Relevant bibliographies by topics / Municipal home care service

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Municipal home care service'

Author: Grafiati
Published: 2 July 2021
Last updated: 9 February 2022

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Journal articles on the topic "Municipal home care service"

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Tikkanen, Irma, and Anne Silvan. "Developing the service process of municipal home care catering." Nutrition & Food Science 42, no. 5 (September 5, 2012): 315–23. http://dx.doi.org/10.1108/00346651211266827.

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Rostad, Hanne Marie, and Randi Stokke. "Integrating Welfare Technology in Long-term Care Services: Nationwide Cross-sectional Survey Study." Journal of Medical Internet Research 23, no. 8 (August 16, 2021): e22316. http://dx.doi.org/10.2196/22316.

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Background Welfare technologies are often described as a solution to the increasing pressure on primary health care services. However, despite initiating welfare technology projects in the health care sector and different government incentives, research indicates that it is difficult to integrate welfare technology innovations in a complex and varying setting, such as long-term care. Objective We aim to describe the types of welfare technology and the extent to which welfare technology is provided in long-term care (ie, nursing homes and home care services); examine whether the extent of welfare technology provision differs on the basis of municipal characteristics (ie, population size, centrality, the proportion of older inhabitants, and income); and identify how local governments (ie, municipalities) describe their efforts toward integrating welfare technologies in long-term care. Methods Quantitative and qualitative data about welfare technology from a larger cross-sectional survey about the provision of long-term care services in Norwegian municipalities were combined with registry data. Representatives of 422 Norwegian municipalities were invited to participate in the survey. Frequencies were used to describe the distribution of the types and extent of welfare technologies, whereas the Fisher exact test and Kruskal-Wallis one-way analysis of variance were used to determine the association between the extent of welfare technology and municipal characteristics. Free-form text data were analyzed using thematic analysis. Results A total of 277 municipalities were surveyed. Technology for safety was the most widespread type of welfare technology, whereas technology for social contact was the least prevalent. Two-thirds of the sample (183/277, 66.1%) in nursing home and (197/277, 71.1%) in home care services reported providing one or two different types of welfare technology. There was a statistically significant association between the extent of welfare technology and population size (in both nursing homes and home care services: P=.01), centrality (nursing homes: P=.01; home care services: P<.001), and municipal income (nursing homes: P=.02; home care services: P<.001). The extent of welfare technology was not associated with the proportion of older adults. The municipalities described being in a piloting phase and committing to future investment in welfare technology. Monetary resources were allocated, competency development among staff was initiated, and the municipalities were concerned about establishing collaborations within and between municipalities. Home care services seem to have a more person-centered approach in their efforts toward integrating welfare technologies, whereas nursing homes seem to have a more technology-centered approach. Conclusions Many municipalities provide welfare technologies; however, their extent is limited and varies according to municipal characteristics. Municipal practices still seem dominated by piloting, and welfare technologies are not fully integrated into long-term care services. Innovation with welfare technology appears top-down and is influenced by national policy but also reflects creating a window of opportunity through the organization of municipal efforts toward integrating welfare technology through, for example, collaborations and committing personnel and financial resources.
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Sørly, Rita, Martin Sollund Krane, Geir Bye, and May-Britt Ellingsen. "“There Is a Lot of Community Spirit Going On.” Middle Managers' Stories of Innovation in Home Care Services." SAGE Open Nursing 5 (January 2019): 237796081984436. http://dx.doi.org/10.1177/2377960819844367.

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Background: There is a need for qualitative studies on imposed innovation in home care services in welfare societies. The municipalities are key actors in the field of innovation in the public sector. As innovations often are interpreted to be in conflict with values in health care, we need knowledge on how policy changes and imposed innovations are understood and handled by middle managers working in the sector. Aim: We aim to explore how middle managers react to imposed innovation in health services through their storytelling. The research question was “What can middle managers' stories of imposed innovation tell us about their role in, and some important prerequisites for, innovation processes in municipal health-care services?” Methods: A narrative study of experiences with municipal innovation among middle managers in Norway. In this article, we do a thematic analysis of interviews with seven female middle managers who work in a home care service department. Findings: The study develops an understanding of which frameworks are required within a home care service to meet constant demands for innovation. Innovations are understood by the managers as results of policy changes and new public management demands and as a troublesome burden. We find the prerequisites for implementing innovations to be (1) trust-based management, (2) flexibility and dynamics, (3) continuity of care, and (4) emphasis on competence. These prerequisites are further interpreted in relation to dominant discourses on innovation at the macro, meso, and micro levels within the storytelling contexts. Conclusion: Imposed innovations require a negotiating practice in cross-disciplinary environments at all levels in the organization.
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Szatmari, Andrea, and Istvan Hoffman. "The Transformation of the Municipal Social Care System in Hungary – In the Light of the Provision of Home Care Services." Lex localis - Journal of Local Self-Government 18, no. 4 (October 29, 2020): 691–712. http://dx.doi.org/10.4335/18.3.691-712(2020).

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Municipalities play a significant role in the field of social care services. The basic social services are primarily provided by local governments. The Hungarian municipalities have strong social powers and duties, but their role is in a permanent transformation. The strongly decentralised system established in the early 1990s has since been centralised and the majority of specialised social services has been nationalised in the last decade. This has resulted in a new model; a mixed system having evolved after 2013. The provision of the specialised services has been mainly centralised, while the basic services have remained the responsibility of the municipal bodies. In this article, the impacts of this reform are analysed. The centralisation of the specialised services and the reforms of the financial support of municipal basic social services significantly transformed the former accessibility. The accessibility to these services depends on several factors: it depends on the central regulation of the entitlement rules, of the central funding of the municipal tasks and partly that of the economic power of the municipality. The central regulation and the central support of these services play a very important role in this system.
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Sobis, Iwona. "Comparison of Public and Private Home Care Services for Elderly in Gothenburg Region, Sweden 2013." Central European Public Administration Review 11, no. 3-4 (May 9, 2014): 25–55. http://dx.doi.org/10.17573/ipar.2013.3-4.a02.

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The purpose of this study is to compare and evaluate the public and private home care services for elderly given economic limitations after delegating them to municipality in the Gothenburg Region. The additional aim is to make politicians conscious about this development. The theoretical model of delegation and decentralization by Cristiano Castelfranchi and Rino Falcone (1998) and the Resource Dependency Theory by Pfeffer and Salancik (1978) constitute the theoretical reference frame. The study is based on an analysis of state regulation, policy documents and semi-structured interviews with the chief responsible for public and private home care services for elderly at the municipal level. This study reveals that the delegation of care for elderly to the municipalities faced some serious problems not to be solved until 2013 and surprisingly that these problems are especially seen where the recipients of such care don’t have a choice on their service provider. The lesson drawn from the research is that if politicians or other authorities take away the right from people to make their own decisions about their own lives, this inevitably results in dissatisfaction and subsequent reforms.
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Chen, Yan-Yan, Honglin Chen, and Priscilla Song. "Promises and pitfalls of integrating home-based health services into Shanghai's elder-care system." Ageing and Society 40, no. 3 (August 28, 2018): 480–500. http://dx.doi.org/10.1017/s0144686x18001095.

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AbstractFaced with the dramatic pace of population ageing, the Shanghai municipal government launched a pilot programme in 2013 designed to address this and to strengthen ageing-in-place arrangements by providing basic in-home medical services for residents above the age of 80. Yet after a two-year trial run, the ‘Home-Based Medical Care Scheme for the Oldest-Old’ (HBMCSOO) policy remained significantly under-utilised despite the increasing demand for medical services. Our multi-disciplinary research team of social workers and anthropologists identified two key factors impeding the implementation of home-based medical care services: (a) the distortion of policy implementation and (b) the inadequate professionalisation of community-based elder-care workers. Based on our evaluation of the pilot programme, the Shanghai municipal government made several practical adjustments to improve the subsequent city-wide policy implemented in 2016. While these changes mostly focused on minor adjustments to improve in-home medical services for the oldest-old, they represent an encouraging first step towards our call for a holistic integrated care system whose design and delivery takes into account local political and social contexts, including existing institutional infrastructure and cultural expectations about care-giving responsibilities. The challenges of implementing Shanghai's HBMCSOO policy ultimately provide instructive lessons on best practices for integrating medical and social services in order to improve ageing-in-place measures in diverse local settings around the world.
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Demaerschalk, Melanie F., Lut E. Vanden Boer, Joost L. Bronselaer, Geert Molenberghs, and Anja G. Declercq. "The influence of municipal characteristics on the use of informal home care and home care services by the elderly Flemish." European Journal of Public Health 23, no. 2 (June 8, 2012): 241–46. http://dx.doi.org/10.1093/eurpub/cks068.

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Karlsson, Sofie, Ann Ridbäck, Elisabeth Brobeck, and Margaretha Norell Pejner. "Health Promotion Practices in Nursing for Elderly Persons in Municipal Home Care: An Integrative Literature Review." Home Health Care Management & Practice 32, no. 1 (July 13, 2019): 53–61. http://dx.doi.org/10.1177/1084822319863308.

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Elderly patients sometimes seek emergency services unnecessarily. Emergency clinics can be detrimental to the elderly. The purpose of this study was to find health promotion practices that enable a registered nurse in community health to reduce the need for home care clients to seek emergency care. The method of integrative literature review was used. Through health promotion work in the home, the registered nurses in community health (in conjunction with other professionals) can strengthen patients’ self-esteem and reduce their emergency care visits. Patient involvement is part of this work, and the registered nurses in community health needs to get to know patients to learn their health needs, design individual care plans, and find out whether they need education about their own health and/or health care services available to them. Registered nurses in community health experience difficulties in performing health promotion because they perceive that other tasks have higher priority.
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Støme, Linn Nathalie, Tron Moger, Kristian Kidholm, and Kari J. Kværner. "A Web-Based Communication Platform to Improve Home Care Services in Norway (DigiHelse): Pilot Study." JMIR Formative Research 4, no. 1 (January 20, 2020): e14780. http://dx.doi.org/10.2196/14780.

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Background Home care service in Norway is struggling to meet the increasing demand for health care under restricted budget constraints, although one-fourth of municipal budgets are dedicated to health services. The integration of Web-based technology in at-home care is expected to enhance communication and patient involvement, increase efficiency and reduce cost. DigiHelse is a Web-based platform designed to reinforce home care service in Norway and is currently undergoing a development process to meet the predefined needs of the country’s municipalities. Some of the main features of the platform are digital messages between residents and the home care service, highlighting information on planned and completed visits, the opportunity to cancel visits, and notifications for completed visits. Objective This study aimed to test the usability and economic feasibility of adopting DigiHelse in four districts in Oslo by applying registry and behavioral data collected throughout a one-year pilot study. Early health technology assessment was used to estimate the potential future value of DigiHelse, including the predictive value of behavior data. Methods Outcome measures identified by stakeholder insights and scenario drafting in the project’s concept phase were used to assess potential socioeconomic benefits. Aggregated data were collected to assess changes in health consumption at baseline, and then 15 and 52 weeks after DigiHelse was implemented. The present value calculation was updated with data from four intervention groups and one control group. A quasi-experimental difference-in-difference design was applied to estimate the causal effect. Descriptive behavioral data from the digital platform was applied to assess the usability of the platform. Results Over the total study period (52 weeks), rates increased for all outcome estimates: the number of visits (rate ratio=1.04; P=.10), unnecessary trips (rate ratio=1.37; P=.26), and phone calls (rate ratio=1.24; P=.08). A significant gap was found between the estimated value of DigiHelse in the concept phase and after the one-year pilot. In the present pilot assessment, costs are expected to exceed potential savings by €67 million (US $75 million) over ten years, as compared to the corresponding concept estimates of a potential gain of €172.6 million (US $193.6 million). Interestingly, behavioral data from the digital platform revealed that only 3.55% (121/3405) of recipients actively used the platform after one year. Conclusions Behavioral data provides a valuable source for assessing usability. In this pilot study, the low adoption rate may, at least in part, explain the inability of DigiHelse to perform as expected. This study points to an early assessment of behavioral data as an opportunity to identify inefficiencies and direct digital development. For DigiHelse, insight into why the recipients in Oslo have not made greater use of the Web-based platform seems to be the next step in ensuring the right improvement measures for the home care service.
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DUNÉR, ANNA, PÄR BJÄLKEBRING, and BOO JOHANSSON. "Merely a rhetorical promise? Older users' opportunities for choice and control in Swedish individualised home care services." Ageing and Society 39, no. 4 (October 26, 2017): 771–94. http://dx.doi.org/10.1017/s0144686x17001210.

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ABSTRACTA policy shift has taken place in Sweden towards individualised elder-care and consumer choice. The aim of the study is to investigate how older users of home care services view and experience their opportunities of exerting influence and having choice and control in their everyday living, in terms of receiving preferred services that are flexible and responsive to their actual needs and priorities. The study was conducted in three local elder-care authorities, reflecting diverse present models of organising home care services in Sweden. Data consisted of responses to a postal survey (N = 2,792) and reports from qualitative interviews (N = 28) with older users. Our findings point to similarities rather than differences between the views and experiences of the users in the three participating local municipal elder-care authorities. A majority of users were positive about their home care services. The experiences ranged from being active and enabled to choose between providers and services, to being more or less passive dependants having to rely on the decisions of family and staff. The importance of supportive relationships, and interdependence between older people and their formal as well as informal support networks, became clear. Our findings may guide policy makers in refining home care services, irrespective of preferred model. In particular, efforts to facilitate staff continuity and prevent high staff turnover need to be prioritised.
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Dissertations / Theses on the topic "Municipal home care service"

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Rhodes, Maxine. "Municipal maternity services : policy and provision 1900-1939 with particular reference to Kingston upon Hull and its Municipal Maternity Home." Thesis, University of Hull, 1996. http://hydra.hull.ac.uk/resources/hull:4620.

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Lundqvist, Pontus, and Anton Mathson. "Oral Health Care in Home Care Service – Personnels’ Perspective." Thesis, Umeå universitet, Tandläkarutbildning, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97909.

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Elderly nowadays stay longer in their own home. This raises the standards on home care service to contribute to the maintenance of elderly’s general and oral health. Our objective is therefore to explore attitudes about how home care workers view oral health care and the importance of good oral health for elderly clients. 8 subjects (22 to 61 years of age) were selected for the study working in home care service, which all gave their informed consent. Semi-structured interviews were performed, recorded and transcribed verbatim before evaluation, using qualitative content analysis. From the interviews, a result of total 19 categories and 41 subcategories were assigned which were the bases for the 10 evolved themes. The four themes best representing the study’s purpose are more thoroughly described. At a low level of abstraction attitudes such as reminding the clients to brush their teeth and importance of practical help with oral hygiene are expressed as important. Difficulties occur in forms of lack of accessibility to the oral cavity and the client’s unwillingness to co-operate. The participants also require better contact with dental services. On the emotional level, feelings such as alienation, powerlessness and fear of breaking the client’s integrity occur along with feelings of distantness and lack of interest. This leading to a conclusion of a low level of awareness together with lack of knowledge about oral care and oral health is seen among personnel in home care service, while the personnel themselves are requesting more knowledge and better contact with dental health care services.
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Tilmon-Kellum, Rosemary. "RTK Home Health Service." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10599915.

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Home health care is heavily utilized to assist homebound clientele with a variety of medical needs. Home health services greatest population is the baby boomers. This population has multiple chronic medical problems that requires surgical intervention, disabilities that limit mobility, many suffer from a loss of mental capacities, or they suffer from depression which affects their physical and mental well-being. Because this population will continue to grow over the next several years, there will continue to be a growing need for home health care. RTK Home Health Services proposes to improve the home care delivered to this population by introducing a new psychological concept that is currently helpful in Psychiatry. The goal is to introduce this service during therapy sessions to decrease the emotional perception of pain by meditating. The full name of this service is Mindfulness Based Stress Reduction Techniques. It is accomplished by instituting meditation prior to therapy to convince the client to control and manipulate their perception to pain during therapy.

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Näsström, Michael, and Anna Nordström. "Public, personal and municipal perception of eHealth in home care." Thesis, KTH, Människa och Kommunikation, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-210058.

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This project was initiated due to the need for new manners of taking care of elderly. The purpose was to determine the perception of eHealth within home care. The goal was to analyze the perception of eHealth in order to find factors which may affect the implementation of eHealth services. To distinguish the perception, surveys with health personnel within home care and the general public as well as and interviews with municipalities were performed. An extension of the Technology Acceptance Model was used in order to locate the perception to seven different categories related to eHealth. The results from the surveys were statistically analysed, and a factor analysis was executed on the surveys, in order to find groups with similar perception on eHealth. The surveys showed that the general perception of the usability and ease of use of eHealth is positive, even though one view was that the society needs to invest more money within the area. The factor analysis resulted in six different groups of perceptions for the personnel and three groups for the general public. The interviews demonstrated that a clear and common definition of eHealth is missing. Despite that, a positive perception of eHealth within the municipalities existed. A conclusion made was that with clear guidelines of how to work eHealth, a wider and faster implementation will be easier to accomplish.
Syftet med detta projekt var att undersöka inställningen till eHälsa inom äldrevården. Projektet initierades på grund av att det fanns ett behov av nya tillvägagångssätt för att ta hand om äldre människor. Målet var att analysera inställningen till eHälsa, och om möjligt, finna faktorer som kan påverka implementeringen av eHälsotjänster. För att lokalisera inställningen gjordes enkätundersökningar med personal inom hemtjänsten samt med allmänheten. Även intervjuer med kommuner utfördes. En påbyggnad av Technology Acceptance Model användes för att lokalisera upp- fattningen kring sju kategorier relaterade till eHälsa. Enkätundersökningarnas resultat analyserades statistiskt, samt så utfördes en faktoranalys för att hitta grupper som hade liknande uppfattning gällande eHälsa. Analyserna visade att den allmänna uppfattningen gällande nyttan med, och användarvänligheten av eHälsa är positiv. Majoriteten anser att samhället behöver investera mer pengar i området. Faktoranalysen resulterade i sex olika grupper av inställningar inom personalen samt tre grupper för allmänheten. Intervjuer med kommuner påvisade att en klar och tydlig definition av eHälsa saknas. Trots det, har de i stort en positiv inställning till eHälsa och dess utveckling. En slutsats är att tydligare riktlinjer rörande arbete med eHälsa skulle kunna möjliggöra en smidigare implementering.
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Forsberg, Maria, and Tora Knifström. "Följarskap - en dans i otakt? : Om följare, följarskap och dess påverkan på ledarskapinom kommunal hemtjänst." Thesis, Högskolan Dalarna, Institutionen för kultur och samhälle, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:du-37573.

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Kommunen är en stor arbetsgivare och verksamheten inom kommunal hemtjänst berördessutom många människor som kommer i kontakt med anställda inom hemtjänsten i rollensom vårdtagare. För att uppfylla organisationens mål om att en god omvårdnad ska bedrivashar forskningen tidigare mest fokuserat på betydelsen av en framgångsrik ledare. På senare tidhar även följarnas betydelse för både organisation och ledarskapet lyfts fram. Teorin om Leader-Member Exchange handlar om relationen mellan ledare och följare och detutbyte som sker där. Ledaren värderar följarens bidrag till utbytet i relationen baserat på sinagenerella föreställningar om följare, även kallat Implicit Followership Theories. Tidigareforskning har visat att om dessa generella föreställningar hos ledaren är av positiv karaktär ökardet ledarens förväntningar på följaren och kan förbättra relationen. Syftet med vårundersökning är att undersöka hur ledare inom kommunal hemtjänst ser på följarskap och omde upplever att följarskapet påverkar deras möjlighet att leda. Semistrukturerade intervjuer och tematisk analys ligger till grund för denna undersökning somutförts i en chefsgrupp inom kommunal hemtjänst. Resultaten beskriver inledningsvisdeltagarnas uppfattning om begreppet följarskap och vilka egenskaper och beteenden som ingåri deras generella uppfattning om följare. Vidare beskriver resultatet av undersökningen hurdeltagarna uppfattar sina faktiska följare och att deras generella förväntningar på följare intehelt stämmer överens med det faktiska följarskapet. Slutligen visar undersökningen tydligt attföljarskapet har påverkan på förutsättningarna för att leda.
The municipality is a large employer and the activities within the municipal home care servicealso affect many people who encounter employees within the home care service in the role ofcare recipient. To fulfill the organization's goal that good nursing should be conducted; researchhas previously mostly focused on the importance of a successful leader. In recent times, theimportance of followers for both organization and leadership has also been highlighted. The theory of Leader-Member Exchange is about the relationship between leader and followerand the exchange that takes place there. The leader values the follower's contribution to theexchange in the relationship based on his general notions of followers, also called ImplicitFollowership Theories. Previous research has shown that if these general perceptions of theleader are of a positive nature, it increases the leader's expectations of the follower and canimprove the relationship. The purpose of our survey is to investigate how leaders in themunicipal home care service view followers and whether they feel that the followers affecttheir ability to lead. Semi-structured interviews and thematic analysis form the basis for this study, which wasconducted in a management group within municipal home care. The results initially describethe participants' perception of the concept of following and what characteristics and behaviorsare included in their general perception of followers. Furthermore, the results of the surveydescribe how the participants perceive their actual followers and that their general expectationsof followers do not fully correspond to the actual followership. Finally, the survey clearlyshows that following has an impact on the conditions for leading.
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Kihlgren, Annica. "Older patients in transition : from home care towards emergency care /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-271-3/.

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Sidorowicz, Mary Lee Elizabeth. "Mexican American Careviers' Acculturation, Service Awareness, and Confidence in Home Care." Thesis, The University of Arizona, 2012. http://hdl.handle.net/10150/244799.

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The purpose of this study was to examine the relationship between acculturation, service awareness, and confidence in home care services in the Mexican American caregiver population. This research is based on a larger study by Dr. Janice Crist from 2009-2012 of Mexican American elders and caregivers known as ENCASA, or Elder and Caregiver Assistance and Support At-home. Results illustrated little overall association between acculturation and awareness. However, fear and worry, a subscale of confidence in home care services, was significantly correlated with acculturation. Results suggest a significant need to improve cultural adaptations to home care services for this population.
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O'Connor, Denise F. "The governance of home care in Ontario and England: contracts, markets and the effects on service providers, clients and workers in an era of balanced budgets /." *McMaster only, 2005.

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Lindblom, Johan, and Jonas Rosquist. "Non-disruptive value-chains in home health care." Thesis, Blekinge Tekniska Högskola, Institutionen för programvaruteknik och datavetenskap, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-3293.

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Treatment of elderly people and citizens in need of professional care is one of the most important aspects of any society to consider that aims at support for quality of life. Support for such qualitative aspects of a modern society often manifests itself by means of value-chains. However, all activities that a business or organization uses are not included in the value-chain, it is only the activities and information that generate any kind of value for the users in a particular organization that are included in the value-chains. To that end, the locality of health care related information primarily exists at the hospital and, therefore, the care of patients is most efficiently carried out at the hospital. However, if the involved information can be accessed anywhere throughout the value-chain, a possible situation would be to keep the patients in their homes without disrupting already established work practice and related value-chains. In principle, introducing new technology must not disrupt a value-chain; it must preserve or, even better, improve it. Health care is becoming more mobile and needs support for such behavior. The quantitative value to the user is quantified by means of value-chains, so it is important that they remain non-disrupted. Consequently, the fundamental concepts dealt with in this thesis are; value-chains, health care and mobile technology. The problem domain is distributed health care and we have chosen to focus on sustainability of the involved value-chains. In essence, we want to add new technology to the domain without disrupting already existing value-chains. This in order to make the distributed health care apparatus more efficient and cost effective. The main problem we have identified is regarding how medical doctors and nurses could access the same information in patients' homes as they can at the hospital.
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Harvey, C. Froggatt S. Lightowler B. and Hodge A., C. Harvey, S. Froggatt, Bryan Lightowler, and A. Hodge. "The ambulance service advanced practitioner's role in supporting care homes: a qualitative study of care staff experiences." Mark Allen Group, 2020. http://hdl.handle.net/10454/18604.

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The demand from care homes on NHS services continues to rise, with little evidence of ambulance service contribution in this area. The Yorkshire Ambulance Service provides an advanced practitioner model to support care homes in Sheffield, as an alternative to calling 999. This study investigated the experiences and needs of the care home staff who use the ambulance service advanced practitioner model. This qualitative study conducted semi-structured, face-to-face interviews with 19 staff members from 10 different care home settings. Thematic analysis using a combination of NVivo and manual coding was undertaken. The three key themes from the interviews were variations in service demand, the service user’s expectations and experience, and benefits to residents. Participants reported that good community services reduced the need to call 999, empowering carers to support residents to remain in the community. Care homes require comprehensive services that meet their needs. The advanced practitioner model provided by the ambulance service supports this, preventing unnecessary 999 calls and fitting with other community service provision.
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Books on the topic "Municipal home care service"

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New Jersey. Legislature. Senate. Committee on Aging. Public hearing before Senate Committee on Aging, Senate Bill 2132 (Home Health and Community Care Partnership Act): August 4, 1986, Council Chambers, Long Branch Municipal Building, Long Branch, New Jersey. Trenton, N.J: The Committee, 1986.

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Leeds (England). Social Services Department. Home Care Service. The Home Care Service. Leeds: Social Services Dept., LeedsCity Council, 1994.

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Statistics, Great Britain National. Community care statistics 2000: Home care/ home help service for adults, England. [London]: Office of National Statistics, 2000.

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UNISON. Home care: The forgotten service? : UNISON's campaign for the best in home care. [U.K.]: UNISON, 1998.

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Health, Botswana Ministry of. Directory of community home based care/palliative care service providers, 2014. Gaborone: Department of HIV/AIDS Prevention & Care, Ministry of Health, 2014.

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Share the care: An evaluation of a family-based respite care service. London: J. Kingley, 1990.

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Connecticut. Health Care Financing Division. Home health service fee schedule report. Hartford, Conn: The Department, 1994.

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Standards of excellence for family foster care service. New York: The League, 1995.

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UNISON. Home care: The forgotten service : Report on UNISON's survey of home care workers in the UK. 2nd ed. [U.K.]: UNISON, 2001.

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Hennessy, Catherine Hagan. Long-term care service needs of American Indian elders: The Indian Health Service, Santa Fe Service Unit. [Atlanta?]: Centers for Disease Control and Prevention, 1999.

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Book chapters on the topic "Municipal home care service"

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Erlandsen, Espen, and Finn R. Førsund. "Efficiency in the Provision of Municipal Nursing- and Home-Care Services: The Norwegian Experience." In Efficiency in the Public Sector, 273–300. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4757-3592-5_11.

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Gani, Kahina, Marinette Bouet, Michel Schneider, and Farouk Toumani. "Formal Modeling and Analysis of Home Care Plans." In Service-Oriented Computing, 494–501. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-662-45391-9_41.

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Li, Jieying. "Smart Home Care Service Platform Based on Cloud Computing." In Lecture Notes in Electrical Engineering, 1461–68. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-5959-4_178.

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Marcon, Eric, Sondes Chaabane, Yves Sallez, and Thérèse Bonte. "Caregivers Routing Problem in Home Health Care: Literature Review." In Service Orientation in Holonic and Multi-Agent Manufacturing, 319–26. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-51100-9_28.

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Clemente, F., G. Faiella, G. Rutoli, M. Romano, P. Bifulco, A. Fratini, and M. Cesarelli. "Emerging of Human Factor in Risk Analysis of Home Care Service." In IFMBE Proceedings, 1096–99. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-00846-2_271.

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Dengiz, Asiye Ozge, Kumru Didem Atalay, and Fulya Altiparmak. "Multiple Service Home Health Care Routing and Scheduling Problem: A Mathematical Model." In Advances in Manufacturing, Production Management and Process Control, 289–98. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-20494-5_27.

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Maeda, Haruhisa, Sachio Saiki, and Masahide Nakamura. "User Context Query Service Supporting Home Person-Centered Care for Elderly People." In Intelligent Human Systems Integration, 112–18. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-73888-8_19.

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Zhang, Zhizheng, and Yajun Li. "Exploring the Elders’ Information Needs on Home-Based Care: A Community Service Perspective." In Human Aspects of IT for the Aged Population. Aging, Design and User Experience, 498–509. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-58530-7_38.

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Su, Mei-Ju, Yu-Jen Hsieh, Chien-An Yao, Fei-Pei Lai, May-Hua Liao, and Heng-Shuen Chen. "The Innovation Telehospice System in Taiwan: A Home-Based Hospice Care Service Application." In Lecture Notes in Electrical Engineering, 49–58. Dordrecht: Springer Netherlands, 2012. http://dx.doi.org/10.1007/978-94-007-5857-5_6.

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Maroufkhani, Azadeh, Ettore Lanzarone, Cecily Castelnovo, and Maria Di Mascolo. "A Discrete Event Simulation Model for the Admission of Patients to a Home Care Rehabilitation Service." In Health Care Systems Engineering for Scientists and Practitioners, 91–100. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-35132-2_9.

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Conference papers on the topic "Municipal home care service"

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Auvinen, Ari-Matti, Robert Silen, Johan Groop, and Paul Lillrank. "Defining Service Elements in Home Care." In 2011 Annual SRII Global Conference (SRII). IEEE, 2011. http://dx.doi.org/10.1109/srii.2011.50.

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Borsani, Valeria, Andrea Matta, Giacomo Beschi, and Francesco Sommaruga. "A Home Care Scheduling Model For Human Resources." In 2006 International Conference on Service Systems and Service Management. IEEE, 2006. http://dx.doi.org/10.1109/icsssm.2006.320504.

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Chien-Nan Lee. "A home care service platform for mobile healthcare." In 2012 International Conference on Machine Learning and Cybernetics (ICMLC). IEEE, 2012. http://dx.doi.org/10.1109/icmlc.2012.6359670.

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Lee, NamKyung, HyunWoo Lee, and Won Ryu. "WoO based pet-care service in smart home." In 2014 International Conference on Information and Communication Technology Convergence (ICTC). IEEE, 2014. http://dx.doi.org/10.1109/ictc.2014.6983358.

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Siu, Paul K. Y., K. L. Choy, and H. Y. Lam. "An Intelligent Service Planning System for Effective Home Care Service Scheduling." In 2018 Portland International Conference on Management of Engineering and Technology (PICMET). IEEE, 2018. http://dx.doi.org/10.23919/picmet.2018.8481804.

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Smeeton, Danielle. "P-166 Volunteer home visiting service." In Transforming Palliative Care, Hospice UK 2018 National Conference, 27–28 November 2018, Telford. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-hospiceabs.191.

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Gani, Kahina, Marinette Bouet, Michel Schneider, and Farouk Toumani. "Using Timed Automata Framework for Modeling Home Care Plans." In 2015 International Conference on Service Science (ICSS). IEEE, 2015. http://dx.doi.org/10.1109/icss.2015.36.

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Xing, Qiudan, Liuye Pu, and Jia Hei. "Design and Optimization of Internet + Home Care Service Model." In 2018 2nd International Conference on Education Science and Economic Management (ICESEM 2018). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/icesem-18.2018.292.

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Park, Hyojin, Jinohng Yang, Hyeontaek Oh, GyuYeong Jeon, and Jun Kyun Choi. "WoO based emergency service support functions for smart home care." In 2014 International Conference on Information and Communication Technology Convergence (ICTC). IEEE, 2014. http://dx.doi.org/10.1109/ictc.2014.6983359.

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Su, Gao. "Community Service in Home Care for the Aged in Beijing." In Proceedings of the 2nd International Conference on Humanities Education and Social Sciences (ICHESS 2019). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/ichess-19.2019.155.

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Reports on the topic "Municipal home care service"

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Homan, Rick, and Catherine Searle. Programmatic implications of a cost study of home-based care programs in South Africa. Population Council, 2005. http://dx.doi.org/10.31899/hiv14.1001.

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The HIV/AIDS epidemic has meant that an increasing number of chronically ill people need ongoing assistance with care and support. Programs providing home-based care (HBC) services are a key component of the response to HIV/AIDS. However, few programs are using operations research, including cost studies, to decide what services to provide and how to structure their services. In 2004, the Horizons Program undertook a study of six HBC programs from different South African provinces to provide key information to NGOs, government ministries, donors, and the programs themselves to inform decisions about service delivery. The study analyzed the cost of HBC services, the best use of resources, and how well programs are able to meet the needs of beneficiaries and their families. The sample represents programs that operate in rural areas and informal settlements. This brief focuses on the coverage, organization, volume, and costs of the services and on findings from two of the methods of data collection: financial records and service statistics, and interviews with financial officers, program managers, and caregivers.
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Cedergren, Elin, Diana Huynh, Michael Kull, John Moodie, Hjördís Rut Sigurjónsdóttir, and Mari Wøien Meijer. Public service delivery in the Nordic Region: An exercise in collaborative governance. Nordregio, February 2021. http://dx.doi.org/10.6027/r2021:4.1403-2503.

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Nordic welfare states are world renowned for providing high quality public services. Nordic municipal and regional authorities, in particular, play a central role in the delivery of key public services in areas, such as, health, education, and social care. However, in recent years, public authorities have faced several challenges which have reduced capacity and resources, including long periods of austerity following the 2008 financial crash, rapid demographic changes caused by an ageing population, and the COVID-19 health crisis. In response to these challenges many public authorities have looked to inter-regional, inter-municipal and cross-border collaborations to improve the quality and effectiveness of public service delivery (OECD 2017; ESPON 2019). Indeed, collaborative public service delivery is becoming increasingly prominent in the Nordic Region due to a highly decentralized systems of governance (Nordregio 20015; Eythorsson 2018).
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Stall, Nathan M., Kevin A. Brown, Antonina Maltsev, Aaron Jones, Andrew P. Costa, Vanessa Allen, Adalsteinn D. Brown, et al. COVID-19 and Ontario’s Long-Term Care Homes. Ontario COVID-19 Science Advisory Table, January 2021. http://dx.doi.org/10.47326/ocsat.2021.02.07.1.0.

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Key Message Ontario long-term care (LTC) home residents have experienced disproportionately high morbidity and mortality, both from COVID-19 and from the conditions associated with the COVID-19 pandemic. There are several measures that could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes, if implemented. First, temporary staffing could be minimized by improving staff working conditions. Second, homes could be further decrowded by a continued disallowance of three- and four-resident rooms and additional temporary housing for the most crowded homes. Third, the risk of SARS-CoV-2 infection in staff could be minimized by approaches that reduce the risk of transmission in communities with a high burden of COVID-19. Summary Background The Province of Ontario has 626 licensed LTC homes and 77,257 long-stay beds; 58% of homes are privately owned, 24% are non-profit/charitable, 16% are municipal. LTC homes were strongly affected during Ontario’s first and second waves of the COVID-19 pandemic. Questions What do we know about the first and second waves of COVID-19 in Ontario LTC homes? Which risk factors are associated with COVID-19 outbreaks in Ontario LTC homes and the extent and death rates associated with outbreaks? What has been the impact of the COVID-19 pandemic on the general health and wellbeing of LTC residents? How has the existing Ontario evidence on COVID-19 in LTC settings been used to support public health interventions and policy changes in these settings? What are the further measures that could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes? Findings As of January 14, 2021, a total of 3,211 Ontario LTC home residents have died of COVID-19, totaling 60.7% of all 5,289 COVID-19 deaths in Ontario to date. There have now been more cumulative LTC home outbreaks during the second wave as compared with the first wave. The infection and death rates among LTC residents have been lower during the second wave, as compared with the first wave, and a greater number of LTC outbreaks have involved only staff infections. The growth rate of SARS-CoV-2 infections among LTC residents was slower during the first two months of the second wave in September and October 2020, as compared with the first wave. However, the growth rate after the two-month mark is comparatively faster during the second wave. The majority of second wave infections and deaths in LTC homes have occurred between December 1, 2020, and January 14, 2021 (most recent date of data extraction prior to publication). This highlights the recent intensification of the COVID-19 pandemic in LTC homes that has mirrored the recent increase in community transmission of SARS-CoV-2 across Ontario. Evidence from Ontario demonstrates that the risk factors for SARS-CoV-2 outbreaks and subsequent deaths in LTC are distinct from the risk factors for outbreaks and deaths in the community (Figure 1). The most important risk factors for whether a LTC home will experience an outbreak is the daily incidence of SARS-CoV-2 infections in the communities surrounding the home and the occurrence of staff infections. The most important risk factors for the magnitude of an outbreak and the number of resulting resident deaths are older design, chain ownership, and crowding. Figure 1. Anatomy of Outbreaks and Spread of COVID-19 in LTC Homes and Among Residents Figure from Peter Hamilton, personal communication. Many Ontario LTC home residents have experienced severe and potentially irreversible physical, cognitive, psychological, and functional declines as a result of precautionary public health interventions imposed on homes, such as limiting access to general visitors and essential caregivers, resident absences, and group activities. There has also been an increase in the prescribing of psychoactive drugs to Ontario LTC residents. The accumulating evidence on COVID-19 in Ontario’s LTC homes has been leveraged in several ways to support public health interventions and policy during the pandemic. Ontario evidence showed that SARS-CoV-2 infections among LTC staff was associated with subsequent COVID-19 deaths among LTC residents, which motivated a public order to restrict LTC staff from working in more than one LTC home in the first wave. Emerging Ontario evidence on risk factors for LTC home outbreaks and deaths has been incorporated into provincial pandemic surveillance tools. Public health directives now attempt to limit crowding in LTC homes by restricting occupancy to two residents per room. The LTC visitor policy was also revised to designate a maximum of two essential caregivers who can visit residents without time limits, including when a home is experiencing an outbreak. Several further measures could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes. First, temporary staffing could be minimized by improving staff working conditions. Second, the risk of SARS-CoV-2 infection in staff could be minimized by measures that reduce the risk of transmission in communities with a high burden of COVID-19. Third, LTC homes could be further decrowded by a continued disallowance of three- and four-resident rooms and additional temporary housing for the most crowded homes. Other important issues include improved prevention and detection of SARS-CoV-2 infection in LTC staff, enhanced infection prevention and control (IPAC) capacity within the LTC homes, a more balanced and nuanced approach to public health measures and IPAC strategies in LTC homes, strategies to promote vaccine acceptance amongst residents and staff, and further improving data collection on LTC homes, residents, staff, visitors and essential caregivers for the duration of the COVID-19 pandemic. Interpretation Comparisons of the first and second waves of the COVID-19 pandemic in the LTC setting reveal improvement in some but not all epidemiological indicators. Despite this, the second wave is now intensifying within LTC homes and without action we will likely experience a substantial additional loss of life before the widespread administration and time-dependent maximal effectiveness of COVID-19 vaccines. The predictors of outbreaks, the spread of infection, and deaths in Ontario’s LTC homes are well documented and have remained unchanged between the first and the second wave. Some of the evidence on COVID-19 in Ontario’s LTC homes has been effectively leveraged to support public health interventions and policies. Several further measures, if implemented, have the potential to prevent additional LTC home COVID-19 outbreaks and deaths.
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A client-centered approach to reproductive health: A trainer's manual. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1015.

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This training manual grew out of a project to improve the quality of care rendered by public-sector providers of reproductive health services. Implemented by the Population Council in collaboration with the Ministries of Population, Welfare, and Health, in Pakistan, the project extended beyond improving the quality of care provided by family planning workers and incorporated health workers who provided maternal and child health services. The success of all efforts made by the service delivery system in attracting and keeping clients depends upon the content and quality of interaction when the client comes in contact with the provider—whether the client is visiting a clinic or being visited by a community-based worker at home. To offer good quality of care, the provider should treat the client with dignity and respect, assess her reproductive health needs by asking questions rather than making assumptions based on her profile, and help her negotiate a solution appropriate to her circumstances. This training manual is oriented toward improving providers’ interpersonal skills. Emphasis is placed on the client and helping her meet her own needs rather than on meeting artificial goals or targets.
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