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Better Health in Old Age: report from Professor Ian Philp, National Director for Older People's Health to Secretary of State for Health
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2004
- Pagination:
- 34p.
- Place of publication:
- London
This report highlights progress since 2001 under the National Service Framework for Older People and sets out a vision for the future. The National Service Framework (NSF) for Older People promotes independence and well-being for older people and support for them to live at home or in community settings as far as possible. The emphasis in the NSF has been right across the whole health and social care system rather than being narrowly focused on just one or two conditions. This is an ambitious agenda but a crucial one.
Home-based care for orphaned children infected with HIV/AIDS in Uganda
- Authors:
- O'HARE B. A. M., et al
- Journal article citation:
- AIDS Care, 17(4), May 2005, pp.443-450.
- Publisher:
- Taylor and Francis
The primary aim of this paper is to describe an outreach programme from a main state hospital in sub-Saharan Africa, which has been running for three years. This programme is based in Mulago Hospital, Kampala, Uganda and cares for up to 200 children infected with HIV/AIDS in their home. The authors describe the clinic and how they meet the families and enrol them, the infrastructure of the programme and the personnel involved. Children and their families receive physical, psychological and social care and we describe each aspect of this. The knowledge base about older children with AIDS in Africa is scarce and the secondary aim of this paper is to publish observations that were made while providing care. This includes demographics and the health problems encountered among children living with HIV/AIDS in a resource-poor setting who do not receive antiretroviral medication. Finally, the authors discuss the strengths and weaknesses of this model of care and the prerequisites to setting up a similar model.
Avoiding unnecessary hospital admissions: the headlines
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
This film explores the challenge of reducing hospital admissions for older people through contributions from a range of health and social care experts. Their reflections highlight the complex health needs of older people in this country, the need for responsive and joined up health and social care services, and the role that home care staff can play in helping to identify deteriorating conditions that may result in a hospital admission. The film acknowledges that at a crisis point, hospital admission may be the only safe alternative but argues that integrated care, well-managed hospital stays, improved health provision in care homes, reablement, and self-management of health conditions can all play a part in reducing hospital admissions. The film will be of interest to health and social care commissioners and managers; social workers; GPs and community nurses; health and social care providers; health and social care policy leads.
People with late-stage Parkinson’s need personalised, flexible, home-based care
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2020
- Place of publication:
- London
This NIHR Alert summarises the findings of research to which carried out interviews with ten patients with late-stage Parkinson’s disease. The study identified unmet needs among the individuals interviewed, with many services often variable and not flexible enough. The research found that people with late-stage Parkinson's need more flexible, personalised care at home and in the community to help them manage their symptoms and maintain control over their condition. The findings also highlight the need to provide personalised information to people with Parkinson’s, and their families, to empower them in their decision-making and planning. (Edited publisher abstract)
Behavioral health needs and problem recognition by older adults receiving home-based aging services
- Authors:
- GUM Amber M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(4), April 2009, pp.400-408.
- Publisher:
- Wiley
Older adults' recognition of a behavioural health (ie mental health or substance abuse) need is one of the strongest predictors of their use of behavioural health services. Thus, study aims were to examine behavioural health problems in a sample of older adults receiving home-based aging services, their recognition of behavioural health problems, and covariates of problem recognition. The study design was cross-sectional. Older adults (n = 141) receiving home-based aging services completed interviews that included: Structured Clinical Interview for DSM-IV; Brief Symptom Inventory-18; attitudinal scales of stigma, expectations regarding aging, and thought suppression; behavioural health treatment experience; and questions about recognition of behavioural health problems. Thirty (21.9%) participants received an Axis I diagnosis (depressive, anxiety, or substance); another 17 (12.1%) were diagnosed with an adjustment disorder. Participants were more likely to recognize having a problem if they had an Axis I diagnosis, more distress on the BSI-18, family member or friend with a behavioural health problem, and greater thought suppression. In logistic regression, participants who identified a family member or friend with a behavioural health problem were more likely to identify having a behavioural health problem themselves. Findings suggest that older adults receiving home-based aging services who recognize behavioural health problems are more likely to have a psychiatric diagnosis or be experiencing significant distress, and they are more familiar with behavioural health problems in others. This familiarity may facilitate treatment planning; thus, older adults with behavioural health problems who do not report familiarity of problems in others likely require additional education .
Diversity in caring: towards equality for carers
- Authors:
- YEANDLE Sue, et al
- Publisher:
- Carers UK
- Publication year:
- 2007
- Pagination:
- 44p.
- Place of publication:
- London
Report No. 3 highlights new evidence on how different groups of carers experience their caring situation, especially in relation to their ability to combine caring with paid employment
Telecare: making it happen
- Author:
- TELECARE SERVICES ASSOCIATION
- Publisher:
- Telecare Services Association
- Publication year:
- 2007
- Pagination:
- 33p.
- Place of publication:
- Chatham
Telecare is a term that covers a range of devices and services that harness developing technology and are available to people in their home to help them live with greater independence and safety. Examples include devices that trigger a response from a call centre, such as falls monitors and motion sensors. The responses may range from a phone call to the person, to alerting a local carer or neighbour or social service, to alerting emergency services if appropriate. Other examples include devices that directly alert the person in the home to a particular hazard, such as a water level monitor in a bath. IT developments are continually extending the range of devices and services available and, as a result, the scope for telecare to support people with particular health and social care needs – such as older people and people with disabilities – to remain in their own homes and optimise their independence and quality of life.
Health difficulties: how to cope with changing needs
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2009
- Pagination:
- 34p.
- Place of publication:
- London
The paper explains what help is available for older people from the local Council and the NHS if anyone develops difficulties due to ill-health or disability. This includes support inside and outside the home and financial assistance.
Exploring limits to market-based reform: managed competition and rehabilitation home care services in Ontario
- Authors:
- RANDALL Glen E., WILLIAMS A. Paul
- Journal article citation:
- Social Science and Medicine, 62(7), April 2006, pp.1594-1604.
- Publisher:
- Elsevier
The rise of neo-liberalism, which suggests that only markets can deliver maximum economic efficiency, has been a driving force behind the trend towards using market-based solutions to correct health care problems. However, the broad application of market-based reforms has tended to assume the presence of fully functioning markets. When there are barriers to markets functioning effectively, such as the absence of adequate competition, recourse to market-based solutions can be expected to produce less than satisfactory, if not paradoxical results. One such case is rehabilitation homecare in Ontario, Canada. In 1996, a “managed competition” model was introduced as part of a province-wide reform of home care in an attempt to encourage high quality at competitive prices. However, in the case of rehabilitation home care services, significant obstacles to achieving effective competition existed. Notably, there were few private provider agencies to bid on contracts due to the low volume and specialized nature of services. There were also structural barriers such as the presence of unionized employees and obstacles to the entry of new providers. This paper evaluates the impact of Ontario's managed competition reform on community-based rehabilitation services. It draws on data obtained through 49 in-depth key informant interviews and a telephone survey of home care coordinating agencies and private rehabilitation provider agencies. Instead of reducing costs and improving quality, as the political rhetoric promised, the analysis suggests that providing rehabilitation homecare services under managed competition resulted in higher per-visit costs and reduced access to services. These findings support the contention that there are limits to market-based reforms.
The distribution of domiciliary and primary health care in Britain: preliminary results on modelling resource allocation in the welfare state
- Authors:
- EVANDROU Maria, WINTER David
- Publisher:
- London School of Economics. Suntory Toyota International Centre Economics and Re
- Publication year:
- 1988
- Pagination:
- 45p., tables, bibliog.
- Place of publication:
- London
Overview of the level and range of care services received by the elderly.