Artículos de revistas: "Long-Term Care Of The Aged"

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Teshuva, Karen. "Long-term care assisting: Aged care and disability". Australasian Journal on Ageing 27, n.º 1 (marzo de 2008): 54. http://dx.doi.org/10.1111/j.1741-6612.2007.00279.x.

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Rivlin, Alice M., Joshua M. Wiener, Raymond J. Hanley y Denise A. Spence. "Financing Long-Term Care for the Aged". Brookings Review 6, n.º 4 (1988): 40. http://dx.doi.org/10.2307/20080063.

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Jukic, Marijan y Jeromey B. Temple. "Recommended long term care settings following aged care assessments in Australia". PLOS ONE 13, n.º 11 (29 de noviembre de 2018): e0204342. http://dx.doi.org/10.1371/journal.pone.0204342.

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Csesko, Monika y Richard Reed. "Will residential aged care facilities meet long‐term demand?" Property Management 27, n.º 1 (6 de febrero de 2009): 58–74. http://dx.doi.org/10.1108/02637470910932674.

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Legrain, Sylvie, Claudine Berr, Nicole Frenoy, Véronique Gourlet, Brigitte Debuire y Etienne-Emile Baulieu. "Dehydroepiandrosterone Sulfate in a Long-term Care Aged Population". Gerontology 41, n.º 6 (1995): 343–51. http://dx.doi.org/10.1159/000213706.

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Değirmenci, Serkan. "Long-Term Care in Turkey: Towards a Growing Crisis of Aged Care". Journal of Population and Social Studies 30 (3 de abril de 2022): 542–61. http://dx.doi.org/10.25133/jpssv302022.031.

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Turkey exemplifies a typical familialistic long-term care regime as having a negligible degree of state and market participation in the active delivery of aged care services. However, demographic and economic changes necessitate a transition towards a new type of care regime. An upward shift in the population’s age structure and increasing economic strains weaken the caregiving capacities of Turkish families. This paper analyzes demographic and economic factors within a demand-supply framework to question the future sustainability of the existing care regime. It presents descriptive evidence for a growing crisis of aged care in Turkey by focusing on long-term care. It also assesses the implications of a cash-for-care (CfC) scheme devised by the government to keep the care provision of disabled older people within the family sphere. Overall, this paper contributes to the ongoing debates on the distribution of aged care responsibilities by conceptualizing the proposed solution as semi-familialized care–namely, a set of alternative strategies to overcome the aged care challenges families face in Turkey. The main pillars of this proposal are much greater involvement of the state in aged care, together with some support services and entitlements granted to the family caregivers.

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Crabtree, J. L. y L. M. Caron-Parker. "Long-Term Care of the Aged: Ethical Dilemmas and Solutions". American Journal of Occupational Therapy 45, n.º 7 (1 de julio de 1991): 607–12. http://dx.doi.org/10.5014/ajot.45.7.607.

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Kart, Cary S. "Variation in Long-Term Care Service Use by Aged Blacks". Journal of Aging and Health 3, n.º 4 (noviembre de 1991): 511–26. http://dx.doi.org/10.1177/089826439100300405.

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Clapin-French, Eileen. "Sleep patterns of aged persons in long-term care facilities". Journal of Advanced Nursing 11, n.º 1 (enero de 1986): 57–66. http://dx.doi.org/10.1111/j.1365-2648.1986.tb01220.x.

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Filinson, Rachel, Darek Niklas y Piotr Chmielewski. "Brief Report: Long-term Care for the Aged in Poland". Ageing International 35, n.º 4 (17 de septiembre de 2010): 286–92. http://dx.doi.org/10.1007/s12126-010-9070-3.

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Kirwin, Patricia M. "The challenge of community long-term care: The dependent aged". Journal of Aging Studies 2, n.º 3 (septiembre de 1988): 255–66. http://dx.doi.org/10.1016/0890-4065(88)90005-9.

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Fan, Ruiping. "Confucian Filial Piety and Long Term Care for Aged Parents". HEC Forum 18, n.º 1 (marzo de 2006): 1–17. http://dx.doi.org/10.1007/s10730-006-7984-7.

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Kane, Jennifer y Kay de Vries. "Dignity in long-term care". Nursing Ethics 24, n.º 6 (24 de enero de 2016): 744–51. http://dx.doi.org/10.1177/0969733015624487.

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Background: The concept of dignity is recognised as a fundamental right in many countries. It is embedded into law, human rights legislation and is often visible in organisations’ philosophy of care, particularly in aged care. Yet, many authors describe difficulties in defining dignity and how it can be preserved for people living in long term care. Objectives: In this article, Nordenfelt’s ‘four notions of dignity’ are considered, drawing on research literature addressing the different perspectives of those who receive, observe or deliver care in the context of the long-term care environment. Methods: A review of the literature was undertaken using the terms ‘nursing homes’, ‘residential care’ or ‘long-term care’. The terms were combined and the term ‘human dignity’ was added. A total of 29 articles met the inclusion criteria from the United Kingdom (14), United States (2), Australia (1), Sweden (3), Hong Kong (2), Norway (3), Nordic (1), Taiwan (1), Netherlands (1). Ethical Considerations: Every effort has been made to ensure an unbiased search of the literature with the intention of an accurate interpretation of findings. Discussion: The four notions of dignity outlined by Nordenfelt provide a comprehensive description of the concept of dignity which can be linked to the experiences of people living in long-term care today and provide a useful means of contextualising the experiences of older people, their families and significant others and also of staff in long-term care facilities. Of particular interest are the similarities of perspectives of dignity between these groups. The preservation of dignity implies that dignity is a quality inherent in us all. This links directly to the exploration and conclusions drawn from the literature review. Conversely, promoting dignity implies that dignity is something that can be influenced by others and external factors. Hence, there are a number of implications for practice. Conclusion: We suggest that two of Nordenfelt’s notions, ‘dignity of identity’ and ‘dignity of Menschenwüde’, are a common thread for residents, family members and staff when conceptualising dignity within long-term care environments.

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Hume, Margee, Jeffrey Soar, S. Jonathan Whitty, Craig Hume, Faeka El Sayed y Paul Johnston. "Aged Care Informatics". International Journal of Enterprise Information Systems 10, n.º 2 (abril de 2014): 1–20. http://dx.doi.org/10.4018/ijeis.2014040101.

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Aged care is projected to be the fastest-growing sector within health and community care industries Strengthening the care-giving workforce, compliance, delivery and technology is not only vital to our social infrastructure and improving the quality of care, but also has the potential to drive long-term economic growth and contribute to the GDP. This paper examines the role of knowledge management (KM) in aged care organizations to assist in the delivery of aged care. With limited research related to KM in aged care, this paper advances knowledge and offers a unique view of KM from the perspective of 22 aged care stakeholders. Using in-depth interviewing, this paper explores the definition of knowledge in aged care facilities, the importance of knowledge planning, capture and diffusion for accreditation purposes and offers recommendations for the development of sustainable knowledge management practice and development. The paper culminates in an offering a checklist for aged care facilities and advances the discourse in this sector.

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Weissert, William G. "Hard Choices: Targeting Long-Term Care to the “At Risk” Aged". Journal of Health Politics, Policy and Law 11, n.º 3 (1986): 463–81. http://dx.doi.org/10.1215/03616878-11-3-463.

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Lee, Hoyong. "Social Security Marketization and the Aged Long-term Care Service Insurance". Institute for Legal Studies 33, n.º 1 (31 de marzo de 2016): 135–60. http://dx.doi.org/10.18018/hylr.2016.33.1.135.

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Huijun, Cynthia Chen y Ngee Choon Chia. "Disability and Long-Term Care in Singapore". Innovation in Aging 4, Supplement_1 (1 de diciembre de 2020): 705. http://dx.doi.org/10.1093/geroni/igaa057.2476.

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Abstract Public systems for long term care (LTC) redistribute resources between generations. Population aging is one of the most significant transformations in the 21st century, where the number of older persons aged 60 years and above is expected to double by 2050, rising to 2.1 billion. We used the Future Elderly Model (FEM) to project the impact of population aging in Singapore up to the year 2050. The FEM is a dynamic economic and demographic microsimulation model. By 2050, the total number of older adults with potential limitation in activities of daily living (ADL) was projected to increase to 275 thousand (18.9%). With the increasing prevalence of disability and chronic diseases, older adults might not have sufficient savings to meet future needs sustainably, despite the expansion of disability insurance from ElderShield to CareShield Life. Lessons and best practices for LTC could be transferred from our experiences to other aging cities globally. Part of a symposium sponsored by International Comparisons of Healthy Aging Interest Group.

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Howe, Anna L. "Commentary on long-term care insurance and the market for aged care in Japan". Australasian Journal on Ageing 33, n.º 3 (septiembre de 2014): 140–41. http://dx.doi.org/10.1111/ajag.12073.

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Koltz, Daniel y Rebecca Koltz. "SUCCESSFUL TRANSITIONS TO LONG-TERM CARE COMMUNITIES". Innovation in Aging 6, Supplement_1 (1 de noviembre de 2022): 701. http://dx.doi.org/10.1093/geroni/igac059.2566.

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Abstract Older adults who transition to independent and assisted-living communities perceive their transition experience differently. This research focused on understanding what factors were predominant for a successful transition from a long-time home to a dependent living community. A constructivist grounded theory method was used to explore the experiences of 18 older adults who had relocated within the past year. The participants of this study were aged 65-95 years and are equally represented by gender. Equal numbers of respondents transitioned into independent and assisted-living accommodations. Five factors related to a central concept of behavioral attitude were found to be key for a successful transition. When an older adult reported a successful transition, their behavioral attitude was positive about their new living environment. The five factors that contributed to their positive attitude are creating a new place, increased community integration, sense of safety and security, independence while dependent, and accepting a new life stage. The theory that emerged from the research emphasizes that when an older adult has increased awareness about the five factors associated with adapting to a dependent living community, this awareness will promote a positive behavioral attitude and increase the opportunity for success during and after a transition. Family members, LTC community administrators and social workers could all benefit from understanding these factors for a successful transition. Enhancing a positive experience for an older adult and improving their behavioral attitude toward the new transition.

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Brumpton, Robyn, Debra K. Creedy y Wendy Moyle. "Staff perceptions of an infection control programme in long-term aged care". Australian Infection Control 9, n.º 4 (diciembre de 2004): 126–36. http://dx.doi.org/10.1071/hi04126.

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Jorgensen, Mikaela, Joyce Siette, Andrew Georgiou y Johanna I. Westbrook. "Longitudinal variation in pressure injury incidence among long-term aged care facilities". International Journal for Quality in Health Care 30, n.º 9 (4 de mayo de 2018): 684–91. http://dx.doi.org/10.1093/intqhc/mzy087.

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Ruff, Saralyn Carola, Chloe L. Jones y June Madsen Clausen. "A Descriptive Analysis of Long-Term Treatment with Adolescent-Aged Foster Youth". Journal of Child & Adolescent Trauma 12, n.º 3 (10 de noviembre de 2018): 331–40. http://dx.doi.org/10.1007/s40653-018-0233-9.

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Young, Yuchi y Barbara Resnick. "Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care". Innovation in Aging 4, Supplement_1 (1 de diciembre de 2020): 704. http://dx.doi.org/10.1093/geroni/igaa057.2474.

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Abstract The world population is aging. The proportion of the population over 60 will nearly double from 12% in 2015 to 22% in 2050. Global life expectancy has more than doubled from 31 years in 1900 to 72.6 years in 2019. The need for long-term care (LTC) services is expanding with the same rapidity. A comprehensive response is needed to address the needs of older adults. Learning from health systems in other countries enables health systems to incorporate best long-term care practices to fit each country and its culture. This symposium aims to compare long-term care policies and services in Taiwan, Singapore, and the USA where significant growth in aging populations is evidenced. In 2025, the aging population will be 20% in Taiwan, 20% in Singapore and 18 % in the USA. In the case of Taiwan, it has moved from aging society status to aged society, and to super-aged society in 27 years. Such accelerated rate of aging in Taiwan is unparalleled when compared to European countries and the United States. In response to this dramatic change, Taiwan has passed long-term care legislation that expands services to care for older adults, and developed person-centered health care that integrates acute and long-term care services. Some preliminary results related to access, care and patterns of utilization will be shared in the symposium. International Comparisons of Healthy Aging Interest Group Sponsored Symposium.

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Jette, Carmen C. Brenes y Robert Remien. "Hispanic Geriatric Residents in a Long-Term Care Setting". Journal of Applied Gerontology 7, n.º 3 (septiembre de 1988): 350–66. http://dx.doi.org/10.1177/073346488800700306.

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While admission to long-term care facilities is often a stressful and disruptive experience for elders and their families, it can be particularly traumatic for Hispanics. In addition to common losses experienced in the process of institutionalization (e.g., loss of home, social network, and autonomy). Hispanic older adults lose the social context for the expression and reinforcement of cultural values such as “ respeto,” “ personalismo,” and “ confianza.” Because of cultural and language differences, some Hispanics face unique obstacles in adjusting to institutional living. We propose that the special circumstances aged Hispanics face in long-term care adversely affect quality of life and place them at risk for psychological disturbances (e.g., anxiety, depression, acting-out behaviors). After a discussion of issues in the context of the relevant literature, we propose some preventive and interventive strategies, discuss case studies that illustrate salient issues to adjustment, and generate a series of testable hypotheses.

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Ogura, Seiritsu y Akiko Oishi. "Hospital Regulations and the Long-term Care for the Aged Patients in Japan". Iryo To Shakai 4, n.º 2 (1995): 70–108. http://dx.doi.org/10.4091/iken1991.4.2_70.

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Sasaki, Kuniaki, Yoko Aihara y Kiyoshi Yamasaki. "The effect of accessibility on aged people's use of long-term care service". Transportation Research Procedia 25 (2017): 4381–91. http://dx.doi.org/10.1016/j.trpro.2017.05.320.

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Kim, Kyung-Woo y Kun-Sik Choi. "Research on Impacts of Depression Among the Aged in the Long-Term Care". Journal of the Korea Society of Computer and Information 17, n.º 11 (30 de noviembre de 2012): 179–88. http://dx.doi.org/10.9708/jksci/2012.17.11.179.

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Visapää, Juhani. "Significant changes in the terminal care of aged patients in the long-term care in Helsinki". Scandinavian Journal of Social Medicine 26, n.º 1 (enero de 1998): 53–55. http://dx.doi.org/10.1177/14034948980260011101.

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Naglie, Gary, Margaret McArthur, Andrew Simor, Monika Naus, Angela Cheung y Allison McGeer. "Tuberculosis Surveillance Practices in Long-Term Care Institutions". Infection Control & Hospital Epidemiology 16, n.º 3 (marzo de 1995): 148–51. http://dx.doi.org/10.1017/s0195941700007281.

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AbstractObjecitves:To identify the tuberculosis (TB) skin-testing practices of long-term care facilities for the elderly in Toronto, Ontario.Design:A telephone survey using a 25-item questionnaire.Setting:Twenty-nine nursing homes (NHs) and 26 Homes for the Aged (HFAs) in metropolitan Toronto.Results:Thirty-one percent of facilities (17 of 55) had no formal tuberculin skin-testing program, including 52% of NHs (15 of 29) versus 8% of HFAs (2 of 26; P= 0.001). Ninety-two percent of HFAs (24 of 26) compared with 45% of NHs (13 of 29), obtained preadmission or admission skin-test status of residents (P= 0.0005). Annual testing was performed at 46% of HFAs (12 of 26) and 27% of NHs (8 of 29; P= 0.28). Of facilities that carried out any skin testing, 64% of HFAs (16 of 25) versus 32% of NHs (6 of 19) measured induration to establish test positivity (P=0.068). Fifty-two percent of HFAs (13 of 25), compared with 21% of NHs (4 of 19), recorded the actual size of induration in the patient record (P=0.085). Only 28% of HFAs (7 of 25) and 21% of NHs (4 of 19) correctly defined a positive tuberculin skin test.Conclusions:TB surveillance practices in long-term care institutions in Toronto are inadequate and often yield results that do not predict the risk of infection and cannot be used to investigate outbreaks. Tuberculin skin-testing practices were better at HFAs, which are subject to provincial legislation regarding TB surveillance, than at NHs, which are not subject to this legislation. Staff at HFAs and NHs require education regarding tuberculin skin-testing policies and procedures.

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Hajek, André, Thomas Lehnert, Annemarie Wegener, Steffi Riedel-Heller y Hans-Helmut König. "Do Individuals in Old Age Prepare for the Risk of Long-Term Care? Results of A Population-Based Survey in Germany". International Journal of Environmental Research and Public Health 15, n.º 10 (8 de octubre de 2018): 2189. http://dx.doi.org/10.3390/ijerph15102189.

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The aim of the present study was to identify specific actions and financial precautions undertaken by individuals in preparation for their long-term care needs, as well as to determine the correlates of these actions. A population-based survey of the German population aged 65 years and above (n = 1006) was used. Individuals were asked whether they have undertaken financial preparations for their long-term care needs (no; yes). With respect to specific actions, individuals were asked whether they (no; yes): (i) Had obtained information (e.g., from doctor, internet, care support center, care facility), (ii) had modified their home (e.g., installed a stair lift), and (iii) had moved (e.g., old-age housing, care in relatives’ homes). In total, 30.4% had undertaken financial preparations for their long-term care needs. With respect to the specific actions undertaken, 6.5% had obtained information, 4.8% modified their home, and 7.3% had moved. The outcome measure, ‘had modified home’, was positively associated with lower age, West Germany, and lower self-rated health. The outcome measure, ‘had moved’, was positively associated with being female, and higher education. The outcome measure, ‘financial preparations for long-term care needs‘, was positively associated with lower age, West Germany, higher education, being born in Germany, and private health insurance. It is alarming that only around one in three individuals aged 65 and older had undertaken financial preparations for long-term care needs, and that far fewer individuals had undertaken other actions to prepare for their long-term care needs. The provision of timely information regarding the risk of long-term care, as well as its associated costs, may assist in sustaining the satisfaction of long-term care recipients. It may also help to reduce the risk of long-term care for individuals in old age.

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Halásková, Renáta, Pavel Bednář y Martina Halásková. "Forms of Providing and Financing Long-Term Care in OECD Countries". Review of Economic Perspectives 17, n.º 2 (1 de junio de 2017): 159–78. http://dx.doi.org/10.1515/revecp-2017-0008.

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Abstract Long-term care is being prioritised due to population ageing, and hand in hand with the development of professional provision of long-term care, public expendi-tures will be increasing. Mainly countries with a sharp increase in the number of people aged 80+ will have to address the sustainability of long-term care systems and the pro-curement of relevant services. This paper aims to evaluate the forms of provision and financing of long-term care in selected OECD countries. Provision and funding of long-term care in terms of a formal system are assessed based on selected criteria using analytical methods (principal component analysis and TwoStep cluster analysis). Results of the evaluation carried out in 2008 and 2013 by means of the selected indicators of long-term care, using TwoStep cluster analysis, confirmed both similar as well as different approaches to the provision and financing of long-term care in the analysed countries. The most marked differences in the provision of care based on indicators LTC recipients aged 65+ and LTC recipients in institutions as a percentage of total LTC recipients were found between the first cluster (Australia and Korea with the highest share of LTC recipients) and the second cluster (Czech Republic, Estonia, with the lowest share of LTC recipients). In financing of long-term care (LTC expenditures on institutions as a percentage of total LTC expenditures), the most significant differences were observed between the first (Australia, Korea, with the largest share of LTC expenditures on institutions) and third cluster (mainly Nordic countries, with the lowest share of LTC expenditures on institutions of total LTC expenditures).

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Schmeida, Mary y Ramona McNeal. "Medicaid Expansion". International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment 2, n.º 2 (julio de 2018): 42–53. http://dx.doi.org/10.4018/ijppphce.2018070103.

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U.S. longevity is placing a demand on long-term care services for the impaired and elderly. Medicaid is the primary insurance program in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from costly facilities toward home and community-based care. Not all states choose to expand their Medicaid long-term care program despite the financial incentive, but instead they continue spending on nursing facility care despite the less costly option of community care. This article explores why some states have been reluctant to expand long-term care into the community. Regression analysis and 50 state-level data is used.

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Madas, Eshwar y Nicola North. "Management challenges faced by managers of New Zealand long-term care facilities". Australian Health Review 23, n.º 1 (2000): 100. http://dx.doi.org/10.1071/ah000100.

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This article reports on a postal survey of 78 long-term care managers in one region ofNew- Zealand, of whom 45 (58%) responded. Most long-term care managers (73.2%) weremiddle-aged females holding nursing but not management qualifications. Most long-termcare facilities (69%) tended to be stand-alone facilities providing a single type of care (resthome or continuing care hospital). The most prominent issues facing managers wereconsidered to be inadequate funding to match the growing costs of providing long-term careand occupancy levels. Managers believed that political/regulatory, economic and social factorsinfluenced these issues. Despite a turbulent health care environment and the challenges facingmanagers, long-term care managers reported they were coping well and valued networking.

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Kelly, Fiona, Mary Reidy, Suzanne Denieffe y Catherine Madden. "Older adults' views on their person-centred care needs in a long-term care setting in Ireland". British Journal of Nursing 28, n.º 9 (9 de mayo de 2019): 552–57. http://dx.doi.org/10.12968/bjon.2019.28.9.552.

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Background: person-centred care should be responsive to the needs of older adults in long-term care. It is central to collaborative and high-quality healthcare delivery. Aim: to explore the perceptions of older Irish adults aged 65 years of age or more regarding the person-centred climate of the long-term care setting in which they live. Method: a cross-sectional study design using the Person-centered Climate Questionnaire–Patient (PCQ-P) was used to survey 56 older adults in a long-term care setting. Results: overall, residents considered the setting to be hospitable, welcoming, clean and safe; the mean (SD) scale score was 5.39 (0.520). Psychosocial concerns about adapting to living in long-term care environments need to be addressed, particularly among the younger male residents when compared with older male residents (53.8% v 86.7%, P=0.018). Conclusion: older people in long-term care may prioritise different facets of person-centredness to staff. Further research of approaches used in Irish older adult long-term person-centred care delivery is warranted.

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Xiong, Beibei, Shannon Freeman, Davina Banner y Lina Spirgiene. "Hospice Utilization Among Residents in Long-Term Care Facilities". Journal of Palliative Care 36, n.º 1 (24 de febrero de 2020): 50–60. http://dx.doi.org/10.1177/0825859720907415.

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Background: Hospice care can improve quality of life for persons nearing end of life, yet little is known about utilization of hospice care among persons residing in long-term care facilities (LTCFs). Given the increasing number of deaths that occur in LTCFs, it is important to examine hospice care practices in LTCFs. Aim: The aim of the cross-sectional study was to describe residents who received hospice care in LTCFs and explore factors that can predict hospice use in LTCFs across Canada. This study included 185 715 residents aged 19 years or older in LTCFs in Canada in 2015. Results: Of all residents, 2.7% (n = 4973) received hospice care and 6.8% (n = 12 684) were profiled as having an end-stage disease. Among those who received hospice care, most were noted as end stage (89.5%) and had severe physical impairment (Activities of Daily Living Hierarchy Scale ≥ 5, 74.3%), mild-to-severe pain (Pain Scale ≥ 1, 76.0%), and moderate-to-severe health instability (Changes in Health, End-Stage Disease, Signs, and Symptoms Scale ≥3, 82.9%). Residents who received hospice care were in more severe and complex clinical conditions than those who did not receive hospice care. Conclusion: Only a small proportion of residents in LTCFs received hospice care. Further investigation of standardized assessment of terminal status is needed as accuracy of end-stage diagnosis continues to be challenging and criteria for hospice eligibility are narrow. Special attention should be paid to improve access to hospice care among residents with dementia or other progressive chronic diseases with severe and complex clinical needs.

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FINE, MICHAEL y JENNY CHALMERS. "‘User pays’ and other approaches to the funding of long-term care for older people in Australia". Ageing and Society 20, n.º 1 (enero de 2000): 5–32. http://dx.doi.org/10.1017/s0144686x99007643.

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It has been argued that without some system in which future generations of users are able to pay for their care the cost of services for an increasingly large group of older people will be borne by a declining base of economically active younger people. Is the answer a user pays approach to the financing of aged care, as promoted by recent changes to aged care financing? This paper reviews this concept and its recent history in Australia. On the basis of a brief review of alternative funding systems, it also considers the potential of public and private insurance schemes to increase funding by potential service users and underwrite the long-term viability of funding for aged care services.

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이혜경 y ByoungRock Lee. "The Difference of the Need for Long-term Care Services between the Younger Aged and the Older Aged". Korean Journal of Gerontological Social Welfare ll, n.º 42 (diciembre de 2008): 7–26. http://dx.doi.org/10.21194/kjgsw..42.200812.7.

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Basu, Rashmita. "Long-Term Care Market Trend and Patterns of Caregiving in the United States". Innovation in Aging 4, Supplement_1 (1 de diciembre de 2020): 84–85. http://dx.doi.org/10.1093/geroni/igaa057.278.

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Abstract Objectives: The current study aims to: 1) identify patterns of the use of long-term care services and supports (LTSS) among community-dwelling individuals; 2) examine if the changes in supply of formal care predict the use of informal care (IC). Methods: Linking the market supply of formal LTSS to individual level Health and Retirement Survey data from (N=7,781), descriptive and regression analysis were performed. Results: Supply of formal home and residential LTSS indicates a stronger upward trend. More than 90% of people used IC and 40% received both informal and formal help. People aged under 60 years, IC from spouse dominates but then falls sharply and an adult child becomes the primary source. More than 20% reported unmet needs. Regression analysis indicates that the formal home care supply significantly predicts the likelihood of using IC. But the rate and intensity of unpaid IC use among individuals aged 85 or older is low and that of paid formal care use are highest. We find that about 20% of care recipients experienced at least one unmet need with ADL assistance in our sample. The prevalence of an unmet need sharply decreases as individuals receive care from multiple caregivers (including paid professionals) but receiving care from too many caregivers contributes to higher unmet ADL needs. Discussion: The findings suggest opportunities to create a holistic system of care for people needing LTSS.

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Marquet, P., C. Clamagirand, L. Cynober, C. Moinard y B. Allinquant. "PP321 LONG-TERM SUPPLEMENTATION WITH CITRULLINE IN AGED RATS: CHANGES IN RAFT HIPPOCAMPUS". Clinical Nutrition Supplements 5, n.º 2 (enero de 2010): 149. http://dx.doi.org/10.1016/s1744-1161(10)70396-3.

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Polevaya, Natalia Mihailovna. "LONG-TERM CARE SYSTEM FOR ELDERLY AGED CITIZENS AND PERSONS IN NEED OF PERSONAL CARE: IMPLEMENTATION RESULTS". Вестник Амурского государственного университета. Серия: Гуманитарные науки, n.º 96 (2022): 63–66. http://dx.doi.org/10.22250/20730284_2022_96_63.

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Lee, Hyo Young, Eunok Park y Young-ran Chin. "The improvement of long-term care service in Korea through the review of Australian aged care system". Korean Journal of Health Service Management 12, n.º 4 (31 de diciembre de 2018): 85–102. http://dx.doi.org/10.12811/kshsm.2018.12.4.085.

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Park, Yoon-Jin y Nam Cho Kim. "Development of Health Assessment Tool for Middle-aged Adults in Long-term Care Settings". Korean Journal of Rehabilitation Nursing 20, n.º 1 (30 de junio de 2017): 1–11. http://dx.doi.org/10.7587/kjrehn.2017.1.

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Zhang, Kaining, David Zakus y Chuqun Gao. "Long-term care for aged ethnic minority people in Yunnan, China: Understanding the situation". Family Medicine and Community Health 4, n.º 3 (1 de julio de 2016): 64–68. http://dx.doi.org/10.15212/fmch.2016.0119.

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Tariq, Amina, Andrew Georgiou, Magdalena Raban, Melissa Therese Baysari y Johanna Westbrook. "Underlying risk factors for prescribing errors in long-term aged care: a qualitative study". BMJ Quality & Safety 25, n.º 9 (14 de octubre de 2015): 704–15. http://dx.doi.org/10.1136/bmjqs-2015-004589.

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Zhang, Jane. "Long-term Care for the aged: critical issues and challenges to China's sustainable development". World Review of Entrepreneurship, Management and Sustainable Development 2, n.º 1/2 (2006): 126. http://dx.doi.org/10.1504/wremsd.2006.009080.

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Kondo, Ayako. "Availability of Long-term Care Facilities and Middle-aged People's Labor Supply in Japan". Asian Economic Policy Review 12, n.º 1 (enero de 2017): 95–112. http://dx.doi.org/10.1111/aepr.12163.

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Yamanaka, Takashi, Maiko Mizuki, Kiwami Kidana y Ryonosuke Yamaga. "Characteristics and Prognoses of Long-Term Home Care Patients". Innovation in Aging 5, Supplement_1 (1 de diciembre de 2021): 612. http://dx.doi.org/10.1093/geroni/igab046.2341.

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Abstract With demographic aging, many older adults require home medical care. Although home-based primary care is promoted in the United States and Japan, there is insufficient evidence about it. We aimed to study the characteristics and prognoses of long-term home care patients. We prospectively registered 151 patients, estimated to receive physician home visits for more than six months, in a clinic in Chiba, Japan, in 2020. The mean (±SD) age was 83.9±10.0 years and ranged from 31 to 102 years. Most patients were men (60.3%) and aged 65 years or above (95.3%). We investigated clinical information, the Edmonton Symptom Assessment System Revised Japanese version (ESAS-r-J), Dementia Assessment Sheet in Community-based Integrated Care System 21 items (DASC-21), EuroQOL 5 dimensions 5-level (EQ-5D-5L) every six months, and the incidence of hospital admission, death, and patient transportation by ambulance. The most frequent diagnoses were dementia (31.1%), bone and articular diseases (17.2%), cerebrovascular diseases (11.9%), organ failure (9.3%), and neurological diseases (9.3%). Most patients (78.2%) showed more than 30 points on the DASC-21, suggesting cognitive impairment. Worse wellbeing, drowsiness, tiredness, anxiety, depression, and pain were the most prevalent symptoms. EQ-5D-5L index values were distributed around–0-0.2 and 0.4-0.7. During the first three months of physician home visits, 21.9% of patients had hospital admissions, 12.5% of them died, and 11.7% required hospital transportation by an ambulance. In this study, most long-term home care patients suffered from cognitive impairment. In addition to receiving care for daily life, these patients require intensive medical management.

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Wong, Carol, Edmund J. Walsh, Kayla N. Basacco, Monica C. Mendes Domingues y Darrin R. H. Pye. "Authentic leadership and job satisfaction among long-term care nurses". Leadership in Health Services 33, n.º 3 (6 de junio de 2020): 247–63. http://dx.doi.org/10.1108/lhs-09-2019-0056.

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Purpose The purpose of this study is to examine the effects of managers’ authentic leadership, person–job match in the six areas of worklife (AWLs) and emotional exhaustion on long-term care registered nurses’ job satisfaction. Design/methodology/approach A secondary analysis of baseline data from a national survey of 1,410 Canadian registered nurses from various work settings was used in this study, which yielded a subsample of 78 nurses working in direct care roles in long-term care settings. Hayes’ PROCESS macro for mediation analysis in SPSS was used to test the hypothesized model. Findings Findings showed that authentic leadership significantly predicted job satisfaction directly and indirectly through AWLs and emotional exhaustion. Practical implications Authentic leadership may provide guidance to long-term care managers about promoting nurses’ job satisfaction, which is essential to recruiting and retaining nurses to meet the care needs of an aging population. Originality/value As demand for care of the aged is increasing and creating challenges to ensuring a sufficient and sustainable nursing workforce, it is important to understand factors that promote long-term care nurses’ job satisfaction. Findings contribute to knowledge of long-term care nurses by suggesting that managers’ authentic leadership can positively affect nurses’ job satisfaction directly and indirectly through positive perceptions of AWLs and lower emotional exhaustion.

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Wise, Sarah. "Staffing policy in aged care must look beyond the numbers". Australian Health Review 44, n.º 6 (2020): 829. http://dx.doi.org/10.1071/ah20312.

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The COVID-19 pandemic has highlighted an aged care system struggling to meet the needs of vulnerable Australians. Staffing levels and skill mix in aged care have declined, whereas the health and social needs of an older and more clinically complex population have risen. Increasing staff and improving personal care workers’ skills and education are essential steps to quality aged care in Australia, but it will not be possible without funding models that foster secure employment, development opportunities and long-term career pathways.

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Kinney, Eleanor D., Jay A. Freedman y Cynthia A. Loveland Cook. "Quality Improvement in Community-Based, Long-Term Care: Theory and Reality". American Journal of Law & Medicine 20, n.º 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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