Search results for ‘Subject term:"older people"’ Sort:
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Evidence review of home adaptations in the UK and other OECD countries: a tripartite framework
- Authors:
- WANG Yang, GIBB Kenneth, MCCALL Vikki
- Publisher:
- UK Collaborative Centre for Housing Evidence
- Publication year:
- 2022
- Pagination:
- 47
- Place of publication:
- Glasgow
The main objective of this review was to provide overview of what we know about home adaptations, examining the latest knowledge advancement, identifying gaps for future research, and informing policy and practice. We directed our enquires of the literature following three questions: 1. Who need home adaptations? 2. How are home adaptations placed and what works or would work as examples of good practices? 3. What are the outcomes of home adaptations? This led to the development of a three-dimensional framework - client, process and outcome - which can accommodate the old, new and growing evidence, themes and theories of home adaptations. The review is concerned mainly with adaptations in relation to community-dwelling older people. The digital search process yielded 706 papers falling within search criteria (after excluding duplicates and other similar anomalies). A series of further exclusions reduced this to 153. Further manual examination produced a final set of 76 papers. The client dimension reviewed ways in which the characteristics of home adaptation applicants/users had been explored in the contemporary literature. Some are quite revealing and clearly demonstrate the importance of increasing our knowledge about the characteristics of adaptations clients, such as the investigation of ethnic disparities in the use of adaptations (e.g. Bakk et al., 2017) which further draws our attention to wider issues of inequality in housing and the health and social care system. In the process dimension, we explored the frequently reported delays during adaptation services in the UK and what we called 'elective delays' that resulted from stigmatisations associated with home adaptations. We organised evidence about the outcomes of adaptations into three broad categories: functional performance and safety, health gains, and economic benefits. While improvements of functional performance and safety as the primary focus of adaptations studies have been documented in greater depth following RCT studies, health gains and economic benefits were relatively weakly evidenced. (Edited publisher abstract)
Shifting from fragmentation to integration: a systematic analysis of long-term care insurance policies in China
- Authors:
- ZHOU Wusi, DAI Weidong
- Journal article citation:
- International Journal of Integrated Care, 21(3), 2021, p.11. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Long-term care is an effective intervention that help older people cope with significant declines in capacity. The growing demand for long-term care signals a new social risk and has been given a higher political priority in China. In 2016, 15 local authorities have been selected to pilot the long-term care insurance programme. However, the current implementation of these programmes is fragmented, with a measure of uncertainty. This study aims to investigate the principles and characteristics of long-term care insurance policies across all pilot authorities. It seeks to examine the design of local long-term care insurance systems and their current status. Methodology: Based on the 2016 guidance, a systematic search for local policy documents on long-term care insurance across the 15 authorities was undertaken, followed by critical analysis to extract policy value and distinctive features in the delivery of long-term care. Results: The results found that there were many inconsistencies in long-term care policies across local areas, leading to substantial variations in services to the beneficiaries, funding sources, benefit package, supply options and partnership working. Policy fragmentation has brought the postcode lottery and continued inequity for long-term care. Discussion: Moving forward, local authorities need to have a clear vision of inter-organisational collaboration from the macro to the micro levels in directional and functional dimensions. At the national level, vertical governance should be interacted to outline good practice guidelines and build right service infrastructure. At the local level, horizontal organizations can collaborate to achieve an effective and efficient delivery of long-term care. (Edited publisher abstract)
Diversity in older age: disability
- Author:
- CENTRE FOR POLICY ON AGEING
- Publisher:
- Centre for Policy on Ageing
- Publication year:
- 2016
- Pagination:
- 20
- Place of publication:
- London
This review summarises findings from selected literature and statistics on older disabled people. It is one of a series of rapid reviews commissioned by Age UK into the diversity that exists in the older population and the inequalities faced by specific groups of older people. Areas covered include: the meaning and prevalence of disability in older age; disability and employment; income and benefits; access to transport; health and social care; and housing. (Edited publisher abstract)
Ageing with a unique impairment: a systematically conducted review of older deafblind people's experiences
- Author:
- SIMCOCK Peter
- Journal article citation:
- Ageing and Society, 37(8), 2017, pp.1703-1742.
- Publisher:
- Cambridge University Press
Little is known about the experiences of people ageing with impairments; social gerontology has largely focused on those ageing into disability rather than those ageing with disability. This paper synthesises existing knowledge to determine what is known about the experiences of those ageing with deafblindness. A comprehensive literature search was undertaken between April 2013 and May 2014. The review method was informed by systematic review principles. A total of 24 references were identified for inclusion. No studies examining deafblind people's experience of ageing and old age specifically were found, suggesting that those ageing with deafblindness are an under-studied sub-group within the deafblind population. However, deafblind people describe ageing experiences in studies exploring their lives generally, and in personal accounts of living with the impairment. Practitioner-authored material also explores the topic. Similarities in experience were identified between those ageing with deafblindness and those ageing with other impairments: ongoing change and consequent need for adaptation; a particular relationship between ageing and impairment; a sense that whilst one can learn adaptive strategies having lived with impairment for many years, it does not necessarily get easier; and a particular relationship with care and support services. These experiences illustrate the unique nature of ageing with impairment, and challenge gerontologists to engage in further research and theorising in the field of disability in later life. (Publisher abstract)
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.
The impact of austerity on disabled, elderly and immigrants in the United Kingdom: a literature review
- Authors:
- MacDONALD Kirsteen, MORGAN Heather May
- Journal article citation:
- Disability and Society, 36(7), 2021, pp.1125-1147.
- Publisher:
- Taylor and Francis
Systematic literature searching identified 29 relevant health and social sciences articles for review on the topic of austerity policies and their impacts on the health and social care of disabled, elderly and immigrants in the United Kingdom (UK). Since 2010, government changes to previously state-funded areas meant levels of funding and eligibility changed significantly. Self-funding or self-managing healthcare, but more often social care, was transferred to individuals. While additional funding was given for some treatments, prevention approaches were cut. More people had to depend on non-professional care, mostly from family. Many family carers received no professional advice or information and mostly had to reduce their own employment hours and income to care for a dependent. The quality of services, professional or non-professional, became poorer than pre-2010. These changes increased marginalisation and stigma. Consequently, many ‘vulnerable’ became ‘vilified’ – disabled, elderly and immigrants often of the worst affected. (Edited publisher abstract)
The inequality of poverty: exploring the link between the poverty premium and protected characteristics
- Authors:
- DAVIES Sara, COLLINGS David
- Publisher:
- University of Bristol
- Publication year:
- 2021
- Pagination:
- 56
- Place of publication:
- Bristol
This targeted review of evidence examines the links between poverty and people with protected characteristics, focussing specifically on evidence relating to factors that can contribute to the poverty premium, together with secondary analysis of two consumer survey data sets examining low-income households and the poverty premium. The review found that people on low incomes and with certain protected characteristics are more likely to be paying extra costs for essentials such as electricity, gas, credit, and insurance. This is the case even when compared with low income households as a whole. There are some protected characteristics that are associated with an increased risk of poverty in the UK: race, sex (in the case of single mothers), and disability. In relation to age, while pensioner poverty has fallen over the last few decades – although it has started to rise again (Age UK, 2019) – younger workers are much more likely to be in poverty than other age groups. The review also found that intersectionality plays a large role; the more protected characteristics a person has, the more risk they bear. In terms of whether this translated to an increased likelihood of incurring poverty premiums, the evidence does suggest that certain groups with protected characteristics are more vulnerable, even compared with low-income households as a whole. (Edited publisher abstract)
Care system sustainability: what role for technology? An evidence review
- Author:
- HAMBLIN Kate
- Publisher:
- University of Sheffield. CIRCLE
- Publication year:
- 2020
- Pagination:
- 16
- Place of publication:
- Sheffield
This evidence review focuses on the challenges to care system sustainability that can be addressed using technology. The challenges explored in this paper are: population ageing and the mismatch of care supply and demand; rising incidence of disability / long-term conditions / co-morbidity; changes in family and household structures; and change in levels of public investment in social care. Using data and evidence gathered from the academic and grey literatures and secondary data analysis, this paper demonstrates the complex picture these challenges present for local authorities delivering social care in England. It examines the uneven challenges faced by services according to their location – risks related to population ageing, the availability of family care networks, public investment and the increased prevalence of long-term conditions are not evenly distributed amongst local authorities. The paper also explores challenges that accompany technology when applied to social care contexts, such as the ‘digital divide’ and the infrastructure required to deliver reliable ‘technology-enabled care’. Again, these challenges are not experienced equally across local authorities, undermining the notion that technology can provide a ‘one size fits all’ solution to the issues faced in social care. (Edited publisher abstract)
A review of age friendly virtual assistive technologies and their effect on daily living for carers and dependent adults
- Authors:
- MARSTON Hannah Ramsden, SAMUELS Julie
- Journal article citation:
- Healthcare, 7(1), 2019, p.49. Online only
- Publisher:
- Molecular Diversity Preservation International and Multidisciplinary Digital Publishing Institute
Many barriers exist in the lives of older adults, including health, transport, housing, isolation, disability and access to technology. The appropriate integration of technology within age-friendly communities continues to offer possible solutions to these barriers and challenges. Older adults and disabled people continue to be affected and marginalized due to lack of access to the digital world. Working collaboratively with planners, policy makers and developers, social and living spaces in the future will ensure that residents are equipped to live in an era that continues to be led by, and is dependent upon, access to technology. This review paper uniquely draws together the small volume of literature from the fields of gerontology, gerontechnology, human computer interaction (HCI), and disability. This paper examines the national and international age-friendly frameworks regarding older adults who are carers of dependent people with disabilities. (Edited publisher abstract)
From disability rights towards a rights-based approach to long-term care in Europe: building an index of rights-based policies for older people. Working paper 1: literature review
- Authors:
- SCHULMANN Katharine, et al
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2017
- Pagination:
- 73
- Place of publication:
- Vienna
This working paper presents the results of a literature review carried out for the project, 'From disability rights towards a rights-based approach to long-term care in Europe: building an Index of rights-based policies for older people'. The authors investigate the key concepts of the movement to secure the rights of people with disabilities in order to understand how the disability rights movement can inform the ongoing policy debate surrounding older people's rights, and potential limitations of the former model in securing the rights older people with care and support needs. The paper concludes by identifying specific human rights that should be considered in the context of care for older people. (Edited publisher abstract)