation and cross-cultural communication. Apps that enabled key aspects of care normally within the realm of professional interpreters, such as assessment, treatment and discharge planning, and seeking consent for medical treatments, were considered unsuitable. n total, 15 apps were evaluated. Of these, 8 apps contained voice-to-voice and voice-to-text translation options. In addition, 6 apps were restricted to using preset health phrases, whereas 1 app used a combination of free input and preset phrases. However, 5 apps were excluded before stage 2. In addition, 6 of the 10 remaining apps reviewed in stage 2 were specifically designed for health care translation purposes. Of these, 2 apps were rated as suitable for everyday communication in the health care setting—culturally and linguistically erse Assist and Talk To Me. Both apps contained simple and appropriate preset health phrases and did not contain conversations that are normally within the realm of professional interpreters. ll iPad-compatible translation apps require a degree of caution and consideration when used in health care settings, and none should replace professional interpreters. However, some apps may be suitable for everyday conversations, such as those that enable preset phrases to be translated on subject matters that do not require a professional interpreter. Further research into the use of translation technology for these types of conversations is needed.
Publisher: Informa UK Limited
Date: 02-2016
DOI: 10.2147/COPD.S100859
Publisher: Wiley
Date: 10-2011
DOI: 10.1002/HPM.1113
Publisher: JMIR Publications Inc.
Date: 09-04-2019
DOI: 10.2196/11316
Publisher: Elsevier BV
Date: 07-2019
Publisher: AMPCo
Date: 25-04-2019
DOI: 10.5694/MJA2.50153
Publisher: SAGE Publications
Date: 06-2008
Abstract: This article analyzes the external environments facing community health services (CHS) facilities that belong to state-owned enterprises (SOEs) and public services units (PSUs) in urban China. Semistructured and open-ended key informant interviews were conducted in six such CHS facilities in Wuhan City. A total of 45 chief directors and various other classifications of health professionals from CHS facilities participated in the interviews. Behavioral responses of local government authorities, immediate managerial agencies (SOEs and PSUs), other medical facilities, and the general public were revealed as the external influences impacting these kinds of CHS facilities. Conclusions arrived at were that these CHS facilities need sound external environments to fulfill their roles, including financial support from government and immediate agencies, professional guidance and support, appropriate referrals from other medical facilities, and the cooperation and confidence of the general public in the work of the facilities.
Publisher: Springer Science and Business Media LLC
Date: 12-2009
DOI: 10.1057/JPHP.2009.30
Publisher: Cambridge University Press (CUP)
Date: 26-01-2017
DOI: 10.1017/S1041610216002532
Abstract: Family caregivers of people with dementia have significant unmet needs in regard to their caregiving role. Despite this, they are reluctant to utilize services to reduce their burden. The aim of this study was to examine the barriers and facilitators of service use among family caregivers of people with dementia. Semi-structured interviews were conducted with 24 family caregivers of community-dwelling people with dementia. Of these, 12 were partner caregivers (4 men, 8 women) and 12 were offspring caregivers (2 men, 10 women). The interviews were transcribed and analyzed using thematic analysis. Six main barriers and three facilitators were identified. These barriers and facilitators were relevant across many types of services and supports. The barriers were: the inability to find information about relevant services or support, the poor quality or mistrust of the services, the inflexibility of services, caregivers’ beliefs about their obligations to the caregiving role and resistance by the care recipient. Key facilitators were: having good communication with the care recipient, having an “expert” point of contact, and having beliefs about the caregiving role that enabled the use of services. Given the significant changes in the aged care service-system, it is important to discuss the barriers faced by family caregivers of people with dementia. This will inform the development of targeted strategies to address the lack of service use among these family caregivers.
Publisher: Wiley
Date: 22-05-2017
DOI: 10.1111/BJHP.12245
Publisher: Springer Science and Business Media LLC
Date: 02-04-2016
Publisher: Springer Publishing Company
Date: 2016
DOI: 10.1891/1521-0987.17.1.47
Abstract: Aim: To investigate important case management goals and key influences on the achievement of the goals in community aged care practice from the perspectives of case managers in Australia. Methods: We surveyed 154 case managers, representing 17.1% of the target population in the State of Victoria, Australia. The key information collected was case managers’ characteristics and their selections of important case management goals. We also conducted 33 interviews with 47 case managers to explore their perceptions of important case-managed community aged care goals and the key influences on the achievement of these goals. Descriptive analysis, logistic regression, and qualitative thematic analysis were performed. Results: The survey findings showed that important case management goals included improving client outcomes, improving care quality, enhancing care coordination and accessibility, and reducing nursing home admissions. The interview findings indicated that important case management goals were ided into client-centered goals (e.g., maintaining clients safely at home), case managers’ personal goals (e.g., gaining professional development), and organizational goals/expectations/values (e.g., expecting case managers to manage budgets wisely). Finally, the mixed research methods determined constraints of organizational resources and policies, clients’ risky decisions, and case managers’ work experience and employment status as key influences or significant factors associated with the achievement of case management goals. Conclusion: Client-centered goals are of particular importance among those important case management goals. Case managers helping clients establish reasonable expectations and organizations developing favorable professional development policies and establishing reasonable job requirements and expectations will facilitate the achievement of case management goals.
Publisher: Elsevier BV
Date: 10-2020
Publisher: Elsevier BV
Date: 2018
Publisher: Informa UK Limited
Date: 10-02-2017
Publisher: SAGE Publications
Date: 19-08-2013
Abstract: Objective: To evaluate the effects of case management in community aged care (CMCAC) interventions on service use and costs. Method: Five databases were searched from inception to 2011 July to include randomized control trials and comparative observational English studies. Results were summarized by using the best-evidence synthesis approach. Results: Twenty-one studies were included. Available studies supported improvements in clients’ use of case management services (all of the four studies), some community services (8 of the 10) and nursing home admission and stay (around one half), delay of nursing home placement (all of the two studies), and achieving cost neutrality (8 of the 11). The effects on medical care utilization were varying. Discussion: In general, these positive effects justify the further development and refinement of CMCAC programs. Result applicability is limited by only including English studies. Cost studies applying a societal perspective, and full economic appraisals where appropriate are warranted.
Publisher: Springer Science and Business Media LLC
Date: 10-06-2014
Publisher: Hindawi Limited
Date: 13-05-2015
DOI: 10.1111/HSC.12238
Location: China
No related grants have been discovered for Emily You.