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Wang, Yi-Luo, Ying Duan, and Ying Zhang. "A Summary of Researches on the Quality of Home-based Care Services in China." Public Administration Research 10, no. 1 (March 20, 2021): 41. http://dx.doi.org/10.5539/par.v10n1p41.
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With the increase of the aging of the population in china, the demand of the elderly continues to increase, which has brought great challenges to the elderly care service industry. As a new type of elderly care service, home-based care services directly affect the quality of the elderly’s health and daily life in their later years. Therefore, improving the product and quality of elderly care services has become the goal and purpose of the development of home-based care service for aged. This article uses Cite Space software to perform visual analysis of keyword clustering on existing literature, and concludes that scholars focus on the integration of medical care, social elderly care service system, service quality, and influencing factors, but the impact of service quality models and indicator systems is low. Then through the integration and induction of scholars’ research progress on home care services, existing problems in service quality, and service quality evaluation index systems, in order to continue to innovate on the basis of existing knowledge, improve the service quality index system, and focus on combing process indicators with outcome indicators effectively, thereby improving the quality of community home care services.
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Kinney, Eleanor D., Jay A. Freedman, and Cynthia A. Loveland Cook. "Quality Improvement in Community-Based, Long-Term Care: Theory and Reality." American Journal of Law & Medicine 20, no. 1-2 (1994): 59–77. http://dx.doi.org/10.1017/s0098858800006432.
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Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients.An ever increasing proportion of the population is in need of community-based, long-term care services. Between nine and eleven million Americans of all ages are chronically disabled and require some help with tasks of daily living. In 1990, thirty percent of the elderly with at least one impaired activity of daily living used a community-based, long-term care service. Not surprisingly, expenditures for community-based, long-term care have increased.
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Coleman, Barbara J. "European Models of Long-Term Care in the Home and Community." International Journal of Health Services 25, no. 3 (July 1995): 455–74. http://dx.doi.org/10.2190/fyp6-dlwy-wkkt-6nnj.
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In the 1980s, faced with a rapidly increasing elderly population and soaring costs of health and long-term care services, many European governments began to reexamine fiscal policies that often encouraged institutionalization of frail and dependent elders. A number of these countries have now turned to new models of home and community-based care. This report describes home care policies that serve the needs of frail elders in Sweden, Denmark, the Netherlands, and Great Britain, with special attention to experimental projects that have tested varying approaches for providing high quality, low-cost care in the home and in the community. The central governments in these countries have developed long-term care systems that improve quality of care, ensure more efficient delivery of services, and control or lower costs. They have (1) discouraged the building of additional nursing homes and instead supported the development and expansion of a range of housing alternatives; (2) shifted greater responsibility to local governments for delivering long-term care services, bringing those services closer to those who need them; (3) developed care management techniques that enable care providers to better target appropriate services to each elderly client; and (4) provided incentives for different types of care providers to coordinate their work, resulting in improved service delivery and greater client satisfaction.
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Shao, Qiuhu, Jingfeng Yuan, Jin Lin, Wei Huang, Junwei Ma, and Hongxing Ding. "A SBM-DEA based performance evaluation and optimization for social organizations participating in community and home-based elderly care services." PLOS ONE 16, no. 3 (March 17, 2021): e0248474. http://dx.doi.org/10.1371/journal.pone.0248474.
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The community and home-based elderly care service system has been proved an effective pattern to mitigate the elderly care dilemma under the background of accelerating aging in China. In particular, the participation of social organizations in community and home-based elderly care service has powerfully fueled the multi-supply of elderly care. As the industry of the elderly care service is in the ascendant, the management lags behind, resulting in the waste of significant social resources. Therefore, performance evaluation is proposed to resolve this problem. However, a systematic framework for evaluating performance of community and home-based elderly care service centers (CECSCs) is absent. To overcome this limitation, the SBM-DEA model is introduced in this paper to evaluate the performance of CECSCs. 186 social organizations in Nanjing were employed as an empirical study to develop the systematic framework for performance evaluation. Through holistic analysis of previous studies and interviews with experts, a systematic framework with 33 indicators of six dimensions (i.e., financial management, hardware facilities, team building, service management, service object and organization construction) was developed. Then, Sensitivity Analysis is used to screen the direction of performance optimization and specific suggestions were put forward for government, industrial associations and CECSCs to implement. The empirical study shows the proposed framework using SBM-DEA and sensitivity analysis is viable for conducting performance evaluation and improvement of CECSCs, which is conducive to the sustainable development of CECSCs.
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Hokenstad, Alene. "More Care at Home: The Challenge of Creating Viable Community Alternatives to Nursing Home Care." Care Management Journals 6, no. 1 (March 2005): 9–14. http://dx.doi.org/10.1891/cmaj.2005.6.1.9.
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Creating a national long-term care (LTC) delivery “infrastructure”—one that would make home-based care more accessible to people with extensive needs—will be a major undertaking. It will require new service organizations that have the authority to provide and coordinate an appropriate array of services. Medicaid Managed Long-Term Care (MLTC) and the Programs of All-Inclusive Care for the Elderly (PACE) offer two promising examples of what the service organizations of the future might look like. The history of how these plans developed illuminates challenges that others will encounter. Further expansion of these types of organizations requires resolution of resource, staffing, and operational issues.
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Traphagan, John W. "Culture and Long-Term Care: The Bath as Social Service in Japan." Care Management Journals 5, no. 1 (March 2004): 53–60. http://dx.doi.org/10.1891/cmaj.5.1.53.61263.
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A central feature of Japan’s approach to community-based care of the elderly, including long-term home health care, is the emphasis on providing bath facilities. For mobile elders, senior centers typically provide a public bathing facility in which people can enjoy a relaxing soak along with friends who also visit the centers. In terms of in-home long-term care, visiting bath services are provided to assist family care providers with the difficult task of bathing a frail or disabled elder—a task made more problematic as a result of the Japanese style of bathing. I argue that the bath, as social service, is a culturally shaped solution to a specific problem of elder care that arises in the Japanese context as a result of the importance of the bath in everyday life for Japanese. While the services may be considered specific to Japan, some aspects of bathing services, particularly the mobile bath service, may also have applicability in the United States.
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Bowman, Clive E. "Institutional care in the community: from chaos to integration of health and social care?" Reviews in Clinical Gerontology 7, no. 3 (August 1997): 189–91. http://dx.doi.org/10.1017/s0959259897007314.
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Distinguishing between health and social aspects of institutional care for frail elderly people remains confusing and contentious in the UK, even though health and community care reforms specifically sought to avoid such problems. Nursing home care in the UK has developed rapidly to 170 000 nursing home beds. Nursing home care now costs significantly more than the total committed to primary care. Some health authorities maintain a large commitment to long-term care provision in hospitals and contract nursing home beds; others have divested themselves of providing long-term care, becoming dependent on means-tested nursing home care provided by social services. Where 'free' health service contract nursing home beds are adjacent to social services means-tested placements the inconsistencies become even more perverse. Distinguishing between health and social patients/clients/supplicants on the basis of health or social care need is often impossible. Health Service responsibilities to support care home residents will become more onerous as cost pressures define the limits of social care for individuals and social services producers alike. There is, in addition, an unresolved tension between the professions associated with the care of elderly patients, who are seeking clear standards, and the hostile purchasing environment which fails to value the cost benefit, let alone the health gain of planned care management in deference to the Mammonism of treatment episodes.
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Liu, Tao, Taijiao Jiang, Mengqian Liu, and YangYang Ou. "Innovative design of community care services based on the concept of environmental sustainability." E3S Web of Conferences 245 (2021): 02035. http://dx.doi.org/10.1051/e3sconf/202124502035.
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China’s rural elderly population continues to grow, and rural elderly care faces more severe challenges than cities. The rapid growth of rural demand for elderly care services means that more resources are needed, and the process of depletion of a large amount of resources inevitably has an adverse impact on the environment. The green development and sustainable design concepts proposed in the design field can reduce the waste of resources and reduce the greatest impact of humans on the environment, and promote the harmonious development of man and nature. Therefore, this article applies environmental sustainability concepts and service design concepts to rural community elderly care services , to innovate the existing community pension service system. Based on the analysis of the behavior and demand characteristics of the elderly in rural areas, this paper proposes an innovative design case of sustainable elderly care community service combining community resources with the full potential of the elderly, which provides reference and inspiration for the construction of an elderly care community service system in rural areas.
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Montgomery, Patrick R., and Wendy M. Fallis. "South Winnipeg Integrated Geriatric Program (SWING): A Rapid Community-Response Program for the Frail Elderly." Canadian Journal on Aging / La Revue canadienne du vieillissement 22, no. 3 (2003): 275–81. http://dx.doi.org/10.1017/s0714980800003895.
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ABSTRACTThe objective of this study was to compare enhanced access to geriatric assessment and case management to usual home care service provision for the frail elderly. This was a demonstration project, with randomized allocation to control or intervention groups of frail elderly persons who had been referred to the Home Care service in Winnipeg. Of the 164 persons who were randomized, 78 intervention and 74 control patients were evaluated. Intervention subjects received a multidimensional assessment as soon as possible by a specially trained coordinator, who had enhanced access to geriatric medical and day-hospital services; intervention patients were case managed for a 3-month period. Control cases received usual care from home care coordinators. The intervention group received significantly faster assessment and deployment of home services, as well as greater utilization of the geriatric day-hospital services. Utilization of emergency room and hospital services was similar for both groups. Control subjects experienced more prolonged hospital stays and a significantly higher proportion (23%) were designated for long-term care than of intervention clients (9%). We conclude that the SWING program, which facilitated access to geriatric services and case management, reduced or delayed the need for long-term care.
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Litwin, Howard, and Ernie Lightman. "The Development of Community Care Policy for the Elderly: A Comparative Perspective." International Journal of Health Services 26, no. 4 (October 1996): 691–708. http://dx.doi.org/10.2190/387a-f71l-qadx-9bp7.
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A comparison of the development of community care for the elderly in the province of Ontario, Canada, and in the State of Israel is presented in the light of the economic constraints currently challenging the expansion of welfare state services. The inquiry identified several common issues regarding the nature of the policy mandate for long-term care delivered in the home, the structure of the service delivery system, and matters concerning funding arrangements for community care. Issues that emerged in both settings include the relationship between health and social services in the delivery of care at the local level; the separation of purchaser and provider functions; the question of needs-driven versus service-driven social care provisions; accessibility concerns and the aspiration for one-stop entry to the delivery system; the growing involvement of the private sector in the delivery of domiciliary-based personal care services; and the relative paucity of current efforts to address the needs of family caregivers.
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Paddock, Katharine, and John P. Hirdes. "Acute Health Care Service Use Among Elderly Home Care Clients." Home Health Care Services Quarterly 22, no. 1 (January 2003): 75–85. http://dx.doi.org/10.1300/j027v22n01_05.
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Zhou, Yingying, Liping Hao, and Wei Liu. "Extenics-based Study on Evaluation of Urban Community Home-care Service for the Elderly." Procedia Computer Science 91 (2016): 576–80. http://dx.doi.org/10.1016/j.procs.2016.07.146.
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Cates, Norman. "Trends in Care and Services for Elderly Individuals in Denmark and Sweden." International Journal of Aging and Human Development 37, no. 4 (December 1993): 271–76. http://dx.doi.org/10.2190/yhal-cmg8-clfl-vg12.
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Both Denmark and Sweden have achieved a reduction in institutionalization of elderly individuals; 23 percent nursing home care in Denmark from 1980–89 and 34 percent overall institutionalization in Sweden from 1970–1985. This was accomplished by increasing home care and housing with services and adaptations. Further increases in growth of the elderly population combined with modest economic expansion will be the forces responsible for finding additional alternatives to costly institutional care. Community-based services and care have not been demonstrated at this time to be less costly than institutional care. An illustration of an innovative model of nursing home care in Denmark is described. The medical model of care was abandoned in favor of a self-care model for the purpose of fostering independent living and decision-making as long as possible. In Sweden, a reduction in demand for beds in a long-term care hospital has been achieved through a tightly coordinated system of care and services among the various health and social service professionals.
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Degenholtz, Howard, and Raymond Van Cleve. "Home and Community Based Services for People With Dementia." Innovation in Aging 4, Supplement_1 (December 1, 2020): 668–69. http://dx.doi.org/10.1093/geroni/igaa057.2316.
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Abstract Home and Community Based Services has grown as an alternative to nursing homes over the past 30 years. While there are extensive data on nursing home staffing, there is a dearth of similar information about Medicaid financed home care. We use data from 2014-2016 Pennsylvania Medicaid to examine personal care for elderly with and without dementia across the range of physical disability. One challenge is that even though physical function can be measured in terms of discrete tasks (i.e., limitation in bathing, dressing, toileting), analysis of the amount of care people receive has to take into account the combination of dementia and combinations of ADL limitations. We found that older adults with dementia receive one hour more of personal care per day at the lowest level of disability and 1.5 hours at the highest level. The increased need for caregiving hours should be incorporated into policies that guide HCBS programs.
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Qingwen Xu and Julian C. Chow. "Exploring the community-based service delivery model: Elderly care in China." International Social Work 54, no. 3 (April 26, 2011): 374–87. http://dx.doi.org/10.1177/0020872810396260.
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In response to the rapidly growing need for social services among China’s population, particularly for older people, the government has begun to explore the community-based service delivery model. Using the recent developments in China’s care of older people as a case study example, this article documents the progress of community-based service delivery for the aged living in the community, and explores the community’s evolving role in China’s social service delivery system. China’s model — a horizontal—vertical mixed model — presents a new perspective of defining service delivery and community practice, which has various implications and broadens the view of Western social work practice.
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Sung, Soo-Hyun, Minjung Park, Jihye Kim, Sun-Woo Jeon, Angela Dong-Min Sung, Eun-Jin Lee, Danny Oh, Jung-Youn Park, Jang-Kyung Park, and Kyeong Han Kim. "Current Status of Traditional Korean Medicine Services in Public Sector: A Study for Integrating Traditional Korean Medicine into Community Care System." Healthcare 9, no. 5 (April 22, 2021): 493. http://dx.doi.org/10.3390/healthcare9050493.
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Korea is currently executing a pilot program for community care of its aging population and aims to implement community care systems on a national scale by 2025. This study examines the traditional Korean medicine (TKM) service to be provided within community care by understanding the current status of TKM services. The Ministry of Health and Welfare (MoHW) sent official letters to 242 local governments (cities, districts, and counties) from October to November 2019 to survey the status of the public TKM services provided in 2018. The items of the survey included basic demographic information as well as information that could reveal how the program was implemented. In 112 local government jurisdictions (response rate 46.3%), a total of 867 TKM service programs were in place. As a result of the survey, it was revealed that they did not have any service manuals or evaluation results. To provide home-care-based TKM service for the elderly as an integrated part of a community care system, it is necessary to develop, distribute, and evaluate a standard service manual including an evaluation index by the central government.
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Livingston, Gill, Monica Manela, and Cornelius Katona. "Cost of community care for older people." British Journal of Psychiatry 171, no. 1 (July 1997): 56–59. http://dx.doi.org/10.1192/bjp.171.1.56.
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BackgroundThere has been no published study that considers actual costs in a representative sample of people aged ???? 65 years. The present study describes the financial cost of formal community services for elderly people with dementia, depression, anxiety disorders or physical disability.MethodPsychiatric morbidity, physical disability and services received were assessed by standardised questionnaire in randomly selected Islington enumeration districts. Subjects were interviewed at home (.=700).ResultsDementia was the most expensive disorder per sufferer in terms of formal services. Those with depression were also high users of health services. Despite presenting to health services, 90% were not treated with appropriate drugs. In contrast, social services were received by people who were activity-limited or with dementia. The highest service cost for the population as a whole was for the physically disabled. In multivariate analysis the significant predictors of high service costs were living alone, being physically ill, depression, dementia and increasing age.ConclusionsFailure to detect and treat depression and the anxiety disorders in older people, despite their presentation to medical services, may have major economic consequences as well as contributing to individual suffering.
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Corlin, Tinna Elfstrand, and Ali Kazemi. "The older person as a client, customer or service user?" Working with Older People 24, no. 1 (October 23, 2019): 19–26. http://dx.doi.org/10.1108/wwop-07-2019-0017.
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Purpose The purpose of this paper is to describe three different approaches to work in elderly care (i.e. professional, market-oriented and person-centred) and examine whether these theoretically derived approaches can be confirmed empirically. Additional aims were to examine the endorsement of these approaches and whether there were differences in the endorsement of these approaches in nursing home vs home care and municipality vs privately run care units. Design/methodology/approach Data were collected using a cross-sectional survey study of frontline care staff (n=1,342). Exploratory factor analysis was used to investigate the empirical validity of the proposed approaches to work in elderly care. A series of paired and independent samples t-tests were conducted to analyse mean differences between the proposed approaches to work. Findings A principal axis factoring analysis yielded three theoretically meaningful factors as proposed. These results indicated that the respondents were able to differentiate between three distinct but related approaches to work with older persons. The results also showed that the professional care approach was the highest endorsed and the market-oriented the lowest endorsed approach. No notable differences in approaches to work were observed in nursing home vs home care and municipality vs privately run care units. Originality/value This is the first study to examine multiple approaches to work in elderly care as previous research studies mainly have investigated the person-centred care approach. Current findings indicate that these approaches to work often coexist in various combinations and that the care staff adopts all these approaches but to varying degrees. The approaches differ in several important respects (e.g. legitimacy and view of the older person) and most likely affect the way care staff treats the older person and how the older person perceives their relationship with the care staff. Knowledge about these differences facilitates management of the care staff’s work situation and helps to improve the quality of care.
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Pratono, Aluisius Hery, and Asri Maharani. "Long-Term Care in Indonesia: The Role of Integrated Service Post for Elderly." Journal of Aging and Health 30, no. 10 (August 30, 2018): 1556–73. http://dx.doi.org/10.1177/0898264318794732.
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Objective: This article aims to examine community long-term care (LTC) in Indonesia by drawing upon the five principles of human right provision: availability, accessibility, acceptability, quality, and universality. Method: We used a qualitative approach with exploratory multiple case studies in three different areas in East Java Province, Indonesia. This study gathered the initial evidence using a report card approach with self-report questionnaires. In-depth interviews and focus group discussions were carried out to understand factors that affect the efficacy of LTC services. Results: The Indonesia Government imposed a regulation that required each local community to make community health services available for the elderly. By managing the integrated post, the community provided LTC service for the elderly. Community leadership played a pivotal role to make LTC services available. Improving the services with religious activities was essential to improving the acceptability, but it also needed to take into consideration universality and nondiscrimination principles. Results show that LTC services are difficult to expand and quality standards are difficult to raise, due to challenges such as few community members volunteering their services, lack of support from religious leaders, limited resources, and inadequate volunteer training. Discussion: This study highlights the role of community engagement in LTC services and shows that it is difficult to succeed without adequate government support. Improving services with creative and culturally acceptable activities is necessary.
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임정기. "A Study on Factors of Elderly Home and Community Care Service Utilization." Korea Social Policy Review 16, no. 1 (July 2009): 193–234. http://dx.doi.org/10.17000/kspr.16.1.200907.193.
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Gu, Tiantian, Dezhi Li, and Lingzhi Li. "The Elderly’s Demand for Community-Based Care Services and Its Determinants: A Comparison of the Elderly in the Affordable Housing Community and Commercial Housing Community of China." Journal of Healthcare Engineering 2020 (October 21, 2020): 1–13. http://dx.doi.org/10.1155/2020/1840543.
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With the rapid aging of the world population, great pressure has been placed on the provision of community-based care in China. This paper aimed to compare the demand and its determinants for various community-based care services among the elderly in the affordable housing community (AHC) and commercial housing community (CHC) of China. Two community-based surveys were conducted separately in the AHC and CHC of Nanjing City, China. In total, 408 valid questionnaires were returned from the Daishan AHC while 8422 valid questionnaires were received from the CHCs. The chi square test indicated that the respondents in the AHC had significantly higher demands for five types of services (the meal-aid service, the cleaning-aid service, the bath-aid service, the rehabilitation therapy service, and the first-aid service) than those in the CHCs of Nanjing. Further, the Cochran–Mantel–Haenszel test showed that factors influencing the elderly’s demands for these services varied across communities. Several policy implications could be obtained to improve the efficiency of community-based care provision.
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Mai, Loan, and Judy Eng. "Community-Based Elder Care: A Model for Working With the Marginally Housed Elderly." Care Management Journals 8, no. 2 (June 2007): 96–99. http://dx.doi.org/10.1891/152109807780845564.
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The community-based elder care (C-BEC) model is a critical treatment leverage that can be used to serve the older geriatric population who live in marginal housing tenements and who have little to nonexistent formal or informal support systems. Service engagement includes a model of care encompassing health maintenance with ongoing assessment of several specific dimensions. These dimensions include motor functioning, environmental barriers, emotional health, supportive services, and adherence motivation. All of these effect outcome and treatment course, despite a variety of medical diagnosis, level of functioning, and supportive needs. From evaluation of the individuals described in this article, considerations for collaborative treatment relationships, interdisciplinary teams, and service assessments are recognized as focal points of change that can be facilitated with C-BEC. The model is replicable and recommended for service providers working with an ambulatory, homebound, frail, and older aged population.
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Lee, Michele, and Arthur Kaufman. "The University of New Mexico Visiting Physicians Program: Helping Older New Mexicans Stay at Home." Care Management Journals 7, no. 1 (March 2006): 45–50. http://dx.doi.org/10.1891/cmaj.7.1.45.
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New Mexico is a rural state with unique barriers to health service delivery to homebound elderly. The University of New Mexico’s Visiting Physicians Program allows these patients to stay in their homes by bringing physicians to them. The physicians use community agencies to provide nursing, lab, X-ray, and physical therapy services. The University of New Mexico has also integrated home visits into the medical students, residents and geriatric fellows’ educational programs. By involving medical students, residents and fellows in home care, future physicians who practice in New Mexico will incorporate this valuable service into care for the homebound elderly in their practice communities.
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Dant, Tim, and Brian Gearing. "Keyworkers for Elderly People in the Community: Case Managers and Care Co-ordinators." Journal of Social Policy 19, no. 3 (July 1990): 331–60. http://dx.doi.org/10.1017/s0047279400018067.
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ABSTRACTIn the United Kingdom a range of services for elderly people in the community has developed that is delivered by a variety of professionals and administered within different organisations. This has resulted in a problem of co-ordinating services to meet the individual needs of the most frail elderly people. In the United States ‘case management’ has been introduced as a way of improving the co-ordination of care. Despite structural differences in the provision of health and social services between the United States and the United Kingdom, the concept of case management has influenced the design of a number of innovatory schemes in the United Kingdom, including the Gloucester Care for Elderly People at Home project (CEPH). These innovatory schemes have demonstrated the need for a ‘keyworker’ and clarified the tasks that are involved in taking responsibility for co-ordinating services to meet the needs of elderly people at risk of failing to cope at home. There is, however, a danger of proliferating the complexity of service provision by creating a new breed of professional; an alternative might be to alter the responsibilities, attitudes and team orientation of existing professional workers so as to include taking on the key worker role for some of their clients.
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Wang, Zhaoqing, Yanan Xing, Wenxin Yan, Xinran Sun, Xueying Zhang, Shuang Huang, and Li Li. "Effects of individual, family and community factors on the willingness of institutional elder care: a cross-sectional survey of the elderly in China." BMJ Open 10, no. 2 (February 2020): e032478. http://dx.doi.org/10.1136/bmjopen-2019-032478.
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ObjectiveTo investigate the effects of the willingness to live in elder care institutions associated with individual factors, family environment and the community environment in the elderly in China.DesignCross-sectional survey.SettingHeilongjiang Province, China.ParticipantsA total of 1003 elderly people were selected through multistage sampling in Heilongjiang Province.Primary and secondary outcome measuresA multistage, stratified sampling design was employed. Differences in health status, family environment and community environment of the respondents were compared with the t-test and χ2 test. Logistic regression analysis was performed to assess key determinants of willingness to live in institutions.ResultsThis study showed that 45.4% of respondents were willing to live in elder care institutions in the future. Factors influencing willingness to live in elder care institutions were age, house ownership, living with spouse and children, disease caregivers and availability of home healthcare services. The elders who had no property (OR=2.37, 95% CI 1.750 to 3.200, p<0.01) and those aged 80 or above (OR=2.25, 95% CI 1.490 to 3.400, p<0.01) were, respectively, 2.370 and 2.250 times more receptive to living in elder care institutions than their control groups. However, those living with a spouse (OR=0.47, 95% CI 0.287 to 0.762, p<0.01), living with children (OR=0.25, 95% CI 0.158 to 0.402, p<0.01) or living with a spouse and children (OR=0.29, 95% CI 0.160 to 0.509, p<0.01) were less willing to live in elder care institutions.ConclusionsThese results suggest that the willingness to enter elder care institutions is affected by individual, family environmental and community environmental factors. We should vigorously develop community-centred intensive home-based elder care services by improving the quality and availability of home health services by expanding investment in the community.
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Liu, Fengjuan, Yuechen Liu, and Chun Yang. "Research on Impact Factors of Smart Elderly Care Mode and the Corresponding Industry: ──Taking Questionnaire Data of Some Cities in Jiangsu Province as An Example." E3S Web of Conferences 253 (2021): 02049. http://dx.doi.org/10.1051/e3sconf/202125302049.
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With the development of Internet of things technology, the smart elderly care mode is attracting more and more attention. Based on the questionnaire data of adult residents in some cities of Jiangsu Province, this paper analyzes the multiple linear regression model between the intelligent elderly care mode and its possible influencing factors. And it can be found that for participants aged 59 and under, their educational level, blood type, professional identity and age have a significant impact on intelligent old-age care mode. For participants aged 60 and over, only their educational level and age have a significant impact on the smart old-age care approach. Finally, this paper puts forward some suggestions about the development of industries related to intelligent elderly care to build an integrated intelligent community old-age care pattern, integrated pattern of intelligent home-based care or integrated smart home-based care service center, adjust and perfect the existing elderly care institutions, and improve intelligence old-age care institutions pattern to promote the development of intelligent industry related to smart elderly care.
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Thorslund, Mats, and Lennarth Johansson. "Elderly People in Sweden: Current Realities and Future Plans." Ageing and Society 7, no. 3 (September 1987): 345–55. http://dx.doi.org/10.1017/s0144686x0001285x.
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ABSTRACTThe Swedish population is one of the oldest in the world with the consequence that the country has a very high proportion of long-term institutional beds to meet the care needs of elderly people. Studies of the pathways to institutional care showed that alternative home care options had been given too little consideration and that a quarter of residents could have been satisfactorily supported in the community. The Sundsvall Intervention Programme was based upon a distribution of these research findings to institutions and practitioners, followed by a joint training programme on assessment and resource allocation. The first phase of the intervention yielded an unrealised potential for elderly people to remain at home; but it met continuing resistance from professionals and kin. The exercise indicates the need to combine service innovation with locally relevant systems which engage all of the interested parties – elderly people, their relatives, care providers, service managers and politicians.
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Hadjistavropoulos, Heather, Cecily Bierlein, Sue Neville, Tandy Tuttosi-White, Allisson Quine, and Mark Sagan. "Utility of the Regina Risk Indicator Tool among Case Managed Elderly Clients." Healthcare Management Forum 18, no. 2 (July 2005): 22–26. http://dx.doi.org/10.1016/s0840-4704(10)60350-x.
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The Regina Risk Indicator Tool (RRIT) is used to identify how at risk clients are for requiring admission to long-term care. This study examined the potential use of this tool by case managers of older community dwelling clients receiving home care. The RRIT exhibited moderate to good inter-rater reliability, and good predictive validity as clients of varying degrees of risk differed in amount of case management and services used. Healthcare managers may wish to consider using the tool to support decision-making related to case management and home care service.
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Wan, HC, and KS Chin. "Exploring internet of healthcare things for establishing an integrated care link system in the healthcare industry." International Journal of Engineering Business Management 13 (January 1, 2021): 184797902110195. http://dx.doi.org/10.1177/18479790211019526.
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With the ageing population all over the world, long-term care services, such as nursing care, are essential to provide care and treatments to elderly patients in the community. During the nursing care services, elderly patients who live in the nursing homes require to be treated and consulted in a number of healthcare organisations, for example hospitals, mental health centres and rehabilitation centres. Currently, the data management for the elderly is relatively centralised to establish their own electronic medical records and protected health information without decision support functionalities. The community and healthcare industry are eager to develop a safe and comprehensive system to provide adequate healthcare services and monitoring to the elderly. In this study, an internet of healthcare things (IoHT)-based care link system (IoHT-CLS) is proposed, which provides a structured framework on integrating IoHT and artificial intelligence (AI) to generate a one-stop solution for managing elderly’s healthcare facilities. The elderly can be effectively linked into the integrated IoHT system by using various sensing and data collection technologies. The collected data are further processed by means of the adaptive neuro-fuzzy inference system and case-based reasoning to provide the functionalities of risk management and customised elderly service programmes for the elderly care institutions. Consequently, this study contributes to the healthcare management through the enhancement of service quality in the community.
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Soenarto Putri, Tri Winarni, Kafa Abdallah Kafaa, and Tauchid Komara Yuda. "Community-Care Approach for Social Work Practice: Learning from Community-Based Healthcare for Elderly in Yogyakarta." Jurnal Ilmu Sosial dan Ilmu Politik 23, no. 3 (May 21, 2020): 198. http://dx.doi.org/10.22146/jsp.51896.
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This article aims to demonstrate the application of a community-care approach in the provisioning of elderly social and health care services (hereafter, social-health care) through a case study at Elderly Family Development (Bina Keluarga Lansia–BKL) Mugi Waras in Sumbersari Village, Sleman Regency, Special Region of Yogyakarta Province. This institution was chosen as a case study since it represents the best community-based long-term social-health care institution for the elderly in Indonesia. Based on the findings that have been analyzed, it was concluded that there has been shifting of institutional care provision in the community care regime towards more inclusion with mixed welfare features. This may have occurred because BKL was suffering from the lack of resources they have in dealing with the increased needs of the elderly and increased risk. Consequently, even though the influence of external stakeholders in this initiative appears quite strong, such a community-centered care initiative can be continually maintained and resulted in the hybridization model of a care regime. For social worker’s practitioner insight, the paradigm of program implementation in the BKL Mugi Waras can be adopted as a community-based social work practice that appears to fit developing countries, where elderly service intervention should be fine-tuned to the elderly residents’ living arrangements.
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Gibson, Diane. "Reforming Aged Care in Australia: Change and Consequence." Journal of Social Policy 25, no. 2 (April 1996): 157–79. http://dx.doi.org/10.1017/s0047279400000295.
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ABSTRACTFor the last ten years, the Australian system of services for frail elderly people has been undergoing significant reforms. Prior to that time, a series of government reviews and inquiries had repeatedly identified the same problems, including the dominance of institutional care, the inadequate supply of home and community based services, the lack of co-ordination, the inefficiency, and the unequal distribution of services by geographical area. Changes since the implementation of the Aged Care Reform Strategy in 1985 have been considerable, particularly with regard to the residential care sector. This article is concerned with the policy responses which emerged under the Strategy, and their impact on aged care service delivery in Australia.
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Butler, Jenny, and Teresa Smith. "Community Care and Rehabilitation after Stroke in Japan." British Journal of Occupational Therapy 65, no. 8 (August 2002): 363–70. http://dx.doi.org/10.1177/030802260206500803.
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The purpose of the research project was to determine, from a cross-cultural perspective, the care services and rehabilitation for elderly people with stroke living in the community in Japan. A written questionnaire and a semi-structured interview were used. The participants were a purposive sample of 21 elderly people and family/carer living in the metropolitan area of Tokyo, Japan. There were 11 men and 10 women with an average age of 70 years (range 42–86 years). The mean age at onset of stroke was 66.5 years (range 42–81 years) and the mean time since stroke was 3.2 years (range 3 months to 8 years). Varying levels of dependency were found, with an average Barthel Index score of 9.32 (range 0–18). Varying experiences of rehabilitation services were also reported: six people received physiotherapy only, six received physiotherapy and occupational therapy, and nine received no formal rehabilitation service either in hospital or in the community. Many participants were living in multi-generational households. Women had frequently given up jobs to care for their elderly relative, but were assisted in the caring role by community care workers (mainly nurses and home helpers). Environmental changes and disability equipment were evident in the homes. The project concluded that elderly people in Japan were supported by good community health care, although rehabilitation resources were limited. Cultural understanding as a key factor in rehabilitation processes is explored in the paper.
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Béland, François, Howard Bergman, Paule Lebel, A. Mark Clarfield, Pierre Tousignant, André-Pierre Contandriopoulos, and Luc Dallaire. "A System of Integrated Care for Older Persons With Disabilities in Canada: Results From a Randomized Controlled Trial." Journals of Gerontology: Series A 61, no. 4 (April 1, 2006): 367–73. http://dx.doi.org/10.1093/gerona/61.4.367.
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Abstract Background. Care for elderly persons with disabilities is usually characterized by fragmentation, often leading to more intrusive and expensive forms of care such as hospitalization and institutionalization. There has been increasing interest in the ability of integrated models to improve health, satisfaction, and service utilization outcomes. Methods. A program of integrated care for vulnerable community-dwelling elderly persons (SIPA [French acronym for System of Integrated Care for Older Persons]) was compared to usual care with a randomized control trial. SIPA offered community-based care with local agencies responsible for the full range and coordination of community and institutional (acute and long-term) health and social services. Primary outcomes were utilization and public costs of institutional and community care. Secondary outcomes included health status, satisfaction with care, caregiver burden, and out-of-pocket expenses. Results. Accessibility was increased for health and social home care with increased intensification of home health care. There was a 50% reduction in hospital alternate level inpatient stays (“bed blockers”) but no significant differences in utilization and costs of emergency department, hospital acute inpatient, and nursing home stays. For all study participants, average community costs per person were C$3390 higher in the SIPA group but institutional costs were C$3770 lower with, as hypothesized, no difference in total overall costs per person in the two groups. Satisfaction was increased for SIPA caregivers with no increase in caregiver burden or out-of-pocket costs. As expected, there was no difference in health outcomes. Conclusions. Integrated systems appear to be feasible and have the potential to reduce hospital and nursing home utilization without increasing costs.
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Husebø, Anne Marie Lunde, and Marianne Storm. "Virtual Visits in Home Health Care for Older Adults." Scientific World Journal 2014 (2014): 1–11. http://dx.doi.org/10.1155/2014/689873.
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Background. This review identifies the content of virtual visits in community nursing services to older adults and explores the manner in which service users and the nurses use virtual visits.Design. An integrative literature review.Method. Data collection comprised a literature search in three databases: Cinahl, Medline, and PubMed. In addition, a manual search of reference lists and expert consultation were performed. A total of 12 articles met the inclusion criteria. The articles were reviewed in terms of study characteristics, service content and utilization, and patient and health care provider experience.Results. Our review shows that in most studies the service is delivered on a daily basis and in combination with in-person visits. The findings suggest that older home-dwelling patients can benefit from virtual visits in terms of enhanced social inclusion and medication compliance. Service users and their nurses found virtual visits satisfactory and suitable for care delivery in home care to the elderly. Evidence for cost-saving benefits of virtual visits was not found.Conclusions. The findings can inform the planning of virtual visits in home health care as a complementary service to in-person visits, in order to meet the increasingly complex needs of older adults living at home.
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Aronson, Jane. "Frail and Disabled Users of Home Care: Confident Consumers or Disentitled Citizens?" Canadian Journal on Aging / La Revue canadienne du vieillissement 21, no. 1 (2002): 11–25. http://dx.doi.org/10.1017/s071498080000060x.
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ABSTRACTHealth care cuts and restructuring are shifting the site of acute care from hospitals to homes and prompting provincial governments to introduce varying forms of mixed economies in home care. Typically, such arrangements seek to drive down public costs and to reposition service users as “consumers” of market-modelled care. Drawing on an ongoing study of frail elderly women and women with disabilities receiving home care in Ontario, this paper explores the significance for service users of these economic and political objectives. Rather than feeling like consumers free to exercise choice and demand quality in the mixed economy of home care, they experienced their positioning within it as insecure and subordinate and its supply as unpredictable and meagre. The implications of these findings for fashioning secure and equitable public responses to elderly and disabled citizens who need assistance at home over the long term are discussed.
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Yu, Zhao, Lijian Wang, and Tolulope Ariyo. "Supply and Demand-Related Decisive Factors in the Utilization of Non-Medical Community Healthcare Services among Elderly Chinese." International Journal of Environmental Research and Public Health 18, no. 1 (December 30, 2020): 228. http://dx.doi.org/10.3390/ijerph18010228.
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There is little research on the utilization of non-medical community healthcare services among the elderly, compared with that of medical community healthcare services. From the perspective of both supply and demand, based on the survey data from Shaanxi province, this study examined supply-related factors (including service supply, service quality, service charge and service accessibility) and demand-related factors (including service need, individual financial status, family care support and knowledge of service) affecting the utilization of non-medical community healthcare services among the elderly in China by using Poisson regression. The findings show that service supply, service quality, service need and knowledge of service are positively associated with the utilization of non-medical community healthcare services among elderly Chinese, but the other factors identified in previous studies are not significant predictors for the utilization of the services among the elderly in the context of China. To our knowledge, this is the first study to examine both supply-related factors and demand-related factors affecting the utilization of non-medical community healthcare services among elderly Chinese.
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Sinaga, Janno, Amila Amila, and Evarina Sembiring. "MUTIARA HOME CARE." JURNAL PENGABDIAN KEPADA MASYARAKAT 23, no. 4 (January 8, 2018): 440. http://dx.doi.org/10.24114/jpkm.v23i4.8605.
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AbstrakTujuan jangka panjang pelaksanaan program Mutiara Home Care adalah menciptakan akses bagi terciptanya wirausaha baru, menunjang otonomi kampus perguruan tinggi melalui perolehan pendapatan mandiri. Bagi pasien program ini membantu meringankan biaya rawat inap yang makin mahal, karena mengurangi biaya akomodasi pasien, transportasi dan konsumsi keluarga. Dampak ekonomi nasional home care bagi pasien dan keluarga adalah semakin pendeknya hari rawat, sehingga jumlah klaim rumah sakit ke BPJS semakin rendah, sehingga berdampak bagi penurunan anggaran biaya perawatan masyarakat secara nasional. Produk Jasa Layanan Mutiara Home Care memiliki keunggulan dibandingkan home care lain. Pertama, Mutiara Home care akan dikelola dan diorganisir secara profesional oleh tenaga dosen profesional dibidang kesehatan dan keperawatan. Selama ini, home care dilakukan secara individu atau berkelompok tanpa wadah atau organisasi yang jelas. Tenaga kesehatan yang akan ditempatkan di komunitas atau di rumah telah terlatih dimulai sejak masa pendidikan dan tersertifikasi dari USM-Indonesia. Kedua, menyediakan layanan antar jemput pasien yang membutuhkan perawatan rumah sakit atau pemeriksaan khusus, seperti radiologi dan laboratorium. Layanan Mutiara Home Care pada tahap awal melayani pasien paska stroke dan perawatan lanjutan jantung, perawatan pasien DM dengan atau tanpa luka dan perawatan pasien lanjut usia. Secara bertahap akan dilakukan pengembangan serta layanan terhadap berbagai penyakit yang membutuhkan jasa perawatan profesional di rumah.Kata Kunci: Home care, MutiaraAbstractThe long-term goal of the Mutiara Home Care program is to create access to new entrepreneurs, to support college campus autonomy through the acquisition of independent income. For patients this program helps alleviate the cost of increasingly expensive hospitalization, as it reduces patient accommodation costs, transportation and family consumption. The national economic impact of home care for patients and families is the shortening of day care, so the number of hospital claims to BPJS is lower, thus impacting the reduction of national community maintenance budget. Products Care Services Pearl Home Care has advantages over other home care. First, Mutiara Home care will be managed and organized professionally by professional lecturers in the field of health and nursing. During this time, home care is done individually or in groups without a clear container or organization. Health workers who will be placed in the community or at home have been trained since the education and certified from USM-Indonesia. Secondly, it provides a shuttle service to patients who require hospital treatment or special examinations, such as radiology and laboratories. Pearl Home Care Services in the early stages of serving post-stroke patients and advanced heart care, treatment of DM patients with or without injuries and care of elderly patients. Gradually will be developed as well as services against various diseases that require professional care services at home.Keywords: Homecare, Mutiara
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Skinkle, Rodney R., and Peter R. Grant. "An Outcome Evaluation of an In-Service Training Program for Nursing Home Aides." Canadian Journal on Aging / La Revue canadienne du vieillissement 7, no. 1 (1988): 48–57. http://dx.doi.org/10.1017/s0714980800007108.
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ABSTRACTNursing home aides are the primary care providers for the institutionalized elderly but, until recently, aides have received very little formal training. Recognizing this, some community colleges have implemented in-service training programs. This paper presents the results of an impact assessment of the Saskatchewan program offered by Kelsey Institute of Applied Arts and Science. The sample included 86 aides from 16 nursing homes selected at random from both rural and urban areas. Results from this study show that program graduates knew significantly more about simple nursing skills, the aging process, and the philosophy of long term care in comparison to aides from nursing homes that did not offer this in-service training (non-participants). Program graduates were also significantly more likely to describe their health care team as functioning effectively. However, attitudes of program graduates toward the elderly were not significantly different from non-participants. The vast majority of the aides, whether trained or untrained, held positive attitudes toward the elderly. Implications and limitations of these results are discussed in conjunction with information from interviews with three Directors of Care who have experience implementing and supervising this in-service training program.
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Yamashita, Takashi, Haesang Jeon, A. John Bailer, Ian M. Nelson, and Shahla Mehdizadeh. "Fall Risk Factors in Community-Dwelling Elderly Who Receive Medicaid-Supported Home- and Community-Based Care Services." Journal of Aging and Health 23, no. 4 (December 23, 2010): 682–703. http://dx.doi.org/10.1177/0898264310390941.
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Tseng, Chun-Yao, and Su-Chin Lin . "An Investigation on Network Relationship of Elderly Nursing Home." Journal of Economics and Behavioral Studies 6, no. 11 (November 30, 2014): 874–83. http://dx.doi.org/10.22610/jebs.v6i11.547.
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All developed countries have been facing the trend of aging population and view it as an importance social policy which has to plan care and nurse senior citizens. The elderly caring and nursing organizations are obligated to provide more comfortable and suitable environment for a high quality life of elders. Based upon Maslow’s Hierarchy of Needs Theory, there is a hierarchy of five needs within each individual, including physiological needs, safety needs, belongingness and love Needs, self-esteem needs and self-actualization needs. Individuals would acquire emotional support, materiality and service through social network. This study investigates two main issues related to network relationship of elderly nursing home. First, this study demonstrates the network relationship between elderly nursing home and other related groups, including family and friends of elderly resident, exclusive volunteers, neighborhood community centre, religion groups and other welfare associations. Second, this study investigates what the network relationships would influence the satisfaction of five elderly residents’ needs. To better understanding the real connection among groups related to nursing home, this study uses case study with the perceptions of social network to know the network relationship in the nursing home and what it influences their residents’ needs.
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Crowther, Martha R., and Cassandra D. Ford. "USING COMMUNITY-BASED MODELS TO PROVIDE INTEGRATED CARE FOR RURAL OLDER ADULTS." Innovation in Aging 3, Supplement_1 (November 2019): S553. http://dx.doi.org/10.1093/geroni/igz038.2038.
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Abstract Rural elders are one of the most at-risk populations for experiencing physical and mental health problems. In many rural communities, there are no psychosocial services available to meet the needs of the rural elderly. To provide rural older adults with integrated healthcare, we build upon our existing community-based infrastructure that has fostered community capacity for active engagement in clinical activities and has served as a catalyst to increase participation of rural older adults in clinical services. Our rural community model draws upon the role of culture in promoting health among rural older adults to provide rural service delivery. This model is built upon our network of partnerships with surrounding communities, including potential research participants, community-based organizations, community leaders, and community health-care systems and providers. By engaging the community we can create a sustainable system that will encourage rural older adults to utilize the health care system at a higher rate.
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Zhang, Liangwen, Yanbing Zeng, Lixia Wang, and Ya Fang. "Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China." International Journal of Environmental Research and Public Health 17, no. 5 (March 5, 2020): 1701. http://dx.doi.org/10.3390/ijerph17051701.
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Background: Long-term care (LTC) needs for the elderly have become increasingly crucial policy concerns in rapidly aging Asia, especially in China, the most populous nation. However, very few studies have examined the cohort differences in terms of their existing and expected utilization of LTC services, above all urban–rural differences. This study aims to evaluate the differences of LTC current status and needs between urban–rural areas and age groups, and to identify influencing factors causing the different LTC needs. Methods: The data come from the Chinese Longitudinal Health Longevity Survey in 2014. A total of 7192 home-based elderly aged ≥65 years by multistage sampling were enrolled. The Andersen Model was applied to categorize the influential factors into three components including predisposing, enabling and needs. Multivariate logistic regression analysis was used to analyze the influential factors of the three levels of LTC needs. Results: A total of 6909 valid sample sizes were included in this study. The overall LTC needs of the elderly showed a rapidly increasing trend among which older people had the highest needs for bathing (27.29%) and toileting (15.8%). It was also demonstrated the aged cohort between urban and rural exerted an impact on all aspects of LTC status and needs to varying degrees (p < 0.05). Compared with urban areas, the LTC needs for the elderly in rural areas was more vigorous, but the supply was seriously inadequate. The elderly who were older, living in rural areas, unmarried, non-farming, with low income, in poor health and having less autonomy had higher anticipated needs for LTC services (OR > 1, p < 0.01). Compared with the young-old in rural areas, the young-old in urban areas were prone to live alone (OR = 1.61, p < 0.01). The elderly who were older, living in rural areas, farming, with low income, lonely and depressed had higher anticipated needs for community-based services (1 < OR < 1.69, p < 0.05). Conclusions: The aged cohort in urban–rural distinction were facing an increasing need for immediate care due to the inadequate support being provided, especially among rural elderly. The oldest elderly in rural areas had higher LTC needs, and different levels of needs were affected by age, economic level, family support, health status and other related effects. This study provides evidence-based recommendation for further improving the construction and development of the LTC system in China.
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Hrast, Maša Filipovič, Valentina Hlebec, and Tatjana Rakar. "Sustainable Care in a Familialist Regime: Coping with Elderly Care in Slovenia." Sustainability 12, no. 20 (October 15, 2020): 8498. http://dx.doi.org/10.3390/su12208498.
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In countries with prevalent family care and less developed care services, it is important to understand the ways families cope with the care needs of their frail family members as part of policy learning to make care systems more sustainable. Filial care is a vital element of family care, yet is significantly restrained by the involvement of carers in the labour market; unequal gender distribution of the care burden; and insufficient recognition of, and policy support, for family care. This article considered the issue of the sustainability of elderly care in a familialist country, Slovenia, by identifying the coping strategies families adopt for the provision of care. To this end, in-depth qualitative data based on a purposeful sample of 55 community-resident users of social home care services and their 55 family carers were used. We identified five external coping strategies: use of formal care services, use of extended family network, use of wider community network, cohabitation, and home adjustments. Among internal strategies, we detected work-related adjustments; abandoning leisure activities; abandoning vacations; establishing new routines; accepting and finding satisfaction in care; increased psychological distress, such as worries and overburdening; and some unmet care recipient needs. Very few strategies may be described as supported by policy actions, despite such support being essential for increasing the sustainability of the family-based care model.
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Ducharme, Francine, Mario Paquet, Bilkis Vissandjée, Normand Carpentier, Louise Lévesque, and Denise Trudeau. "Des services à domicile culturellement sensibles : perspective des intervenants et des proches-aidantes originaires d’Haïti en tant que cas traceur." Canadian Journal on Aging / La Revue canadienne du vieillissement 27, no. 2 (2008): 191–205. http://dx.doi.org/10.3138/cja.27.2.191.
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ABSTRACTIn Canada, the care provided by families occurs in an increasingly multiethnic context. Against this backdrop, the present qualitative study aims to explore the needs/expectations and solutions not only of (female) natural caregivers of an elderly relative hailing from Haiti (presented in terms of tracking cases) but also of remunerated home care providers - all with a view to developing a culturally sensitive service offering. As such, this study works from a conceptual framework centring on the negotiation of a common area of agreement between the stakeholders involved (i.e., natural caregivers and home care providers). To this end, focus groups and individual interviews were conducted among 15 caregivers and 37 home care providers. The three recurrent themes emerging from the data analysis concern, in context, the needs/expectations and solutions surrounding the experience of service use, barriers to use, and the relationships between natural caregivers and home care providers. The statements of both groups evidenced a consistency of views and have thus provided a basis for developing some recommendations acceptable to all stakeholders from the perspective of making culturally-based adjustments to the service offering.
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MacLean, Micheal J., Nancy Siew, Dawn Fowler, and Ian Graham. "Institutional Racism in Old Age: Theoretical Perspectives and a Case Study About Access to Social Services." Canadian Journal on Aging / La Revue canadienne du vieillissement 6, no. 2 (1987): 128–40. http://dx.doi.org/10.1017/s0714980800015506.
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ABSTRACTThis paper presents an analysis of access to social and health services of elderly people at three community and social service centres (CLSCs) in Montreal. Workers at the CLSCs were interviewed about service accessibility for elderly people in their neighbourhood. The elderly clientele of one CLSC, located in the centre of Montreal, primarily consists of French-Canadians and English-Canadians; the second CLSC is in a neighbourhood with many elderly Portuguese and the third CLSC is in a neighbourhood where a large concentration of elderly Chinese people live. No problems of access to services were perceived for elderly French-Canadian, English-Canadian or Portuguese people while serious problems of access were perceived for elderly Chinese people. Services provided for elderly people of the dominant cultures and elderly Portuguese are limited or unavailable to elderly Chinese people of Montreal. This suggests institutional racism against elderly Chinese people.
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Aung, Thin Nyein Nyein, Myo Nyein Aung, Saiyud Moolphate, Yuka Koyanagi, Mariko Ichikawa, Siripen Supakankunti, and Motoyuki Yuasa. "Estimating Service Demand for Intermediary Care at a Community Integrated Intermediary Care Center among Family Caregivers of Older Adults Residing in Chiang Mai, Northern Thailand." International Journal of Environmental Research and Public Health 18, no. 11 (June 4, 2021): 6087. http://dx.doi.org/10.3390/ijerph18116087.
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Background: Thailand’s population is currently the third most rapidly aging in the world, with an estimated 20 million ageing population by 2050. Sustainability of the family based long-term care model is challenged by the chronic burden on family caregivers and by smaller family sizes. We aimed to introduce a new service model, Community Integrated Intermediary Care (CIIC), TCTR20190412004, including free of charge intermediary care services at CIIC centers in the local community, to help older adults whose caregivers are temporarily unable to sustain care at home. Since Thai society upholds values of gratefulness, it is better to estimate willingness to use such an intermediary care service first, before introducing the service. Methods: A total of 867 pairs of senior citizens and their family caregivers were interviewed with structured-questionnaires in 2019. Descriptive analysis and binary logistic regression were applied to determine the predictors of family caregivers’ willingness to use the CIIC service, guided by Anderson’s model of health services use. Results: About 26.8% of elderly participants and 24.0% of family caregivers were willing to use an intermediary care service. The family caregiver determinants of predisposing factors (kinship: spouse caregivers, other relatives, maid or friends; job types: own business and private company staff), enabling factors (original community residents and monthly income ≤9000 baht), and need factors (caregiver burden total scores ≥24, taking leave for caregiving, and having diabetes), were found to be significantly associated with willingness to use the CIIC service. Conclusions: The baseline survey data noted that caregivers’ sociodemographic factors and burden determined their willingness to use the intermediary care service, although the dependency of care recipients was low in this study. This, nonetheless, indicated that there is need for a backup respite care to strengthen current family based long-term aging care in Thailand.
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Kanai, Hideaki, and Akinori Kumazawa. "An Information Sharing System for Multi-Professional Collaboration in the community-based integrated healthcare system." International Journal of Informatics, Information System and Computer Engineering (INJIISCOM) 2, no. 1 (June 25, 2021): 1–14. http://dx.doi.org/10.34010/injiiscom.v2i1.4862.
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Currently, Japan is rapidly aging. Japanese government agencies report that the percentage of elderly people whose ages are at least 65 years will increase by up to about 30 percent in 2025. As one of the measures towards this situation, the community-based integrated healthcare system will be introduced in Japan. The system aims to provide elderly people living at home with appropriate health, medical, and welfare services. We focus on the burden of sharing information on the situation of the elderly at home among health, medical, welfare staffs, and neighbors. We have been developing a supporting system for sharing information on the situation of the elderly at home and conducted a field test around one year. We consider that various stakeholders involved in the community comprehensive health care system could recognize the importance of information sharing and collaboration with them through this kind of social implementation
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Ting, C. H., and W. P. Lim. "Weathering the Silver Tsunami: Dementia Community Services in Singapore." European Psychiatry 33, S1 (March 2016): S474. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1730.
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IntroductionThe prevalence of dementia rises with the rapidly increasing elderly population in developed world. In Singapore, 10% of the elderly population is estimated to have dementia. Other than physical and psychological needs, social welfare should also be addressed with the support of specialised geriatric care sources to improve their quality of life.ObjectiveTo study a case of an elderly with dementia, who was identified and managed through a multi-agency approach and to describe different services involved for dementia care.AimTo highlight the various elderly care organizations available in Singapore to address healthcare and social needs in dementia.MethodThrough a case report of an elderly who presented to hospital for medical issues with dementia, the social needs were identified and multiple agencies were involved to provide holistic care in dementia.ResultA 77-year-old gentleman was brought by a community social worker to hospital as he was found ill during home visit. During admission, the concern for poor self-care and cognition decline was raised by his family. Mini-mental state examination was 16/30. He was diagnosed with vascular dementia with clinical and MRI Brain finding. With active multidisciplinary intervention, his medical issues were addressed, and family and social needs were attended by several voluntary welfare organizations. Access to memory clinic service was also arranged for. This intervention also provided opportunity for his long-term care and welfare.ConclusionMulti-agency approach is crucial in dementia care to identify their unmet needs and plan for long-term care in Singapore.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Björkgren, PhD, Magnus, Frank Borg, MS, Tytti Oksanen, MS, and Leila Mäkinen, MS. "A classification of fire evacuation ability of home care clients based on the RAI-HC instrument." Journal of Emergency Management 18, no. 6 (November 1, 2020): 535–40. http://dx.doi.org/10.5055/jem.2020.0495.
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Objectives: Home care and community-based services are being increasingly promoted in elderly care to prevent the need for institutional care. As more physically and cognitively dependent clients are being cared for in the community, concerns from fire safety perspectives have been raised. The issue becomes whether the home care client can evacuate safely from the residence in case of fire, where the available safe egress time is estimated to be around 2-3 minutes. The objective of this study was to develop a classification based on the RAI Home Care 2.0 assessment instrument for determining the evacuation ability of home care clients in the case of fire.Design: The evacuation ability was assessed by fire safety experts who rated the evacuation ability of home care clients (N = 1,011). These data were linked to the persons RAI-HC assessment, which is a comprehensive assessment instrument of the person’s functional performance and health status.Results: The classification provides a reasonably accurate prediction of different risk categories in home care.Conclusion: The classification can be used for screening home care clients to determine their evacuation ability.
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Kartika, Annisa Wuri, Muladefi Choiriyah, Niko Dima Kristianingrum, Linda Wieke Noviyanti, and Endah Panca Lidya Fatma. "Pelatihan Tugas Perawatan Kesehatan Keluarga Caregiver Lansia dalam Pogram RURAL (Rumah Ramah Lansia)." Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) 5, no. 3 (December 1, 2019): 448. http://dx.doi.org/10.22146/jpkm.45139.
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The decline in function due to aging accompanied by health problems in the elderly has an impact on the ability of the elderly in activity daily living (ADL) and health care. The role of the family is very important in health care assistance to the elderly. Caregiver skills accompanied by environmental aspect are important factors for elderly with chronic illness at home. This community service aims to improve the caregiver's ability to provide care to the elderly with chronic illness. RURAL (Rumah Ramah Lansia) is activity to create a suitable environment for the elderly in terms of physical and psychosocial environment. The families trained as a caregivers which are carried out in RW 4, Jatimulyo, Malang City in January - March 2018. The activities of the program is health education and skill training about caring for elderly. The results are 70 percent of families have good ability in carrying out family health care tasks; knowledge about elderly care at home is good with an average knowledge value of 8.6. From these results it can be concluded that training for caregivers is useful to improve the ability of caregivers and health status of the elderly.Keywords: caregiver care ability; chronic disease; elderly care at home.