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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)
Towards a more social orientation in gerontechnology: case study of the “Reminiscence Stick”
- Authors:
- PEKKARINEN Satu, et al
- Journal article citation:
- Journal of Technology in Human Services, 31(4), 2013, pp.337-354.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this article is to investigate, through a case study, how social orientation can be realised in gerontechnology's objectives. The focus is on user-driven development process of an “mStick,” which is a tool for storing various biographical material: photographs, texts, audio and video clips, and using it in elderly care services. Qualitative data were collected in 11 pilot cases. The content analysis was used to investigate how the “Gerontechnology's Five Ways”: prevention, enhancement, compensation, care, and research, were applicable especially from the perspective of social implications. The mStick acts as a prevention by offering meaningful contents to life, as enhancement by offering a possibility to utilise elderly person's resources. It compensates weakening abilities by preventing the world from becoming narrower. In care, it helps to see patients as whole human beings with unique biography. In addition, mStick offers potential for, for example, applications in memory research. The implication of this study is to pay attention to gerontechnology's role in supporting the social nature of the human being. This may contribute to renewing caring culture towards a more social and biographical orientation. Limitations of this study include focusing on the early development and implementation process with no long-term use data. (Publisher abstract)
What happens to quality in integrated homecare? A 15-year follow-up study
- Authors:
- PALJARVI Soili, et al
- Journal article citation:
- International Journal of Integrated Care, 11(2), 2011, Online only
- Publisher:
- International Foundation for Integrated Care
A case study of a joint homecare unit in Finland, created following the merger of home healthcare and home help services in 1994 - 1995, is used to explore the impact of structural integration on home care quality. The case study included a before–after comparison with baseline and four follow-up measurements during 1994–2009, using interviews with clients (n=66–84) and postal inquiries to relatives (n=73–78) and staff (n=68–136). Home care quality was analysed in three domains: sufficiency of care; responsiveness of care; and guiding, counselling and informing clients. Despite the organisational reform involving extensive mergers of health and social care organisations and cuts in staff and service provision, homecare quality remained at almost the same level throughout the 15-year follow-up. According to the clients, it even slightly improved in some homecare areas. The results show that despite the structural integration and cuts in staff and service provision, the quality of homecare remained at a good level. The results suggest that structural integration had a positive impact on homecare quality. To provide firmer evidence, the authors call for additional research with a randomised comparison design. (Edited publisher abstract)
Agency in multiprofessional work: a case study of rehabilitation of an older patient in hospital care
- Author:
- KINNI Riitta-Liisa
- Journal article citation:
- Social Work and Social Sciences Review, 13(3), 2008, pp.25-47.
- Publisher:
- Whiting and Birch
This study examines narratives of the members of a multiprofessional team and an older woman patient in the context of hospital rehabilitation. Methodologically it draws on social constructionism and the membership categorisation device (MCD). The aim is to show how the situational context, the rehabilitation team, and the agency of its members and the patient are constructed in the accounts of the interviewees. The analysis shows that the social order in hospital rehabilitation favours physical, i.e. medical, expertise. Neither the social worker nor the patient were constructed as active agents in the core of multiprofessional working. The context of health care and the 'quest for certainty' challenge social work to find alternative ways of seeing the truths in a patient's life and to negotiate in multiprofessional working.