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International policy perspectives on independence in old age
- Author:
- PLATH Debbie
- Journal article citation:
- Journal of Aging and Social Policy, 21(2), April 2009, pp.209-223.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Although the promotion of independence is a common feature of policies on older people across the world, independence has a variety of meanings that are shaped by different social, political and economic contexts and by different values and attitudes towards older people. This study compares policies in Australia, Denmark, India and the UK. In Australia and the UK, liberal democratic values translate into support for individual independence in old age. In Denmark, a strong emphasis on social responsibility and the right to public services means that choice, rather than independence, for older people is the prime focus. In India, independence is of less significance in the context of economic constraints and strong social values supporting family responsibility for the care of older people. This analysis raises important questions about the promotion of independence as a goal in the aging policies of international bodies such as the UN and WHO.
Empowering older people: an international approach
- Editors:
- THURSZ Daniel, NUSBERG Charlotte, PRATHER Johnnie
- Publisher:
- Cassell
- Publication year:
- 1995
- Pagination:
- 233p.,bibliog.
- Place of publication:
- London
Presents papers from experts from 17 countries on empowering older people as individuals, through organisations, and in developing countries.
Dementia and minority ethnic older people: managing care in the UK, Denmark and France
- Authors:
- PATEL Naina, et al
- Publisher:
- Russell House
- Publication year:
- 1998
- Pagination:
- 183p.,tables,bibliog.
- Place of publication:
- Lyme Regis
Report from a project looking at the care needs of black and minority ethnic elders with dementia in the UK, Denmark and France. Designed to be both a guide and a starting point for service developments and improvements throughout Europe.
The economics of care of the elderly
- Authors:
- PACOLET Jozef, WILDERCOM Celeste
- Publisher:
- Avebury
- Publication year:
- 1991
- Pagination:
- 241p.,tables,bibliogs.
- Place of publication:
- Aldershot
Set of papers given at a colloquium in March 1990 in Brussels, where a group of economists presented their theoretical and empirical progress on an EC initiated project on the care of elderly people. Divided into 4 parts: part 1: the ageing population and the organisation of the welfare state: macro economic analysis; part 2: significance of informal care of elderly people; part 3: how to meet the needs of elderly people: relevance of micro-economic analysis; and part 4: policy formation for older people. This section includes comparative studies of Belgium, Denmark, Spain, France, West Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, and the United Kingdom.
Report by Dr Ricki Smith, 2016 Churchill Fellow, to articulate the benefits of reablement for older people to inform government implementation plans – New Zealand, UK and Denmark
- Author:
- SMITH Ricki
- Publisher:
- Winston Churchill Memorial Trust
- Publication year:
- 2020
- Pagination:
- 23
- Place of publication:
- Canberra, ACT
This study examines the current evidence base on the benefits of reablement; explores government policy on reablement in New Zealand, the United Kingdom and Denmark; and considers how centralised policies are played out in service delivery. It also considers how the culture within each country contributes to, or influences, either policy or service delivery as it relates to reablement. Key findings and learning points include: centralised policy with devolution of funding and delivery decisions to a local level leads to responsive programmes but at a cost in terms of lack of consistency in client experience and higher administrative costs for service provision - in times of fiscal constraint, local decisions about funding allocation can be made that are not consistent with the policy and intent of the system; while there are connections and common clients in health and care services for older people, there is a risk that health services offering care support for older people shift the focus of their activities from supporting independence and hospital avoidance to supporting hospital discharge and avoiding readmission; a mixture of clinical and non-clinical staff have far greater potential to support clients with reablement than is currently the case in Australia; a focus on functional needs only limits the potential for clients to become independent. (Edited publisher abstract)
Trends in severe disability among elderly people: assessing the evidence in 12 OECD countries and the future implications
- Authors:
- LAFORTUNE Gaetan, et al
- Publisher:
- Organisation for Economic Co-operation and Development
- Publication year:
- 2007
- Pagination:
- 78p., bibliog.
- Place of publication:
- Paris
As the population aged 65 and over will continue to grow steadily in OECD countries over the next decades, improvements in the functional status of elderly people could help mitigate the rise in the demand for, and hence expenditure on, long-term care. This paper assesses the most recent evidence on trends in disability among the population aged 65 and over in 12 OECD countries: Australia, Belgium, Canada, Denmark, Finland, France, Italy, Japan, the Netherlands, Sweden, the United Kingdom and the United States. One of the principal findings from this review is that there is clear evidence of a decline in disability among elderly people in only five of the twelve countries studied (Denmark, Finland, Italy, the Netherlands and the United States). Three countries (Belgium, Japan and Sweden) report an increasing rate of severe disability among people aged 65 and over during the past five to ten years, and two countries (Australia, Canada) report a stable rate. In France and the United Kingdom, data from different surveys show different trends in ADL disability rates among elderly people, making it impossible to reach any definitive conclusion on the direction of the trend. One of the main policy implications that can be drawn from the findings of this study is that it would not be prudent for policymakers to count on future reductions in the prevalence of severe disability among elderly people to offset completely the rising demand for long-term care that will result from population ageing.
Older people's views of falls-prevention interventions in six European countries
- Authors:
- YARDLEY Lucy, et al
- Journal article citation:
- Gerontologist, 46(5), October 2006, pp.650-660.
- Publisher:
- Oxford University Press
This study conducted semi-structured interviews to assess perceived advantages and barriers to taking part in falls-related interventions were carried out in six European countries (Denmark, the Netherlands, Germany, Greece, Switzerland and United Kingdom) with 69 people aged 68 to 97 years. The sample was selected to include people with very different experiences of participation or nonparticipation in falls-related interventions, but all individuals were asked about interventions that included strength and balance training. The results found attitudes were similar in all countries and contexts. People were motivated to participate in strength and balance training by a wide range of perceived benefits (interest and enjoyment, improved health, mood, and independence) and not just reduction of falling risk. Participation also was encouraged by a personal invitation from a health practitioner and social approval from family and friends. Barriers to participation included denial of falling risk, the belief that no additional falls-prevention measures were necessary, practical barriers to attendance at groups (e.g., transport, effort, and cost), and a dislike of group activities. Implications: Because many older people reject the idea that they are at risk of falling, the uptake of strength and balance training programs may be promoted more effectively by maximizing and emphasizing their multiple positive benefits for health and well-being. A personal invitation from a health professional to participate is important, and it also may be helpful to provide home-based programs for those who dislike or find it difficult to attend groups.
Service provision for elderly depressed persons and political and professional awareness for this subject: a comparison of six European countries
- Author:
- BRAMSFELD Anke
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.392-401.
- Publisher:
- Wiley
Under-treatment of depression in late-life is a subject of rising public health concern throughout Europe. This study investigates and compares the availability of services for depressed elderly persons in Denmark, France, Germany, Sweden, Switzerland and the UK. Additionally, it explores factors that might contribute to an adequate services supply for depressed elderly people. Review of the literature and guide supported expert interviews. Analysis of the practice of care provision for depressed elderly persons and of indicators for political and professional awareness, such as university chairs, certification processes and political programmes in gerontopsychiatry. Only Switzerland and the UK offer countrywide community-oriented services for depressed elderly persons. Clinical experience in treating depression in late-life is not regularly acquired in the vocational training of the concerned professionals. Indicators suggest that the medical society and health politics in Switzerland and the UK regard psychiatric disease in the elderly more importantly than it is the case in the other investigated countries. Service provision for depressed elderly persons seems to be more elaborated and better available in countries where gerontopsychiatry is institutionalised to a greater extend in the medical society and health politics.
Caring for children and older people: a comparison of European policies and practices
- Authors:
- ROSTGAARD Tina, FRIDBERG Torben
- Publisher:
- Danish National Institute of Social Research
- Publication year:
- 1998
- Pagination:
- 597p.
- Place of publication:
- Copenhagen
Housing frail elders: international policies, perspectives and prospects
- Editors:
- PYNOOS Jon, LIEBIG Phoebe S.
- Publisher:
- Johns Hopkins University Press
- Publication year:
- 1995
- Pagination:
- 297p.,tables,bibliog.
- Place of publication:
- Baltimore, MD
Part 1 looks at trends and policies in housing frail older people, and at the implications for long term care. Part 2 presents European approaches to the subject. Part 3 looks at the issue from an Israeli perspective and part 4 at the situation in the United States, Canada and Australia. Concludes with a comparative study of policies in 4 countries.