Search results for ‘Subject term:"older people"’ Sort:
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Care coordination for older people: an exploratory framework
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 16(3), 2015, pp.130-139.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present a framework for examining variation in care coordination arrangements for older people. Design/methodology/approach: A multi-method approach was adopted combining analysis of secondary data and primary data. There were two stages: the development of the framework and its constituent attributes and indicators; and its validation from two perspectives: a meeting with managers and focus groups with practitioners. It was informed by an existing generic framework; subsequent policy guidance; data from an English national survey; previous research; and international literature. Findings: The framework comprises 19 attributes each with indicators measuring performance relating to: organisational arrangements influencing service delivery; the performance of core tasks of care coordination; and differentiation within the process to distinguish between responses to different levels of need. Originality/value: Care coordination arrangements in England are characterised by diversity. This paper provides a framework for evaluating local arrangements thereby highlighting strengths and where improvements are needed. It offers a means to promote programme fidelity. As such it has utility for both service commissioners and providers. (Edited publisher abstract)
The effectiveness of social care for the elderly: an overview of recent and current evaluative research
- Authors:
- GOLDBERG E. Matilda, CONNELLY Naomi
- Publisher:
- Heinemann/Policy Studies Institute
- Publication year:
- 1982
- Pagination:
- 274p.,bibliogs.
- Place of publication:
- London
Dementia 2011: a North East perspective
- Author:
- SMITH Debbie
- Publisher:
- Northern Rock Foundation
- Publication year:
- 2011
- Pagination:
- 104
- Place of publication:
- Newcastle upon Tyne
Outlines the state of dementia care in the North East, as of May 2011. The report provides an overview of the work that is being undertaken to support people with dementia and their carers by statutory, voluntary and education sectors. It highlights progress made and gaps in service development and provision; setting this work against the English policy context and the views and experiences of people with dementia and their carers. In particular, the report provides: context through demographic information, dementia types and economic challenges; details of policies that are relevant to dementia, in particular, the national dementia strategy, and any related activity that has been undertaken within the North East to deliver or comply with the policies; details of North East structures, research and regional wide dementia specific information that supports the implementation of the national dementia strategy; the North East key dementia priorities and details of progress against them including the views of North East stakeholders; and details of the remaining national dementia strategy objectives and progress against them including the view of North East stakeholders. (Edited publisher abstract)
Integrating health and social care
- Authors:
- BERMINGHAM Rowena, HOBBS Abbi
- Publisher:
- Great Britain. Houses of Parliament. Parliamentary Office of Science and Technology
- Publication year:
- 2016
- Pagination:
- 5
- Place of publication:
- London
An ageing population and the increasing prevalence of long-term conditions are putting pressure on health and social care services. The four UK nations have committed to better integration between health and social care as one solution to these challenges. This briefing outlines what integration is and examines policies to enable it in the four UK nations, such as co-ordinating resources and pooled budgets. It provides examples of integration in England, which include Integrated Care Pilots, Integrated Care Pioneers, and New Care Models. Three key challenges to achieving integration are identified as data sharing; incentives and targets; and workforce practices. The briefing also highlights the difficulties of assessing the effectiveness of integration schemes. (Edited publisher abstract)
A realistic evaluation of integrated health and social care for older people in Wales, to promote independence and wellbeing: interim report
- Authors:
- CHICHLOWSKA S.Carnes, et al
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2013
- Pagination:
- 123
- Place of publication:
- Cardiff
Researchers at the Centre for Innovative Ageing, Swansea University provide a critical overview of each of a range of integration projects or services across Wales, comparing them to an idealised ‘testable theory’ of how integration should work. The aim is that older people are able to maintain their wellbeing and independence whilst being able to live with a range of care needs extending to complex and chronic conditions, preferably in their own homes and their own communities. The first section of the report is a summary of the literature review related to policy strategy and provision of integrated health and social care services for older people, using literature sourced nationally across Britain and locally in Wales. The second section comprises information on the models of care of the projects and services selected, based on a small number of interviews with stakeholders. The information will be used to develop a conceptual model of integrated care that can be used to assess the impact of services to older people. The report observes the emergence of several unintended and undesirable outcomes of developing integrated care, including competition between services and alienation of GPs and other health and service professionals. Assessment, patient notes and data collection is still largely paper based, creating difficulties in sharing and disseminating information across services. Further work is required to evaluate integrated health and social care. (Original abstract)
Cost-benefit analysis in social care for elderly people
- Author:
- DUTRENIT Jean-Marc
- Journal article citation:
- Evaluation Review, 29(5), October 2005, pp.389-406.
- Publisher:
- Sage
Social care at home for elderly people is now growing rapidly in France. The research presented here, and made for the Comity of Lille Employment Area with cooperation of the Caisse Primaire d’Assurance Maladiede Lille (the local board of the national social security system), attempts to discover 'What kind of social activities could stimulate good health for elderly people measured by lower cost of pharmacy expenditures?'. The results found that ceteris paribus, cultural activities - in a group or at home - versus others appear to produce more interest for elderly, professional caregivers, and the rest of society.
A systematic review evaluating the impact of social support and social participation on senior adult quality of life
- Author:
- AL YAZEEDI Salma A.
- Journal article citation:
- International Journal of Nursing and Hospital Care, 4(1), 2018, Online only
- Publisher:
- BioCore Group
- Place of publication:
- United States
Background: Senior adults encounter physical and psychological changes as they get older. Supportive social networks and social involvement among senior citizens are critical factors to enhance their quality of life (QOL). Purpose: This review aims to explore the ways in which social support and social involvement are essential factors for improving the QOL among adults aged 60 years and older. Methods: A systematic review of ten articles published between January 2005 and January 2015 using Cochrane, PubMed, and Psyc-INFO databases was conducted. Inclusion and exclusion criteria were applied for studies selection. Synthesis and Summary of Findings: Senior adults lived with a spouse and family members and being socially active were significantly associated with increased QOL. Factors such as more social support, higher level of education, continuous involvement in social activities, and having a supportive social network with family members or friends promote the QOL among senior adults. Conclusions: Social support and participation positively affect senior adults’ QOL. However, the relationship between the social factors and QOL in this population requires further investigation regarding specific meaning and determinants of quality of life to aid decision making of policy maker and other stakeholders. (Edited publisher abstract)
A process to evaluate an iTV platform to enhance seniors’ access to information about public and social services
- Authors:
- SILVA Telmo, et al
- Journal article citation:
- Working with Older People, 22(4), 2018, pp.224-233.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present a process to evaluate the usability and usefulness of a high-fidelity prototype of the +TV4E platform (removed for blind review), an iTV service which aims to promote the info-inclusion and quality of life of Portuguese seniors by delivering informative contents about public and social services. Design/methodology/approach: The research presented in this study is qualitative and uses an inclusive and participatory co-design process involving seniors to evaluate usability of an iTV service with support of the Post-Study System Usability Questionnaire (PSSUQ) tool and a questionnaire survey. The participants were 11 individuals, over 65 years enrolled in an adult day care center in Aveiro city, Portugal (removed for blind review). Findings: Findings from this study allowed to assess some key aspects in the +TV4E platform implementation that should be addressed in its final version. Using the PSSUQ tool as well as a questionnaire survey confirmed the relevance of this platform to meet seniors’ informational needs. Originality/value: This original research offers insights on how valuable is including potential users in the development and test phases of an innovative technology which intends to offer more adequate tools to improve seniors’ info-inclusion and quality of life. Also, it is possible to understand what should be considered when evaluating a prototype intended to be used by seniors. (Publisher abstract)
Impacts of older people’s patient and public involvement in health and social care research: a systematic review
- Authors:
- BALDWIN Jennifer N., et al
- Journal article citation:
- Age and Ageing, 47(6), 2018, pp.801-809.
- Publisher:
- Oxford University Press
Background: patient and public involvement (PPI) in research has been linked with numerous beneficial impacts, however, evidence for older people’s involvement is limited. Objectives: to evaluate the impacts of involving older people in health and social care research on older co-researchers, academic researchers, and research processes and outcomes. A secondary aim was to explore critical success factors and future considerations for PPI. Design systematic review. Methods: six databases were searched for English language articles published between 2006 and 2017. A supplementary search was conducted. Two authors independently retrieved articles using standardised inclusion criteria and data extraction forms. Articles reporting formal evaluation of older people’s involvement were included. Results: nine articles, all using qualitative methodology, were included. Benefits for older co-researchers included psychological and social benefits, new learning, and activism and career opportunities, while challenging impacts comprised demanding workloads, difficult relationships and dissatisfaction with level of involvement. Benefits for academic researchers entailed new learning and shared workloads; challenges related to demanding workloads and difficult relationships. Both positive and negative effects on research quality and impact were observed. Benefits for participants and the community were demonstrated. Building relationships, facilitating communication and breaking down barriers to participation were identified as critical success factors. Conclusions: evidence for the impacts of older people’s involvement is mixed although benefits appear to outweigh the challenges. Future considerations for PPI include matching older people’s skills and motivations to the project and level of involvement, and establishing an iterative research process in which evaluation is embedded. (Edited publisher abstract)
Early findings from the evaluation of the Integrated Care and Support Pioneers in England
- Authors:
- ERENS Bob, et al
- Journal article citation:
- Journal of Integrated Care, 25(3), 2017, pp.137-149.
- Publisher:
- Emerald
Purpose: Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25 Integrated Care Pioneers have been established to drive change “at scale and pace”. The early phases of the evaluation (April 2014-June 2016) aimed to identify their objectives, plans and activities, and to assess the extent to which they have overcome barriers to integration. In the longer term, the authors will assess whether integrated care leads to improved outcomes and quality of care and at what cost. The paper aims to discuss these issues. Design/methodology/approach: Mixed methods involving documentary analysis, qualitative interviews and an online key informant survey. Findings: Over time, there was a narrowing of the integration agenda in most Pioneers. The predominant approach was to establish community-based multi-disciplinary teams focussed on (older) people with multiple long-term conditions with extensive needs. Moving from design to delivery proved difficult, as many barriers are outside the control of local actors. There was limited evidence of service change. Research limitations/implications: Because the findings relate to the early stage of the 5+ years of the Pioneer programme (2014-2019), it is not yet possible to detect changes in services or in user experiences and outcomes. Practical implications: The persistence of many barriers to integration highlights the need for greater national support to remove them. Originality/value: The evaluation demonstrates that implementing integrated health and social care is not a short-term process and cannot be achieved without national support in tackling persistent barriers. (Publisher abstract)