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Design and management features of everyday technology that challenge older adults
- Authors:
- PATOMELLA Ann-Helen, KOTTORP Anders, NYGARD Louise
- Journal article citation:
- British Journal of Occupational Therapy, 76(9), 2013, pp.390-398.
- Publisher:
- Sage
The management of everyday technologies could present too difficult a challenge for older adults with cognitive impairments, leading to their exclusion from participation. This study aims to identify and describe features that make everyday technologies more or less difficult for older adults, whether with or without cognitive difficulties. (Edited publisher abstract)
Trends in severe disability among elderly people: assessing the evidence in 12 OECD countries and the future implications
- Authors:
- LAFORTUNE Gaetan, et al
- Publisher:
- Organisation for Economic Co-operation and Development
- Publication year:
- 2007
- Pagination:
- 78p., bibliog.
- Place of publication:
- Paris
As the population aged 65 and over will continue to grow steadily in OECD countries over the next decades, improvements in the functional status of elderly people could help mitigate the rise in the demand for, and hence expenditure on, long-term care. This paper assesses the most recent evidence on trends in disability among the population aged 65 and over in 12 OECD countries: Australia, Belgium, Canada, Denmark, Finland, France, Italy, Japan, the Netherlands, Sweden, the United Kingdom and the United States. One of the principal findings from this review is that there is clear evidence of a decline in disability among elderly people in only five of the twelve countries studied (Denmark, Finland, Italy, the Netherlands and the United States). Three countries (Belgium, Japan and Sweden) report an increasing rate of severe disability among people aged 65 and over during the past five to ten years, and two countries (Australia, Canada) report a stable rate. In France and the United Kingdom, data from different surveys show different trends in ADL disability rates among elderly people, making it impossible to reach any definitive conclusion on the direction of the trend. One of the main policy implications that can be drawn from the findings of this study is that it would not be prudent for policymakers to count on future reductions in the prevalence of severe disability among elderly people to offset completely the rising demand for long-term care that will result from population ageing.
Livindhome: living independently at home: reforms in home care in 9 European countries
- Authors:
- ROSTGAARD Tina, et al
- Publisher:
- Danish National Centre for Social Research
- Publication year:
- 2011
- Pagination:
- 252p., bibliog.
- Place of publication:
- Copenhagen
This report presents findings from the project Living Independently at Home: Reforms in organisation and governance of European home care for older people and people with disabilities (LIVINDHOME). The study provides an overview of recent and current reforms in the organisation and governance of home care systems in nine European countries, and analyses the intended and unintended results of these reforms, in particular, how the reforms have affected the organisation, supply and quality of care. The focus of the study is home care for older people and for people with disabilities. In countries that have more family-oriented welfare traditions (Austria, Germany, Italy, Ireland), comprehensive approaches to long-term care have started to develop only relatively recently. Despite increases in funding for long-term care, home care provision in Italy and Ireland remains highly fragmented, with major local variations in access to services. The second group of countries (Denmark, England, Finland, Norway, and Sweden) have had more or less comprehensive home care services in place for many years. These have been delivered by local authorities under a legislative framework set by central government. Reforms have here involved the introduction of market- and consumer-related mechanisms into the supply and delivery of home care.
A comparative analysis of personalisation: balancing an ethic of care with user empowerment
- Author:
- RUMMERY Kirstein
- Journal article citation:
- Ethics and Social Welfare, 5(2), June 2011, pp.138-152.
- Publisher:
- Taylor and Francis
- Place of publication:
- Abingdon
Modern developments in care and support delivery for disabled and older people have led to the expansion of personalisation schemes, where money is paid in substitute for care and support. Although the schemes have been evaluated within their own national contexts, little work has been done so far to explore the theoretical implications of their development and extension, particularly from an ethics of care perspective. This paper fills that gap by drawing on comparative evidence from several schemes across different nations to develop an analysis which draws on feminist theory and an ethics of care approach to examine: the gendered policy outcomes and impact of such schemes; a feminist analysis of the governance implications of personalisation; the implications for the gendered division of work, particularly between paid and unpaid care work and between different groups of paid and unpaid carers; an ethics of care analysis of the impact of personalisation over the lifecourse of disabled and older people, and carers; and a discussion of the relationship between commodification, empowerment, citizenship and choice drawing on the work of care ethicists.
Cost-effectiveness of powered mobility devices for elderly people with disability
- Authors:
- HAGBERG Lars, et al
- Journal article citation:
- Disability and Rehabilitation: Assistive Technology, 12(2), 2017, pp.115-120.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Purpose: The aim of this study was to analyse the cost-effectiveness of prescribing powered mobility devices (PMDs) to elderly users. Methods: Forty-five persons participated in the pre- and post-intervention study with a follow-up at four months. All participants were prescribed a scooter model and were offered individual support to get started using the PMD. In the analysis, the use of the PMD was compared to the situation prior to its use. The cost-utility analysis takes a societal perspective and considers costs, savings and quality of life (QoL) using answers to the EQ-5D questionnaire. Results: Costs for the first year with the PMD were 1395 USD and then 592 USD per subsequent year. There was a significant decrease in transportation costs and in relatives' time use, but the increase in QoL of 0.041 was not significant. Costs per gained quality adjusted life year (QALY) were 12 400–14 700 USD/QALY if the value of time saved not was considered and 600–2900 USD/QALY when an hour was valued at 3.6 USD. Conclusion: Prescription of PMDs to elderly users might be cost-effective. However, there are shortcomings in measuring QALY gains from the use of a PMD, and it is unclear how time savings among relatives should be valued. Implications for Rehabilitation: a) Prescription of powered mobility devices for the elderly with disability seems to be cost effective and should be a standard intervention; b) In economic evaluations of powered mobility devices and other assistive devices, the commonly used analyses methods are not always appropriate and therefore need to be adjusted. (Publisher abstract)
Accommodating difference: evaluating supported housing for vulnerable people
- Author:
- CLAPHAM David
- Publisher:
- Policy Press
- Publication year:
- 2015
- Pagination:
- 260
- Place of publication:
- Bristol
For vulnerable older, disabled or homeless people who need accommodation and support, many different forms of housing have developed – whether hostels, group homes, extra-care housing or retirement villages. This book explores the impact of different forms of policy and practice on the lives of vulnerable people, arguing for a flexible policy approach that places people in control of their own lives. It puts forward an evaluation framework and applies this to case studies of provision in Britain and Sweden – two countries with long and differing experiences – to raise key issues for the future. Chapters cover: models of supported housing; difference and well-being; homes; neighbourhoods; housing and support in Britain and Sweden; supported housing for older people; supported housing for homeless people; and supported housing for disabled. (Edited publisher abstract)
Combining paid work and family care: policies and experiences in international perspective
- Authors:
- KROGER Teppo, YEANDLE Sue
- Publisher:
- Policy Press
- Publication year:
- 2013
- Pagination:
- 256
- Place of publication:
- Bristol
As populations age around the world, increasing efforts are required from both families and governments to secure care and support for older and disabled people.At the same time, both women and men are expected to increase and lengthen their participation in paid work, which makes combining caring and working a burning issue for social and employment policy and economic sustainability. International discussion about the reconciliation of work and care has previously focused mostly on childcare. Combining paid work and family care widens the debate, bringing into discussion the experiences of those providing support to their partners, older relatives and disabled or seriously ill children. The book analyses the situations of these working carers in Nordic, liberal and East Asian welfare systems. Highlighting what can be learned from individual experiences, the book analyses the changing welfare and labour market policies which shape the lives of working carers in Finland, Sweden, Australia, England, Japan and Taiwan. The book is arranged in three parts: working carers of older people; working parent-carers of disabled children; and working partner-carers. (Edited publisher abstract)
A long life with a particular signature: life course and aging for people with disabilities
- Authors:
- GRASSMAN Eva Jeppsson, et al
- Journal article citation:
- Journal of Gerontological Social Work, 55(2), February 2012, pp.95-111.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Relatively little is known about disabled people’s lives over time; their experience of aging and what it means to cope with disabilities over many years. Similarly what does it mean to be an aging parent and still be a caregiver to a disabled adult child? The authors address these questions with the aim of showing how a life course perspective adds insight to the lived experience of disability and ageing of adults with disabilities. The discussion is based on the results of four studies emanating from a broad research project, Disability, Life Course, and Aging, conducted in Sweden between 2005 and 2008. It is argued that the concept of time is fundamental to the understanding of the lives of disabled people. The responses and analyses challenge established knowledge regarding disability policies, autonomy, body, biographical disruption and prerequisites of active aging. In many ways disabled older people appear to have been living atypical lives but two of the studies show that self-realisation is possible even for people with complex needs. The results challenge the image of successfully aging and vital pensioners often seen in the media.
Interprofessional collaboration in Swedish health and social care from a care manager's perspective
- Authors:
- DUNER Anna, WOLMESJO Maria
- Journal article citation:
- European Journal of Social Work, 18(3), 2015, pp.354-369.
- Publisher:
- Taylor and Francis
The aim of this study was to study interprofessional collaboration in health and social care for older people and persons with disabilities from a care manager's perspective. The empirical data was collected at a workshop held during a national conference for care managers and through focus group interviews in two Swedish municipalities. The results showed that the care managers collaborated in different ways with many different professionals from different organisations. The care and discharge planning meetings emerged as the most typical situation where care managers collaborated with different health care professionals. Interprofessional collaboration was seen as a means for care managers to fulfil their assignment and carry out their work. The care manager role encompassed role strain, a relatively weak professional identity, and differences in professional status among those involved in interprofessional collaboration. (Publisher abstract)