As the self-management model for Home Care Packages continues to mature, more and more elderly people are choosing to use it. In addition to the extremely low cost of self-management allowances, the biggest advantage is that the elderly can choose the type of care service, time of use, and service staff. Today, we interviewed Alan, an elderly care service provider who cooperates with Happy Living, to explain in detail what are the benefits of using home care services when choosing self-managed subsidies, and how are they different when using the traditional case manager model. And some of the issues currently facing the aged care industry.
When a traditional Home Care Packages management company is selected and the case manager management model is used, the elders need to obey the case manager’s arrangements, including the scope of service, time of service, and staff. Allen said, for example, if an elder living alone can’t clean himself, he needs service staff to clean it at home every week. In this case, after the elder informs the case manager, the case manager will arrange time for the elderly to let the service staff come to clean the house.
In reality, there are often unexpected situations. For example, if there is a temporary need to cancel the service on the day of the elder, the case manager fails to communicate the information to the service staff in time, the service staff comes to the door and finds that no one is at home. The elders need to reschedule the service time and also need to go through the case manager.
When the elders have other needs, since each service staff is only responsible for a fixed job in the case manager mode, even if it is a hand-held task, due to this cooperation mode, the service staff cannot help the elders. Allen said that a very common phenomenon is that after the service staff helps the elders to clean, the elders may temporarily need the service staff to accompany them to go out to buy something, and this requirement cannot be met. Elders need to contact the case manager. The case manager will reschedule the service staff and service time, and then come to accompany the elder to go out. This service process seems rigorous, but it is not humane at all, and this is exactly an important element in the aged care service.
In addition, the case manager will inevitably incur hidden costs in the process of selecting and arranging service personnel. Elders cannot negotiate with service staff, nor can they choose service staff with more appropriate prices. Coupled with the high management fees charged by the case manager itself, there is little time left for the elderly to actually enjoy the service.
When the elderly manage their Home Care Packages by themselves, the above problems no longer exist. Elders can choose the appropriate service personnel on their own, and the service content and price can be directly communicated, so there is no need to worry about being charged an additional fee. Temporarily need to change the service time, and direct communication also avoids the possibility of errors in the intermediate link. When the elders need service personnel to complete other tasks, as long as they can complete it, they can directly act on the service costs. In simple terms, when elders choose an independent management mode, they can choose more free services, more flexible time schedules, and more realistic prices.
Allen said that for the elderly caregivers, the attitude towards the elderly is a top priority. In the autonomous management mode, because the elders communicate directly with the service staff, the service staff will better understand and understand the needs of the elders, and the services provided will be more intimate. An elderly person sometimes suffers from urinary incontinence and needs to ask service staff to help clean it every week. After the service staff learned about the elders, they gave the elders corresponding suggestions, such as wearing loose trousers or using adult diapers, to solve the problem smoothly.
Under the case manager model, the service personnel provide services completely obeying the scheduling of the case manager, and there is not much contact and understanding with the elderly. If the service staff in the autonomous mode cares about the real needs of the elders like friends and family, the service staff used in the case manager model simply completes the work. In this comparison, the difference in the quality of service can be imagined Okay.
Allen said he hopes the elderly can use more care services. Due to differences in living habits, many Chinese elderly people are not very accustomed to asking caregivers to help them at home, and are more willing to purchase equipment to improve their living conditions. However, Allen believes that when the elderly reach a certain age, home care is very necessary to improve the elderly’s quality of home care at home. Many Chinese elders don’t know much about the types of nursing services they can use. He hopes that the government and related community organizations can make some publicity about nursing services so that more elderly people can choose and use suitable services.
It is also an indisputable fact that the number of relevant employees in the Australian aged care industry is too small. Allen wants more people who really like this industry, and people who really want to improve the living conditions of the elderly can join this industry, not just to make money. “Every time I help the elderly to get things done and see their happy smiles, that kind of satisfaction is not something that money can bring.” Allen said. But he also expressed optimistically that with the continuous popularization of the independent management model, more experienced service personnel are now willing to join the industry.
For the home care staff, it is more convenient and efficient to serve the elders with self-managed subsidies. The caregiver can directly negotiate the service content and service time with the elderly, instead of simply obeying the arrangement. It is also easier for seniors to cancel or change service hours, and one call is done. Allen said: “In fact, the most important thing is the change of role and mentality. I feel that I no longer work to complete the task, but to make the elderly live a good life and do their part.”