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This theme is strongly highlighted in the recently enacted Act on Supporting the Functional Capacity of the Older Population and on Social and Health Services for Older Persons in Finland. Many countries aim at enhancing freedom of choice among older populations in need of social and healthcare services. By changing social welfare activities and structures, it is possible to show respect for clients’ opinions and to thereby improve the effectiveness of home care services. There was a significant positive association between freedom of choice and the effectiveness of public home care services.Ĭonclusion: Freedom of choice does not exist for all clients of home care who desire it. The inclusion of freedom-of-choice variables increased the adjusted coefficient of determination by 2%. The basic model, which included needs and other factors expected to have an impact on quality of life, explained 15.4% of the changes in quality of life, while the extended model, which included the freedom-of-choice variables, explained 17.4%. Choosing meals and visiting times for the care worker were associated with better effectiveness. Results: As much as 62% of home care recipients reported having some choice regarding their services. Regression analyses were used to test associations. The effectiveness of the services was evaluated by means of changes in the social-care-related quality of life. Freedom of choice was studied based on clients’ subjective experiences. Methods: A structured postal survey was conducted among regular home care clients ( n = 2096) aged 65 or older in three towns in Finland.
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Objectives: The aim of this paper is to study home care clients’ freedom to choose their services, as well the association between the effectiveness of home care services and freedom of choice, among other factors.