Search results for ‘Subject term:"care homes"’ Sort:
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A place in the sun
- Author:
- EATON Lynn
- Journal article citation:
- Social Work Today, 16.8.90, 1990, pp.14-15.
- Publisher:
- British Association of Social Workers
Residencia Carmen is a publicly owned residential care home for the elderly in Spain - very large by British standards, but with the feel of a holiday complex rather than an institution.
Co-financing residential care for older people: models and equity implications
- Authors:
- SIMMONS Cassandra, et al
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2020
- Pagination:
- 15
- Place of publication:
- Vienna
This policy brief aims to fill the gap of limited information on the policy and equity implications of out-of-pocket payments (OPPs) on access and financing of residential care. To this end, the authors provide a brief summary of the different financing systems for residential care in Europe and evidence of their distributional impact on OPPs where possible. Policy options are discussed on how to overcome the general challenge of mitigating the unpredictability of care-related expenditures over the individual life-course in an equitable manner. The use of residential care is subject to the payment of contributions or fees to the costs of residential care (i.e. out-of-pocket payments, OPP) by users or their families across Europe. Regarding the design of OPPs, three general types can be distinguished, with various combinations across welfare regimes. These types are: income-related OPPs, asset-based OPPs and OPPs based on (adult) children’s income. The paper argues that while residential care is indeed expensive, only a minority of older people at any given time need it, in particular as many countries are striving towards policies of ‘ageing in place’, de-instiutionalisation and the extension of community-based care. This could be an argument for more redistributive financing mechanisms that focus on need, limit individual OPPs (like those in place in Sweden) and instead share the burden of financing more evenly across individuals with and without care needs as well as between and within generations. (Edited publisher abstract)
The COVID-19 pandemic and long-term care: what can we learn from the first wave about how to protect care homes?
- Authors:
- LANGINS Margrieta, et al
- Journal article citation:
- Eurohealth, 26(2), 2020, p.6.
- Publisher:
- European Observatory on Health Systems and Policies
- Place of publication:
- Brussels
The COVID-19 pandemic has highlighted and exacerbated pre-existing problems in the long-term care sector. Based on examples collected from the COVID-19 Health System Response Monitor (HSRM) and the International Long-term care Policy Network (LTCcovid), this article aims to take stock of what countries have done to support care homes in response to COVID-19. By learning from the measures taken during the first wave, governments and the sector itself have an opportunity to put the sector on a stronger footing from which to strengthen long-term care systems. (Edited publisher abstract)
To make or to buy long-term care? Part III: quality assurance to avoid market-failure
- Authors:
- LEICHSENRING Kai, WINKELMANN Juliane, RODRIGUES Ricardo
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 14
- Place of publication:
- Vienna
Policy briefing looking at the reliance of markets for the delivery of long-term care, or the 'make or buy' decision. The briefing looks at current trends and challenges in defining and assessing quality in long-term care and its impact on outcomes for users and the organisation of care markets. It then draws on the experience of a number of European countries, highlighting existing practices of quality assurance in long-term care delivery. This Policy Brief is the final part of a trilogy dedicated to the reliance on markets for the delivery of long-term care (Edited publisher abstract)
Quality management by result-oriented indicators: towards benchmarking in residential care for older people
- Authors:
- HOFFMANN Frederique, LEICHSENRING Kai
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2011
- Pagination:
- 15p.
- Place of publication:
- Vienna
Care homes for older people are confronted with challenges of changing expectations from residents and their families for better quality of care and adequate staffing. In the past, quality standards in residential care have largely focused on non-quality of life or care issues such as the qualifications of staff and the structural standards of premises. The objective of this project was to collect, sift and validate result-oriented quality indicators at the organisational level of care homes, based on an exchange of experiences in selected Member States. Apart from the quality of nursing care, a special focus was given to the domain ‘quality of life’. A second objective was to investigate and gain experience in methods on how to work with result-oriented indicators and how to train care home managers in dealing with the respective challenges. This first part of the policy brief provides, first, information about the project team’s approaches and project results. These results were debated with more than 130 experts from different fields (such as providers, regulators, policy-making, and client organisations) during the final conference that took place in Brussels from 3-4 November 2010. The main features of these debates will be presented in the second part of this policy brief.
Defining responsibility for care: approaches to care of older people in six European countries
- Author:
- BLACKMAN Tim
- Journal article citation:
- International Journal of Social Welfare, 9(3), July 2000, pp.181-190.
- Publisher:
- Wiley
This article examines the social care of older people in six contrasting European countries. Family, institutional and community care are compared, focusing on vulnerability, empowerment and the gatekeeping of resources. The article considers the position of older people in each care system by presenting individual case studies. The six countries include the family-oriented systems of Ireland, Italy and Greece, and the individual-oriented systems of Denmark, Norway and England. Overall, the different levels of provision of organised social care services are a major aspect of inequality within and between the countries. Whilst there is little prospect for any major policy transfer across national boundaries, there is potential for selective cross-national learning with regard to particular service developments.
Who cares for an ageing Europe: a report by the European Resource Unit at Age Concern England
- Author:
- AGE CONCERN ENGLAND
- Publisher:
- Age Concern
- Publication year:
- 1997
- Pagination:
- 12p.,bibliog.
- Place of publication:
- London
Brief report on the major challenge facing European countries as the proportion of older Europeans grows. Offers a brief overview of care for older people across Europe, comparing the situations in different member states as well as making general points about the whole of the European Union.
August 2020 interim EUGMS guidance to prepare European long-term care facilities for COVID-19
- Authors:
- BLAIN Hubert, et al
- Journal article citation:
- European Geriatric Medicine, early cite November 2020,
- Publisher:
- Elsevier
Aim: To guide LTCFs in preventing the entrance and spread of SARS-CoV-2. Findings: The guidance is based upon the literature available on August 17, 2020. It lists (1) measures that can be implemented to keep COVID-19 out of LTCFs, and (2) COVID-19 symptoms that require RT-PCR testing in residents, staff members and visitors. It also (3) indicates the strategy to be used when a first LCTF resident or staff member is infected, and (4) proposes measures to limit adverse effects of the quarantine of residents tested positive for COVID-19. Message: The EuGMS guidance enables LTCFs to adapt and suitably implement infection prevention and control measures, considering that the priorities are (1) early detection of symptomatic and asymptomatic COVID-19 residents, staff members and visitors who contribute to the entrance and dissemination of COVID-19 infection in LTCFs and (2) to limit the negative effects of isolation in infected residents. (Edited publisher abstract)
Long-stay mental health care institutions and the COVID-19 crisis: identifying and addressing the challenges for better response and preparedness
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2020
- Pagination:
- 20
- Place of publication:
- Copenhagen
This report presents the results of a survey with 169 long-stay institutions to assess the impact of the COVID-19 pandemic on services, staff, service users and residents with psychosocial and intellectual disabilities. Specific themes explored in this report are how well the institutions were prepared for the crisis by authorities, the quality of communications, the availability of personal protective equipment, and the impact of the risk of infection and protective measures on staff and residents. The report finds that there were significant differences between the types of institution reporting, which included psychiatric hospitals; care homes; and other settings for mental health care. Responses from psychiatric, intellectual disability and autism services were broadly consistent with those from social care homes, except for the following significant areas of difference: social care homes were happier with information from the authorities and the information they provided for residents in accessible formats; care home staff reported challenges with more workload, stress, frustration and burnout; care homes were less likely to use discharge to reduce numbers and manage the virus; and more likely to report an increase in the use of restrictive measures. The analysis highlights the need to put in place comprehensive and practical plans to facilitate management and day-to-day operations under crisis conditions. The keys to this are: having clear guidelines and tested systems in place; ensuring clarity of communication; implementing a comprehensive and facility-based infection prevention and control plan; establishing clear procedures and protocols to ensure safe environments; being able to increase staff capacities according to need; and having a clear focus on ensuring person-centred and human rights-based care in all decision-making. (Edited publisher abstract)
Strengthening the health system response to COVID-19: preventing and managing the COVID-19 pandemic across long-term care services in the WHO European Region (May 29, 2020)
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2020
- Pagination:
- 32
- Place of publication:
- Geneva
This technical guidance identifies ten policy objectives to prevent and manage COVID-19 infections in long-term care services. It includes proposed actions and examples from across Europe and aims to help decision-makers, policy-makers and national or regional health authorities as they seek ways to prevent and manage the COVID-19 pandemic in long-term care services. The focus is on older people above the age of 65 years who use long-term care services in their homes, day centres or residential homes and nursing homes. The 10 policy objectives cover: Prioritizing the maintenance of LTC services; Mobilizing additional funds; Implementing prevention and control standards; Implementing safety measures that recognise the mutual benefits of the safety of people receiving and providing LTC services; Prioritizing testing, tracing and monitoring the spread of COVID-19; Securing staff and resources; Scaling up support for family caregivers; Coordinate between services; Secure access to dignified palliative care services; and Prioritize the well-being of people receiving and providing LTC services. (Edited publisher abstract)