Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors

One of the primary objectives of health systems is to provide a fair system by providing a comprehensive and holistic approach to caregiving rather than focusing on a single aspect of a person’s care needs. This approach is often embodied by using standardized care assessments across health and soci...

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Autores principales:	Shauni Van Doren, David De Coninck, Kirsten Hermans, Anja Declercq
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	community-dwelling adults home care BelRAI contextual factors assessor bias Belgium Medicine R
Acceso en línea:	https://doaj.org/article/4759ef37f80c4a5c98b878907d000ed4
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spelling	oai:doaj.org-article:4759ef37f80c4a5c98b878907d000ed42021-11-25T17:48:53ZExamining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors10.3390/ijerph1822118451660-46011661-7827https://doaj.org/article/4759ef37f80c4a5c98b878907d000ed42021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11845https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601One of the primary objectives of health systems is to provide a fair system by providing a comprehensive and holistic approach to caregiving rather than focusing on a single aspect of a person’s care needs. This approach is often embodied by using standardized care assessments across health and social care settings. These assessments are completed by professional assessors and yield vital information regarding a person’s health or contextual characteristics (e.g., civic engagement, psychosocial wellbeing, environmental characteristics, informal care). However, these scores may be subject to bias that endangers the fairness of the health system. In this study, we investigate to what extent socio-economic and psychological indicators and assessor-related indicators are associated with BelRAI Screener care assessment scores amongst 743 community-dwelling adults nested within 92 assessors in Flanders, Belgium. Findings indicate that there is significant variance in scores at the assessor-level. Socio-psychological characteristics of clients are associated with scores: being fluent in Dutch and providing informal care are associated with low care dependency, while living with children, feelings of depression, and the presence of an informal caregiver during assessment are associated with high care dependency. We discuss the importance of rigorous assessor training and the potential for socio-psychological factors to contribute to the allocation of welfare benefits in light of the Flemish home care system’s potential (lack of) fairness.Shauni Van DorenDavid De ConinckKirsten HermansAnja DeclercqMDPI AGarticlecommunity-dwelling adultshome careBelRAIcontextual factorsassessor biasBelgiumMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11845, p 11845 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	community-dwelling adults home care BelRAI contextual factors assessor bias Belgium Medicine R
spellingShingle	community-dwelling adults home care BelRAI contextual factors assessor bias Belgium Medicine R Shauni Van Doren David De Coninck Kirsten Hermans Anja Declercq Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors
description	One of the primary objectives of health systems is to provide a fair system by providing a comprehensive and holistic approach to caregiving rather than focusing on a single aspect of a person’s care needs. This approach is often embodied by using standardized care assessments across health and social care settings. These assessments are completed by professional assessors and yield vital information regarding a person’s health or contextual characteristics (e.g., civic engagement, psychosocial wellbeing, environmental characteristics, informal care). However, these scores may be subject to bias that endangers the fairness of the health system. In this study, we investigate to what extent socio-economic and psychological indicators and assessor-related indicators are associated with BelRAI Screener care assessment scores amongst 743 community-dwelling adults nested within 92 assessors in Flanders, Belgium. Findings indicate that there is significant variance in scores at the assessor-level. Socio-psychological characteristics of clients are associated with scores: being fluent in Dutch and providing informal care are associated with low care dependency, while living with children, feelings of depression, and the presence of an informal caregiver during assessment are associated with high care dependency. We discuss the importance of rigorous assessor training and the potential for socio-psychological factors to contribute to the allocation of welfare benefits in light of the Flemish home care system’s potential (lack of) fairness.
format	article
author	Shauni Van Doren David De Coninck Kirsten Hermans Anja Declercq
author_facet	Shauni Van Doren David De Coninck Kirsten Hermans Anja Declercq
author_sort	Shauni Van Doren
title	Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors
title_short	Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors
title_full	Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors
title_fullStr	Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors
title_full_unstemmed	Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors
title_sort	examining care assessment scores of community-dwelling adults in flanders, belgium: the role of socio-psychological and assessor-related factors
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/4759ef37f80c4a5c98b878907d000ed4
work_keys_str_mv	AT shaunivandoren examiningcareassessmentscoresofcommunitydwellingadultsinflandersbelgiumtheroleofsociopsychologicalandassessorrelatedfactors AT daviddeconinck examiningcareassessmentscoresofcommunitydwellingadultsinflandersbelgiumtheroleofsociopsychologicalandassessorrelatedfactors AT kirstenhermans examiningcareassessmentscoresofcommunitydwellingadultsinflandersbelgiumtheroleofsociopsychologicalandassessorrelatedfactors AT anjadeclercq examiningcareassessmentscoresofcommunitydwellingadultsinflandersbelgiumtheroleofsociopsychologicalandassessorrelatedfactors
_version_	1718411981560479744

Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors

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