Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 22
A survey of access to medical services in nursing and residential homes in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- British Journal of General Practice, 52(480), July 2002, pp.545-548.
- Publisher:
- Royal College of General Practitioners
A survey was conducted within the 72 English primary care groups/trusts (PCG/Ts) used in the National Tracker Survey of PCG/Ts to investigate patterns of access to medical services for residents in homes for older people. A structured questionnaire was used to investigate home characteristics, numbers of general practitioners (GPs) or practices per home, homes' policies for registering new residents with GPs, existence of payments to GPs, GP services provided to homes, and access to specialist medical care. Wide variations in the numbers of GPs providing services to individual homes were found and this was not entirely dependent on home size. Eight percent of homes paid local GPs for their services to residents; these were more likely to be nursing homes than residential homes and larger homes. Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' core contractual obligations. Few homes had direct access to specialist clinicians. These extensive variations in homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes and between those in homes and in the community.
Post acute care of the elderly in Singapore
- Author:
- GOH Soon Noi
- Journal article citation:
- Asia Pacific Journal of Social Work and Development, 21(1), June 2011, pp.31-53.
- Publisher:
- Taylor and Francis
This paper is concerned with understanding the family care of elderly people and their use of post-acute care services such as community hospitals, nursing homes, day rehabilitation centres, and home care. The use of post-acute care services is a result of a complex, inter-related set of physical, social, psychological, organisational, and environmental factors. The aim of this multi-method study was to use Andersen Behavioural Model of Health Service Use to explore how these factors are associated with the use of post-acute care services. The study involved: a survey of 299 elderly patients from a public acute-care hospital using a structured questionnaire; in-depth interviews with 13 of these patients and their family members; and 3 focus groups with service providers. The survey showed that the following factors are associated with the use of post-acute care services: medical and physical conditions; perceived health and utility; knowledge and previous use of service; ethnicity; family size; paid help; housing type; and living arrangements. The results from the interviews and focus group discussions consistently pointed to the affordability of services as an important factor. The question of service accessibility and its implications on practice, policy and research are discussed.
Group living for people with dementia
- Authors:
- ANNERSTEDT Lena, et al
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 1993
- Pagination:
- 12p.
- Place of publication:
- Stirling
This translation of a Swedish design report is based on lengthy experience of designing small units for people with dementia. The report advocates the adjustment of group living units for people with dementia which depends on an awareness of their needs and the involvement in planning of those with medical competence.
Design for dementia: six conference papers (1995)
- Authors:
- UNIVERSITY OF STIRLING. Dementia Services Development Centre, ROYAL INCORPORATION OF ARCHITECTS IN SCOTLAND
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 1997
- Pagination:
- 54p.
- Place of publication:
- Stirling
The six papers cover design for technology, landscaping and four very different buildings for people with dementia: landscaping, technology and design, group residential accommodation, and nursing homes. The papers include plans and illustrations.
Changes predicting long-term care use among the oldest-old
- Author:
- FINLAYSON Marcia
- Journal article citation:
- Gerontologist, 42(4), August 2002, pp.443-453.
- Publisher:
- Oxford University Press
The aim of this research was to identify health-related changes occurring between 1983 and 1990 that characterize and differentiate 1996 long-term care outcomes (no services, home care, nursing home) among people aged 85 years and older. Factors predicting home care use relative to no services included changes in self-rated health, income adequacy, and railings outside of the house. Factors predicting nursing home use relative to home care included age and changes in general life satisfaction. Factors predicting nursing home use relative to no services included age; previous service use; length of time in the community; and changes in income adequacy, type of housing, and state of mind.
Transforming health care in nursing homes: an evaluation of a dedicated primary care service in outer east London
- Authors:
- SHERLAW-JOHNSON Chris, et al
- Publisher:
- Nuffield Trust
- Publication year:
- 2018
- Pagination:
- 53
- Place of publication:
- London
This report evaluates a primary care service piloted in four nursing homes in the London Borough of Havering and assesses the impact of the new service on hospital attendance. It also details the experiences and views of staff in the nursing homes and health care professionals delivering the new service. The main features of the service included the assignment of a single GP practice to all residents; access to health care professionals with expertise in caring for older people with complex needs; extended access beyond normal GP hours; care guidance to nursing home staff; improved medicines management; and new approaches for managing people who are at the end of life. The evaluation analysed changes in use of hospital services by 431 residents in the four nursing homes and interviewed 14 nursing home staff, managers and GPs. Improvements mentioned by staff following the introduction of the service included: better access GPs and to clinical advice; improved care quality due to GPs spending more face to face time with residents; and improved approaches to risk sharing. These improvements also coincided with a reduction in emergency hospital admissions. The results suggest that there are benefits in providing proactive primary care for nursing homes, delivered by a consistent GP within a service that specialises in older people with complex care needs. (Edited publisher abstract)
The great care divide
- Author:
- HIRSCH Donald
- Journal article citation:
- Community Care, 7.12.06, 2006, pp.32-33.
- Publisher:
- Reed Business Information
The article considers two studies published this year by the Joseph Rowntree Foundation mapping the availability of informal care and of residential care homes in the UK. The studies identify an uneven supply of care, with deprived groups often better able to provide informal care but with inferior access to care homes. The article argues that a new funding regime should aim to provide greater consistency.
Availability of mental health services for older adults: a cross-cultural comparison of the United States and Turkey
- Authors:
- SIVIS R., McCRAE C. S., DEMIR A.
- Journal article citation:
- Aging and Mental Health, 9(3), May 2005, pp.223-234.
- Publisher:
- Taylor and Francis
Researchers conducted a cross-cultural study using qualitative methods (based on a phenomenological approach) to explore the availability of mental health services (MHS) for older adults in the United States and Turkey. Using purposive sampling, semi-structured in-depth interviews were conducted with 24 administrators from a wide-range of sites (nursing homes, hospice, senior centers) in a rural area of North Central Florida, United States and Ankara, Turkey. Interview questions focused on types of staff employed; integration of MHS with other services provided; community promotion of services; coordination, cooperation and communication with other service providers; and administrators’ perceptions of barriers in the provision of MHS for older adults. Employing on-site mental health staff was a much more popular practice in Turkey compared to the United States. Administrators in both countries cited inadequate funding as the most common barrier to MHS provision. Potential solutions to MHS barriers in both countries are discussed.
Adult care
- Author:
- PEACE Sheila
- Journal article citation:
- Research Matters, 16, October 2003, pp.5-10.
- Publisher:
- Community Care
This article draws on research from two studies, the first of which considers the capacity of nursing homes in England to provide rehabilitation and intermediate care; and the second which compares the quality of health care provided for residents by nursing homes with those living at home.
Incorporating intergenerational service-learning into an introductory gerontology course
- Authors:
- DORFMAN Lorraine T., et al
- Journal article citation:
- Journal of Gerontological Social Work, 39(1/2), 2002, pp.219-29.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The service-learning approach in education, which integrates community service with academic classroom learning, is gaining prominence. The goals of this project were to incorporate intergenerational service-learning into an undergraduate introductory gerontology course and to involve students and elders in meaningful interactions in a rural community setting. Thirteen of the 50 students in the class could be accommodated at nursing home and semi-independent living sites and were paired with elders for friendly visiting and oral history. Attitude scales indicated that service-learning students showed more positive change at post-test in overall attitudes toward the elderly than did non service-learning students. Open-ended questions indicated that students valued the experience, felt it enhanced classroom learning, and gained knowledge about rural elders and communities. Follow-up interviews with elders were uniformly positive. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).