Search results for ‘Subject term:"long term care"’ Sort:
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Vouchers and consumer-directed care: implications for community care services in Hong Kong
- Authors:
- KAN Wing Shan, CHUI Ernest
- Journal article citation:
- British Journal of Social Work, 51(1), 2021, pp.96-113.
- Publisher:
- Oxford University Press
There has been considerable interest in the concept of consumer-directed care (CDC) for ageing populations. One type of CDC employs vouchers that older people can use to procure a panel of social services that best fits their needs. The voucher-based strategy has been institutionalised in Hong Kong as the Community Care Service Voucher for the Elderly (CCSV). Using a qualitative, semi-structured interview method, researchers probed the experiences of two groups (twenty-six CCSV users and twenty-seven CCSV non-users) with the voucher programme between March 2014 and September 2015 during the first phase of CCSV. The interviews revealed a set of social and institutional supports needed to empower clients to effectively utilise the voucher. These supports (or forms of capital) were consistently present amongst active CCSV users and deficient amongst non-users. The research demonstrates that instituting a voucher does not, by itself, lead to optimised choices but, rather, that a network of institutional and social resources must be assembled in support of the voucher programme. In some instances, a case management approach may be needed, as older people (and family) need to combine different forms of institutional and social support to comprehend the voucher programme and utilise it for their particular needs. (Edited publisher abstract)
The barriers to sustaining and scaling-up housing experiments in community-care: the Dutch experience
- Authors:
- CRAMER Hendrik, VOORDIJK Hans, DEWULF Geert
- Journal article citation:
- Housing Care and Support, 18(3/4), 2015, pp.69-79.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide new insights into barriers to sustaining and scaling-up housing and community-care innovations related to changing the long-term care (LTC) system. Design/methodology/approach: Two housing and community-care experiments were studied. The 11 barriers and four core themes identified to the scaling-up of these experiments were analysed using the three theoretical concepts from the transitions literature: shielding, nurturing, and empowering innovations. Findings: The barriers included shielding through subsidies without having organizational or political commitment, nurturing networks that underestimated the size of the housing and community-care innovations, and a failed empowerment because of regulatory uncertainty – not knowing the rules of tomorrow and ignoring the reality that it takes time to spread the lessons learnt in experiments. Research limitations/implications: Housing and community-care innovations need to pay less attention to subsidies and focus more on learning from the experiments, spreading the ideas, and creating commitment from policymakers so that the innovations become empowered. (Edited publisher abstract)
Community-based programs and policies: contributions to social policy development in health care and health care-related services
- Editors:
- PALLEY Howard A., (ed.)
- Publisher:
- Routledge
- Publication year:
- 2009
- Pagination:
- 162p.
- Place of publication:
- London
This collection is focused on the provision of community-based programs and activities in health and related long-term care services that have contributed, or may in the future contribute, to social policy development. Several of the articles in this collection deal with community-based health and long-term care program and policy initiatives that have been facilitated through federal programs such as Medicare, Medicaid and the Older Americans Act. The implementation of some of these community-based programs have significantly influenced social policy thinking regarding the beneficial effects of integrating medical and social aspects of health and long-term care services, as well as the health care team approach to the delivery of health and long-term care services. Another dimension addressed is the impact of interest groups, such as family caregivers, in advancing social policy that supports the efforts of community-based family care givers in providing services to patients in need. The underlying theme is how such local community programs have contributed in a variety of ways to the development of social policies at the community level that in many ways focus on the integration of health and related long-term care services and a health care team approach to the provision of such services.
Whole-system approaches to health and social care partnerships for the frail elderly: an exploration of North American models and lessons
- Author:
- KODNER Dennis L.
- Journal article citation:
- Health and Social Care in the Community, 14(5), September 2006, pp.384-390.
- Publisher:
- Wiley
Irrespective of cross-national differences in long-term care, countries confront broadly similar challenges, including fragmented services, disjointed care, less-than-optimal quality, system inefficiencies and difficult-to-control costs. Integrated or whole-system strategies are becoming increasingly important to address these shortcomings through the seamless provision of health and social care. North America is an especially fertile proving ground for structurally oriented whole-system models. This article summarises the structure, features and outcomes of the Program of All-Inclusive Care for Elderly People (PACE) programme in the United States, and the Systeme de soins Integres pour Personnes Agees (SIPA) and the Programme of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) in Canada. The review finds a somewhat positive pattern of results in terms of service access, utilisation, costs, care provision, quality, health status and client/carer satisfaction. It concludes with the identification of common characteristics which are thought to be associated with the successful impact of these partnership initiatives, as well as a call for further research to understand the relationships, if any, between whole-system models, services and outcomes in integrated care for elderly people.
Can we live in a future that denies us our past?
- Author:
- AMBACHE Jeremy
- Journal article citation:
- Professional Social Work, August 1999, p.9.
- Publisher:
- British Association of Social Workers
Argues the case for a person-centred approach which allows older people to remain within their communities.
The future of care for older people: facing up to society's choices
- Author:
- TOYNBEE Polly
- Publisher:
- Lemos and Crane
- Publication year:
- 1996
- Pagination:
- 92p.
- Place of publication:
- London
Lecture outlining some of the problems with and options for caring for an ageing population. Argues for public and rational debate about how to tackle the consequences of changes in the welfare state and provides a clear framework within which the debate can take place.
Thirty years war
- Author:
- CAMPBELL Jane
- Journal article citation:
- Community Care, 7.12.95, 1995, p.21.
- Publisher:
- Reed Business Information
Recommends an inspired approach to continuing care can be achieved by looking at the battles disabled people have fought to gain more control over their lives. In the second article in the series on visions of the future for continuing care, reflects on the case for independent living.
Down payment on later life
- Author:
- CHADDA Dolly
- Journal article citation:
- Health Service Journal, 26.10.95, 1995, pp.28-29.
- Publisher:
- Emap Healthcare
This year Germany introduced statutory insurance for long-term care. The scheme which traded in a public holiday and strictly limits eligibility has drawn both praise and criticism.
Continuing care: future perfect?
- Author:
- ROBINSON Janice
- Journal article citation:
- Community Care, 26.10.95, 1995, p.1.
- Publisher:
- Reed Business Information
Care providers are to decide in the next few months on whether continuing care options will measure up to the spirit of reforms. Looks at the issue of how the balance of responsibility for long-term care will be distributed.
Nothing ventured, nothing gained
- Author:
- HUDSON Bob
- Journal article citation:
- Health Service Journal, 26.10.95, 1995, pp.262-27.
- Publisher:
- Emap Healthcare
As the debate over funding long-term care gathers momentum, considers the viability of private insurance.