Search results for ‘Subject term:"home care"’ Sort:
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Let's make it a service of real quality
- Author:
- JOHNSON P.
- Journal article citation:
- Social Services Insight, 28.3.89, 1989, pp.18-19.
- Publisher:
- Reed Business Publishing
Describes the use of Herzberg's model of motivation to ensure quality assurance in home care services.
A contextual analysis and logic model for integrated care for frail older adults living at home: the INSPIRE project
- Authors:
- YIP Olivia, et al
- Journal article citation:
- International Journal of Integrated Care, 21(2), 2021, p.9. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, develop a logic model, and select preliminary implementation strategies for an integrated care model in newly created information and advice centers for older adults in Canton Basel-Landschaft, Switzerland. Methods: We conducted a contextual analysis to determine factors which may influence the integrated care model and implementation strategies needed. A logic model depicting the overall program theory, including inputs, core components, outputs and outcomes, was designed using a deductive approach, and included stakeholders’ feedback and preliminary implementation strategies. Results: Contextual factors were identified (e.g., lack of integrated care regulations, existing community services, and a care pathway needed). Core components of the care model include screening, referral, assessment, care plan creation and coordination, and follow-up. Outcomes included person-centred coordinated care experiences, hospitalization rate and symptom burden, among others. Implementation strategies (e.g., nurse training and co-developing educational materials) were proposed to facilitate care model adoption. Conclusion: Contextual understanding and a clear logic model should enhance the potential for successful implementation of the integrated care model. (Edited publisher abstract)
The U.S. long term care system: development and expansion occurring retirement communities as an innovative model for aging in place
- Authors:
- GUO Kristina L., CATILLO Richard J.
- Journal article citation:
- Ageing International, 37(2), June 2012, pp.210-227.
- Publisher:
- Springer
- Place of publication:
- New York
This paper describes the importance of naturally occurring retirement communities (NORCs) in the United States to promote the health and mental well being of older individuals through the collaborative efforts of formal and informal home and community based services and support. NORCs are considered a crucial model for aging in place since older adults prefer to remain in the comfort of their homes, and services can be provided in a much more efficient and cost effective manner. This paper examines the strengths, opportunities, and challenges of existing NORCs and discusses the need for the development and expansion of additional NORC programs as an innovative and viable solution for older adults aging in place.
The case for specialist home care for people with dementia
- Author:
- CHILVERS Dominic
- Journal article citation:
- Journal of Dementia Care, 11(1), January 2003, pp.20-21.
- Publisher:
- Hawker
Discusses the case for specialist home care for people with dementia, and highlights a specialist homecare service operating in Poole.
Partnership potential in home care for elderly
- Author:
- HAWTHORN Christine
- Journal article citation:
- Homecarer, May 2000, pp.4-5.
- Publisher:
- United Kingdom Home Care Association Ltd
Looks at new model offering in home care for the elderly.
Enablers and barriers in adopting a reablement model of domiciliary care
- Authors:
- KING Erin, YOUNG Alys
- Journal article citation:
- Journal of Integrated Care, 30(2), 2022, pp.123-133.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the effectiveness of reablement as an outcome-focussed commissioning model within the English domiciliary care market from the perspective of two private domiciliary care agency (PDCA) managers/owners within one local authority (LA) in the North West of England. Specifically, it focusses on owner/managers' perceived ability to effect change from a dependency to a reablement model within the English domiciliary care market. Design/methodology/approach: Qualitative interviews with two contrasting owners/managers of PDCAs within one LA in the North West of England were carried out. Explorative analysis followed a constructionist grounded theory methodology. Findings: Findings revealed how two main factors interacted to effect change from a dependency model to a reablement model of domiciliary care: internal organisational structure and individual emotional investment of the owners/managers. Additionally, fiscal and external organisational systems impact on these drivers, and are perceived to act as potential barriers to the adoption of a reablement model of domiciliary care by PDCAs. Originality/value: Although based on only two idiographic accounts, the findings shed light on the policy and practice of commissioning models of domiciliary care within England and suggest further studies in this area of practice. (Edited publisher abstract)
A qualitative study and preliminary model of living with dementia and incontinence at home: beyond containment
- Authors:
- MURPHY Catherine, et al
- Journal article citation:
- Age and Ageing, 51(1), 2022, p.afab221.
- Publisher:
- Oxford University Press
Background: most people living with dementia (PLWD) will develop incontinence problems with associated harmful consequences. Well-contained incontinence is often the main treatment goal. It would therefore be expected that poorly contained incontinence would have a negative impact. Aim: to investigate differences in how well-contained or poorly contained incontinence impacts on the experience of living with incontinence for PLWD at home and their carers. Design: secondary analysis of a qualitative study. Methods: semi-structured interviews were undertaken with PLWD, carers and healthcare professionals (continence or dementia nurses). PLWD and carers were recruited via www.joindementiaresearch.nihr.ac.uk and via dementia/carer groups. Nurses were recruited via their employers. Interviews were recorded and transcribed verbatim. Framework analysis was used. Results: forty-five people (twenty-six carers, two PLWD, nine continence nurses and eight dementia nurses) participated. Despite poorly contained incontinence, some PLWD/carer dyads appeared relatively unaffected by incontinence. Conversely, one or both members of some dyads who achieved good containment found incontinence care highly challenging. Four themes were identified, together forming a preliminary model of incontinence containment and impact, as follows: Well-contained incontinence, lower negative impact; Well-contained incontinence, higher negative impact; Poorly contained incontinence, higher negative impact; and Poorly contained incontinence, lower negative impact. Conclusion: reliable containment is an important goal for PLWD living at home and their carers, but it is not the only goal. Other factors, such as behaviours that challenge or carer coping strategies, can mean that even well-contained incontinence can have a negative impact. This paper proposes a preliminary model for evaluation. (Edited publisher abstract)
The imperative to reimagine assisted living
- Authors:
- ZIMMERMAN Sheryl, et al
- Journal article citation:
- Journal of the American Medical Directors Association, 23(2), 2022, pp.225-234.
- Publisher:
- Elsevier (for the American Medical Directors Association)
Assisted living (AL) has existed in the United States for decades, evolving in response to older adults’ need for supportive care and distaste for nursing homes and older models of congregate care. AL is state-regulated, provides at least 2 meals a day, around-the-clock supervision, and help with personal care, but is not licensed as a nursing home. The key constructs of AL as originally conceived were to provide person-centred care and promote quality of life through supportive and responsive services to meet scheduled and unscheduled needs for assistance, an operating philosophy emphasizing resident choice, and a residential environment with homelike features. As AL has expanded to constitute half of all long-term care beds, the increasing involvement of the real estate, hospitality, and health care sectors has raised concerns about the variability of AL, the quality of AL, and standards for AL. These tensions have resulted in a model of care that is not as intended, and which must be reimagined if it is to be an affordable care option truly providing quality, person-centred care in a suitable environment. Toward that end, 25 stakeholders representing diverse perspectives conferred during 2 half-day retreats to identify the key tensions in AL and discuss potential solutions. This article presents the background regarding those tensions, as well as potential solutions that have been borne out, paving the path to a better future of assisted living. (Edited publisher abstract)
Home care nursing for persons with dementia from a family caregivers' point of view: predictors of utilisation in a rural setting in Austria
- Authors:
- KRUTTER Simon, et al
- Journal article citation:
- Health and Social Care in the Community, 30(1), 2022, pp.389-399.
- Publisher:
- Wiley
The service utilisation of persons with dementia (PwD) and their caregivers is subject to lively debate. The reasons for non-utilisation are manifold and heterogeneous. Conceptual models and explanatory frameworks may help identify predictors of the usage of health services. Literature examining the utilisation of home care services for PwD is scarce. This study explored predictors of home care nursing utilisation of PwD and their informal caregivers in a rural setting, according to the Andersen Behavioural Model of Health Care Use. A mixed-methods study was conducted in a rural area of Austria. In using non-random multistage sampling, anonymous questionnaires were distributed to collect data on family caregivers of PwD. Data were analysed using sequential binary logistic regression to characterise home care service users. To reflect the complexity of the Andersen model, a regression tree model was used. In total, 107 family caregivers completed the survey. Predisposing factors for home care nursing utilisation were higher age of the caregiver, female gender of PwD and kinship of the PwD and caregiver. Disruptive behaviour and independence in activities of daily living of PwD were associated with need factors for service use. According to the Andersen model, the predisposing and need factors contributed most to the explanation of home care nursing utilisation. The enabling factors employment, education and income tend to predict service use. Our findings indicate that higher age of the family caregiver and female gender of PwD are the main predictors for utilisation of home care nursing in a rural setting. To improve utilisation, the advantages of professional care services should be promoted, and the awareness about the variety of services available should be increased. To ensure a better understanding of the barriers to accessing home care, PwD should more often be included in healthcare service research. (Edited publisher abstract)
Alternative models of domiciliary care: report summary
- Author:
- WALES CENTRE FOR PUBLIC POLICY
- Publisher:
- Wales Centre for Public Policy
- Publication year:
- 2020
- Pagination:
- 3
- Place of publication:
- Cardiff
This briefing summarises the evidence on a range of models of domiciliary care from the UK and internationally. It focuses on microenterprises, franchises, local authority trading companies and alternative approaches to commissioning in the UK, Netherlands, Sweden and Quebec. Longstanding challenges facing domiciliary care in Wales – funding and market fragility, commissioning and workforce stability – are found in other countries. All models of care have to tackle these and experts emphasised that increasing the role of public and voluntary providers will not of itself resolve them. Evidence from Somerset shows that micro-enterprises supported by Community Catalysts offer an effective means of provision for self-funders and those with direct payments in rural areas. Franchise arrangements can enable smaller providers to enter the market by providing practical and financial support and access to training. But most franchisees are small providers and implementing this model at scale is challenging. Local Authority Trading Companies aim to improve efficiency whilst retaining public sector control over services. However, their success depends on effective management and local context, and some have run into financial difficulties. Personalised and outcomes-based commissioning enable more flexible and innovative care, and the success of innovative models in the UK often relies on direct payments. The Buurtzorg model developed in the Netherlands provides high quality care without increasing costs. Examples of domiciliary care inspired by this approach in the UK offer a way to improve the quality of care but require extra investment. The Norrtaeljje model in Sweden integrates purchaser and provider in ways that enable prevention and more joined-up health and social care. It covers a wide range of services but has homecare at the centre. Care co-operatives in Quebec have benefitted from a highly supportive legal and policy environment alongside established networks of financial and practical support. Without this level of support, co-operatives in the UK may struggle to provide care at scale. (Edited publisher abstract)