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Policy framework for integrated care for older people
- Author:
- BANKS Penny
- Publisher:
- King's Fund
- Publication year:
- 2004
- Pagination:
- 26p., bibliog.
- Place of publication:
- London
Older people often require a range of services from different sources. Integrated care offers a co-ordinated approach to meet their often complex needs. This working paper acts as a checklist for national and regional policy-makers across Europe to use in drawing up their own integrated care policies. It can also be used by service users, their carers, and older people’s organisations, to assess the policies in place in their countries or regions. The publication was funded by the European Commission, and is one of several publications produced by the Care and Management of Services for Older People in Europe Network (CARMEN), which is run by the European Health Management Association (EHMA).
The care home flying squad
- Author:
- THOMPSELL Amanda
- Journal article citation:
- Journal of Dementia Care, 12(5), September 2004, pp.12-13.
- Publisher:
- Hawker
Describes the Care Homes Support Team, an initiative launched in April 2003 providing NHS medical and nursing support to 40 independent sector care homes in Lambeth, Southwark and Lewisham, enabling them to achieve high standards in the care of older people, including those with dementia.
Social work, general practice and evidence-based policy in the collaborative care of older people: current problems and future possibilities
- Authors:
- KHARICHA Kalpa, et al
- Journal article citation:
- Health and Social Care in the Community, 12(2), March 2004, pp.134-141.
- Publisher:
- Wiley
While collaborative (joint) working between social services and primary healthcare continues to rise up the policy agenda, current policy is not based on sound evidence of benefit to patients or the wider community. Both sets of practitioners report benefits for their own work from adopting new arrangements for collaboration. The underlying assumption behind much of this activity is that a greater degree of integration provides benefits to users and carers, a perspective that at times obscures the issue of resource availability, especially in the form of practical community services such as district nursing and home help. At present there is insufficient evidence to demonstrate that formal arrangements for collaborative working (CW) are better than those forged informally between committed individuals or teams. Furthermore, arrangements for CW have not hitherto been widely evaluated in systematic studies with a comparative design and focus on outcomes for users and carers rather than on processes. This paper proposes process measures for future evaluation of CW: study populations must be comparable; details of how services are actually delivered must be obtained and co-location should not be assumed to mean collaboration; care packages in areas of comparable resources should be examined; both destinational outcomes and user-defined evaluations of benefit should be considered; possible disadvantages of integrated care also need to be actively considered; evaluations should include economic analysis. Those implementing new policies in primary care trusts have little sound evidence to guide them in their innovative work. However, they should take the opportunity to rigorously test the advantages and disadvantages of collaboration.
Integrating older people’s mental health services: community mental health teams for older people: a commentary and resource document
- Authors:
- LINGARD Jayne, MILNE Alisoun
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2004
- Pagination:
- 98p., bibliog.
- Place of publication:
- London
The document aims to provide a resource for senior managers and Community Mental Health Teams seeking to achieve integration in assessment and care management processes as part of the implementation of the NSF for Older People Standard Seven.
A European research agenda on integrated care for older people
- Author:
- NIES Henk
- Publisher:
- European Health Management Association
- Publication year:
- 2004
- Pagination:
- 24p.
- Place of publication:
- Dublin
This resource book is intended for managers as well as those directly providing services for older people. It provides practical advice, mechanisms and instruments that managers can use in developing integrated care for older people. Topics cover concepts and background of integrated care; integrated organisational structures and the quality management and management of information within them; involvement, empowerment and advocacy, the importance of needs assessment, case management integrated teams and care pathways in integrated care; strategic planning and leadership and the impact of cultural change on integrating organisations as well as mapping the competencies and skills required of the workforce in integrated systems.
Communicating in family aged care dyads, Part 1: the influence of stereotypical role expectations
- Authors:
- EDWARDS Helen, CHAPMAN Helen
- Journal article citation:
- Quality in Ageing, 5(2), October 2004, pp.3-11.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Contends that dysfunctional patterns of communication can develop in family aged care dyads in response to stereotypical role expectations in the caregiving-carereceiving relationship, thus giving rise to a role predicament of caring. If this argument holds it follows that more productive and effective forms of communication and relationship are dependent upon both members of the aged care dyad understanding the expectations of their role and if necessary reconstructing them. Develops the Communication Predicament of Ageing Model to include role expectations. The conceptions are grounded in important conclusions drawn from data contained in a large comprehensive study of older people and their family caregivers.
Putting social work values into action: use of the ecological perspective with older adults in the managed care arena
- Authors:
- GREENE Roberta R., SULLIVAN W. Patrick
- Journal article citation:
- Journal of Gerontological Social Work, 43(3/4), 2004, pp.131-149.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article asserts that ecological principles should drive policy considerations as well as the structure and delivery of health care for older adults. It also argues that features of managed care can support ecologically sound geriatric practice that affirms the competence of older adults. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
The management of medication in care services 2002-03
- Authors:
- DAVIES Trish, et al
- Publisher:
- Stationery Office,|National Care Standards Commission
- Publication year:
- 2004
- Pagination:
- 38p.
- Place of publication:
- London
This report analysed data collected from the inspection of 16,700 care homes across England. Results showed that: 12% of care homes for older people “completely failed” to meet minimum standards for medicines handling; 3% of care homes for older people and 48% of care homes for children almost met standards, but still had numerous medication management failings ; and only 44% of care homes for older people, 37% of care homes for children and 46% of care homes for younger people met the minimum standards
Making direct payments work for older people
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 4p.
- Place of publication:
- York
The scope of the Community Care (Direct Payments) Act was extended to older people in February 2000. However, scepticism remains about older people's desire and ability to use direct payments. A new study examined the way older people use direct payments, how they make them work, and the role of local authority care managers and direct payments support services in making direct payments a real option for older people. The research was conducted in three local authority areas in England.
Two models of managed long-term care: comparing PACE with a Medicaid-only plan
- Author:
- NADASH Pamela
- Journal article citation:
- Gerontologist, 44(5), October 2004, pp.644-654.
- Publisher:
- Oxford University Press
In this study an attempt is made to understand how a Medicaid-only managed long-term-care (MMLTC) plan for elders differs from the Program of All-Inclusive Care for the Elderly (PACE), a fully integrated model, in terms of structure, operations, patient population, and service utilization. With the use of information from the Outcome and Assessment Information Set and administrative data from a MMLTC plan in New York City, enrollees were compared at the start of care and their first-year service utilization with PACE, using the PACE national data set. The plans differ in the range of services covered and in the larger number of members served by the MMLTC plan. The served populations differ in their sociodemographic profiles and have levels of functional need that are high, but they also differ in their relative severity of dependency in activities of daily living and instrumental activities of daily living. During the first year of enrollment, the utilization of traditional home- and community-based services was higher in PACE than in the MMLTC plan, although MMLTC plan members received much more care in the home. Total hospital utilization was lower in PACE, but nursing home utilization was higher. MMLTC is a feasible option for serving a population whose level of impairment is similar to that of PACE. Whereas PACE's reliance on adult day centers is seemingly associated with a stronger medical focus and lower hospital use, the MMLTC plan's emphasis on home-based personal care seems to be linked with lower nursing home use.