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Improvement in depressive symptoms and changes in self-rated health among community-dwelling disabled older adults
- Authors:
- HAN B., JYLHA M.
- Journal article citation:
- Aging and Mental Health, 10(6), November 2006, pp.599-605.
- Publisher:
- Taylor and Francis
This study investigated the association between improvement in depressive symptoms and changes in self-rated health among community-dwelling disabled older adults over time. Multivariate logistic regression models were applied using the 1993 and 1995 Assets and Health Dynamics among the Oldest-Old Survey data. Changes in depressive symptoms and changes in self-rated health clearly coincide. Among participants with functional disability in 1993 and 1995, a decrease in depressive symptoms was associated with decreased odds of having decline in self-rated health (odds ratio [OR], 0.85; 95% confidence interval [CI], 0.78–0.93) and was associated with increased odds of having improvement in self-rated health (OR, 1.15; 95% CI, 1.04–1.27). Similar results were also found among participants with no functional disability in 1993 and with functional disability in 1995. Among community-dwelling older adults who remained disabled at follow-up or who experienced disability only at follow-up, even just a small decrease in depressive symptoms was associated with increased odds of having improvement in self-rated health and with decreased risks of having decline in self-rated health. Reducing the number of symptoms of depression among these disabled older adults would be beneficial in improving their self-rated health as well as maintaining and promoting their quality of life.
The graying of the world: who will care for the frail elderly?
- Editor:
- OLSON Laura Katz
- Publisher:
- Haworth Press
- Publication year:
- 1994
- Pagination:
- 345p.,tables,bibliogs.
- Place of publication:
- Binghamton, NY
Comparative study of policies for older people in 11 countries. Countries covered include Canada, China, Finland, Germany, Israel, Japan, Sweden, United Kingdom, United States and Yugoslavia.
Voice and choice for users and carers? Developments in patterns of care for older people in Australia, England and Finland
- Authors:
- YEANDLE Sue, KRÖGER Teppo, CASS Bettina
- Journal article citation:
- Journal of European Social Policy, 22(4), 2012, pp.432-445.
- Publisher:
- Sage
This article considers developments during the 1990s and 2000s, decades that saw considerable debate, innovation, experimentation and change in how services for older people were planned, developed, delivered and experienced in many states, including Australia, England and Finland. It identifies key trends in residential and community care for older people, investigating the extent of ‘de-institutionalisation’, ‘privatisation’ and ‘individualisation’. The concepts of collective and individual ‘voice’ and ‘choice’ are used to interrogate the roles of collective and individual actors, older people and carers, in influencing policy formulation. While these three processes have been pursued by policy-makers in each country, their implementation is illuminated by understanding how ‘voice’ and ‘choice’ have been operationalised – individually and collectively – in each context. In the reshaping of eldercare in the three states, the analysis identifies the greater influence of claims-making by family carers, in comparison with the collective and individual voices of older people as service users.
Broadening our vision of housing and community care for older people: innovative examples from Finland, Sweden and England
- Author:
- ANCHOR RESEARCH
- Publisher:
- Anchor Trust
- Publication year:
- 1999
- Pagination:
- 91p.,bibliog.
- Place of publication:
- Kidlington
Collection of papers exploring common issues in Finland, England and Sweden around the need to develop a broader vision of community care which emphasises prevention and the need for joint working across traditional boundaries. Also calls for a recognition that quality of life and social integration for older people encompasses a much broader range of services and issues than are usually associated with community care.
A collaborative approach to home care delivery for older clients: perspectives of home care providers
- Authors:
- ELORANTA Sini, et al
- Journal article citation:
- Journal of Interprofessional Care, 24(2), March 2010, pp.198-200.
- Publisher:
- Taylor and Francis
In Finland, a new approach to the delivery of health and personal care in the home has evolved with the advent of the home care unit whose goal is to provide a collaborative approach through cooperation and sharing of responsibilities. This study conducted in the urban South Western Finland in 2007, with 25 home care staff consisting of 13 home helps, 11 community nurses and 1 general practitioner, mostly females and with a mean age of 43 and a mean of 11 years experience working within the community care of older people. Five focus groups were formed and discussions of home care unit experiences lasted between 50-80 minutes. Participants were accepting of a collaborative approach to care delivery because of the advantages of shared information via weekly meetings, telephone calls and shared note books in the clients’ homes, the potential, not always realised, for collegial consensus and the consistency of approach, such as encouraging independent tasks and activities, to client care.