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COVID 19 and dementia: experience from six European countries
- Authors:
- BURNS Alistair, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, early cite 18 January 2021,
- Publisher:
- Wiley
The effects of Covid‐19 have been well documented across the world with an appreciation that older people and in particular those with dementia have been disproportionately and negatively affected by the pandemic. This is both in terms of their health outcomes (mortality and morbidity), care decisions made by health systems and the longer‐term effects such as neurological damage. The International Dementia Alliance (IDEAL) is a group of dementia specialists from six European countries and this paper is a summary of our experience of the effects of COVID‐19 on our populations. Experience from England, France, Germany, the Netherlands, Spain and Switzerland highlight the differential response from health and social care systems and the measures taken to maximise support for older people and those with dementia. The common themes include recognition of the atypical presentation of COVID‐19 in older people (and those with dementia) the need to pay particular attention to the care of people with dementia in care homes; the recognition of the toll that isolation can bring on older people and the complexity of the response by health and social services to minimise the negative impact of the pandemic. Potential new ways of working identified during the pandemic could serve as a positive legacy from the crisis. (Edited publisher abstract)
Housing our Ageing Population: Panel for Innovation
- Authors:
- HOMES AND COMMUNITIES AGENCY, GREAT BRITAIN. Department of Health, GREAT BRITAIN. Department for Communities and Local Government
- Publisher:
- Homes and Communities Agency
- Publication year:
- 2009
- Pagination:
- 59p.
- Place of publication:
- London
Following the Lifetime Homes, Lifetime Neighbourhoods national strategy report, the Housing our Ageing Population: Panel for Innovation was established in 2009 to examine what further reform is needed to ensure that new build specialised housing meets the needs and aspirations of the older people of the future. This report brings together the findings and recommendations of the panel, which focused on improving the quality of life of the ageing population by influencing the availability and choice of high-quality sustainable homes and neighbourhoods, challenging the perceptions of mainstream and specialised housing for older people, raising the aspirations of older people to demand higher quality more sustainable homes, and spreading awareness of the possibilities offered through innovative design of housing and neighbourhoods. It highlights key design recommendations, offers case studies from London, Bristol, York, Denmark, the Netherlands, Germany, Switzerland and Sweden, proposes further work, links to parallel studies that emphasise the role of place making in enhancing quality of life, and forms the basis of advice to government ministers.
Regulating the delivery of cash‐for‐care payments across Europe
- Authors:
- GORI Cristiano, LUPPI Matteo
- Journal article citation:
- Social Policy and Administration, 53(4), 2019, pp.567-578.
- Publisher:
- Wiley
The article aims to understand how governments across Europe have modified the regulation of the delivery of cash‐for‐care schemes (CfCs) to dependent older people since the beginning of the century. In our terminology, the regulation of the CfCs delivery defines the norms, rules, and practices that public actors adopt to manage how beneficiaries can use the benefits. To discuss the regulation of CfCs delivery, an original framework is employed that take three analytical dimensions into account: the degrees of freedom in benefits' utilization (“CfCs utilization” dimension), the provision of information/orientation/advices/counselling to older people and families (“professional support” dimension), and the relationship between the delivery of CfCs and the delivery of the other publicly funded long‐term care inputs (“care system” dimension). The analysis adopts a comparative perspective, looking at six countries—Italy, Austria, the Netherlands, France, Germany, and England. Among various findings, the main one consists in showing that there has been a shared and increased interest in consolidating the regulation of CfCs delivery. This trend has been mostly directed towards the new policy aim of strengthening the professional support, a goal underestimated in the past, when this dimension was not a major topic of both debate and practice concerning CfCs across Europe. (Edited publisher abstract)
Regulating long-term care quality: an international comparison
- Editors:
- MOR Vincent, LEONE Tiziana, MARESSO Anna
- Publisher:
- Cambridge University Press
- Publication year:
- 2014
- Pagination:
- 519
- Place of publication:
- Cambridge
This edited book provides a comprehensive international survey of long-term care provision and regulation, built around a series of case studies from Europe, North America and Asia. The analytical framework allows the different approaches that countries have adopted to be compared side by side and readers are encouraged to consider which quality assurance approaches might best meet their own country's needs. Wider issues underpinning the need to regulate the quality of long-term care are also discussed. The book is aimed at policymakers working in the health care sector, researchers and students taking graduate courses on health policy and management. (Edited publisher abstract)
Varieties of migrant care work: comparing patterns of migrant labour in social care
- Author:
- HOOREN Franca J. van
- Journal article citation:
- Journal of European Social Policy, 22(2), May 2012, pp.133-147.
- Publisher:
- Sage
In some European countries the provision of elderly care services is highly dependent upon migrant labour. This article presents a comparative analysis of the role of migrant workers in elderly care in Italy, the Netherlands and England. The aim is to understand why the trend towards migrant workers in social care has occurred in some countries, such as Italy, more than others, such as the Netherlands. It investigates both the employment of migrant workers by care-providing organisations and by families. The data sources used included surveys (the Italian Indagine Multiscopo sulle Famiglie and the British Labour Force Survey) and expert interviews with, for example, representatives of trade unions, migrant organisations and policy makers. It is found that migrant workers work longer hours and do more night shifts than their native peers. Between country differences in the importance of migrant workers in social care can be explained primarily by differences in social care policies and care regimes, while the impact of immigration policies is more ambiguous. It is argued that a familialistic care regime induces a ‘migrant in the family’ model of care, while a liberal care regime leads to a ‘migrant in the market’ model of employment, and a social democratic care regime creates no particular demand for migrant workers.
Dependency care in the EU: a comparative analysis
- Author:
- KAMETTE Florence
- Publisher:
- Fondation Robert Schuman
- Publication year:
- 2011
- Pagination:
- 9p.
- Place of publication:
- Paris
The ageing population together with the collapse of family solidarity means that managing old age dependency is a problem common to all European countries. In France, reform of the ‘personalised autonomy allowance’ (APA) currently being paid to the dependent elderly is under debate. This policy paper analyses the way that 6 European Member States address the problem of old age dependency to provide an illustration of various possible solutions. These 6 countries, Germany, England, Denmark, Spain, Italy and the Netherlands have been selected because their social protection systems are inspired differently and offer more or less generous types of cover. Germany and Spain have introduced specific, all-encompassing measures to manage dependency, unlike Denmark where local social security payments have gradually developed to cope with the requirements of an ageing population. England, Italy and the Netherlands distinguish between care and other services which are required by increasingly dependent people, the former depend on the healthcare system and the latter are provided for by the local authorities.
Information and choice of residential care provider for older people: a comparative study in England, the Netherlands and Spain
- Authors:
- TRIGG Lisa, et al
- Journal article citation:
- Ageing and Society, 38(6), 2018, pp.1121-1147.
- Publisher:
- Cambridge University Press
This study compared how older people use quality information to choose residential care providers in England, the Netherlands and Spain (Catalonia). The availability of information varies between each country, from detailed inspection and survey information in the Netherlands, through to a lack of publicly available information in Catalonia. We used semi-structured interviews and group workshops with older people, families and professionals to compare experiences of the decision-making process and quality information, and also to explore what quality information might be used in the future. We found that most aspects of the decision-making experience and preferences for future indicators were similar across the three countries. The use of quality information was minimal across all three, even in England and the Netherlands where information was widely available. Differences arose mainly from factors with the supply of care. Older people were most interested in the subjective experiences of other residents and relatives, rather than ‘hard’ objective indicators of aspects such as clinical care. We find that the amount of publicly available quality information does not in itself influence the decisions or the decision-making processes of older people and their carers. To improve the quality of decisions, more effort needs to be taken to increase awareness and to communicate quality in more accessible ways, including significant support from professionals and better design of quality information. (Edited publisher abstract)
Care workers in long-term care for older people: challenges of quantity and quality
- Author:
- CHEN Lisa Henglien
- Journal article citation:
- European Journal of Social Work, 17(3), 2014, pp.383-401.
- Publisher:
- Taylor and Francis
This article, drawing on a qualitative study in England, the Netherlands and Taiwan, explores how countries with very different care systems address the challenge of securing sufficient numbers of care workers with appropriate skills in ageing care. The analysis exposes the salient features of care systems, ageing-care markets and the ageing-care workforce in the three countries. To support the analysis, examples of how the countries attempt to recruit and retain ageing-care workers are provided. Key findings are that to secure an adequate number of skilled ageing-care workers, job satisfaction, coherence between care and labour policies and equal working conditions across sectors are vital. A quality ageing-care worker requires regular professional supervision and support, resources for ongoing training and career development opportunities. Most importantly, securing a sufficient number of ageing-care workers and ensuring they have appropriate skills are not isolated challenges but are interlinked and require collaboration between a range of care actors. (Publisher abstract)
Successful ageing amongst older people needing care: international comparisons seeking solutions
- Author:
- CHEN Henglien Lisa
- Journal article citation:
- Social and Public Policy Review, 3(1), 2009, Online only
- Publisher:
- University of Plymouth
- Place of publication:
- Plymouth
Quality of life is one of the main concerns in long-term care amongst ageing populations in many countries. This paper explores the way that long-term care of older people is organised between the East and West, and considers how three countries (England, the Netherlands and Taiwan) may learn from one another in their search for solutions. The research was designed to include the views and experiences of all the actors in the three examples of welfare systems concerning the demand and supply of care resources and the impact of policy upon the provision of social inclusion in long-term care services. Most service users in the research supported the view that improvement in social well-being would increase their quality of life.
EFORTT: ethical frameworks for telecare technologies for older people at home: final research report
- Author:
- LANCASTER UNIVERSITY
- Publisher:
- Lancaster University
- Publication year:
- 2012
- Pagination:
- 31p.
- Place of publication:
- Lancaster
EFORTT (Ethical Frameworks for Telecare technologies for older people at home) is an EU funded project which aimed to examine the ethical, social and gender implications of telecare interventions (remote care technologies worn, installed or embedded in homes) for older citizens in Spain, England, Norway and the Netherlands. The project involved the use of fieldwork (including documentary analysis, practice observations, and interviews with users, carers and practitioners) to gather information about preventive and responsive remote care practices, and recruitment of citizens' panels of older people and carers in each of the 4 partner countries as forums for views on telecare and future directions of care. Analysis of findings from the research was used to identify key themes and issues to inform discussion at the September 2010 Ageing with Technologies participative conference on care in Europe for practitioners, users, carers, policy makers and academics, the concluding session of which brought together proposals and priorities for future action on telecare which emerged from the discussions. This report describes the context and main findings of the research and its implications for policy and practice. The recommendations for ethical telecare development include providing care at home that is meaningful, sufficient and dignified, and ensuring engagement of older people in designing, developing and decision making about care.