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Key issues in evolving dementia care: international theory-based policy and practice
- Authors:
- INNES Anthea, KELLY Fiona, MCCABE Louise, (eds.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2012
- Pagination:
- 264p.
- Place of publication:
- London
This book focuses on theoretical, policy and practice issues which are predicted to become fundamental priorities in the near future, and how dementia care works across the globe. It explores the theory underpinning dementia care, the applications of theory in dementia care research, and how this research is influencing and shaping practice. The contributors are practitioners, policy influencers and researchers who analyse case studies from the UK, the USA, Canada, Australia, India, France and Malta with the aim of encouraging a dialogue and exchange of interdisciplinary initiatives and ideas. Their insights into how policy and national dementia strategies are developed, and the range of approaches that can be taken in practice, will provide a positive step towards ensuring that the needs of those with dementia are met, both now and in the future. This book is designed for practitioners, researchers, policy makers and students in the field of dementia care.
Public involvement and the ageing population: incompatible trends?
- Authors:
- WAIT Suzanne, NOLTE Ellen
- Journal article citation:
- Ageing Horizons, 2, 2005, Online only
- Publisher:
- Oxford Institute of Ageing
- Place of publication:
- Oxford
This paper begins by exploring the concept of public involvement within the current UK health policy context. It then discusses current levels of knowledge about older people’s preferences, perspectives and experience with the health care system. It concludes by bringing these two discussions together to explore the compatibility of the ageing of society with government’s declared aim of increasing public involvement in health.
Health care rationing affecting older persons: rejected in principle by implemented in fact
- Author:
- KAPP Marshall B.
- Journal article citation:
- Journal of Aging and Social Policy, 14(2), 2002, pp.27-42.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Health care resources are finite and, therefore, need to be rationed among potential users. Over the past decade and a half in the United States, a variety of explicit, official rationing schemes have been proposed, including some in which chronological age would play a significant role. For ethical and political reasons, it is very unlikely that any age-based rationing schemes will be adopted explicitly and officially. However, various de facto forms of health care rationing are occurring at present. This article outlines the implications of payer behavior, physician practice patterns, the development of evidence-based clinical practice parameters or guidelines, and reliance on consumer choice of health plans as unofficial and generally unacknowledged mechanisms of health care rationing that may exert an important impact on the accessibility of health services for older person.
Take six decisions for excellent healthcare and support for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- London
Sets out six key decisions that the British Geriatrics Society (BGS) believe the incoming government should take in order to promote excellent healthcare and support for older people. This care should be person-centred, effective, efficient, safe, equitable and timely. The six key decisions are: to end the divide between health and social care; build capacity in intermediate care; invest adequately in healthcare and social support for older people; provide national strategic direction on older people living with frailty, dementia, complex needs and multiple long-term conditions; supporting staff to develop competencies in the management of older patients; and measuring the aspects of care that matter to older people and their families. (Edited publisher abstract)
A framework for delivering integrated health and social care for older people with complex needs: consultation document
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2013
- Pagination:
- 14
- Place of publication:
- Cardiff
Wales already has a higher proportion of people aged over 85 than the other countries of the United Kingdom, and is likely to rise further in the next decade. This framework for integrated health and social care summarises the relevant policy and key principles; and provides clear definitions. It sets out the Welsh Government’s expectations for how all the different partners need to develop and deliver integrated health and social care services, not as something extra but as the normal way of working. It identifies what the evidence indicates as the core requirements on which to base local planning and delivery; and states the outcome-based indicators that will help establish the present baseline position and measure progress. In all, care delivery must be aimed at achieving improved user and patient care through better co-ordination of services; and the the recipient will have a greater say and more control over the care received. Responses to this consultation are required by 31 October 2013. (Edited publisher abstract)
Making integrated care happen at scale and pace: lessons from experience
- Authors:
- HAM Chris, WALSH Nicola
- Publisher:
- Kings Fund
- Publication year:
- 2013
- Pagination:
- 8
- Place of publication:
- London
The current fragmented services in health and social care fail to meet the needs of the population. A shift to an approach that develops integrated models of care for patients, especially older people and those with long-term conditions, can improve the patient experience and the outcomes and efficiency of care. Making integrated care happen at scale and pace: Lessons from experience is intended to support the process of converting policy intentions into meaningful and widespread change on the ground. The authors summarise 16 steps that need to be taken to make integrated care a reality and draw on work by The King’s Fund and others to provide examples of good practice. There are no universal solutions or approaches to integrated care that will work everywhere and there is also no ‘best way’ of integrating care, and the authors emphasise the importance of discovery rather than design and of sharing examples of good practice when developing policy and practice. Finally, the paper acknowledges that changes are needed to national policy and to the regulatory and financial frameworks for local leaders to fully realise a vision of integration. (Publisher abstract)
Active ageing and prevention in the context of long-term care: rethinking concepts and practices
- Author:
- RUPPE Georg
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2011
- Pagination:
- 16p., bibliog.
- Place of publication:
- Vienna
Relating prevention with long-term care is often thought of as something contradictory. In many countries “long-term care” and “prevention” are terms strongly associated with the ideologies of “being taken care of” and “avoidance” and are thus also often related to passivity. It generally provokes the question whether preventive or activating measures are still feasible or even existent for a person already in need of long-term care. Occasionally it is even considered sarcastic to speak of prevention or rehabilitation when long-term care has already entered the stage. The introduction to this Policy Brief explores conceptual meanings of prevention and long-term care in relation to active ageing. Some general European trends and national developments in Austria concerning long-term care as well as related measures of prevention and activation for older people are outlined in the first part of the Policy Brief. The following section critically discusses general social and health policy approaches as well as practice examples in different long-term care settings in Austria. The Policy Brief concludes with a number of recommendations for prevention and active ageing policies targeted specifically for those older people with existing long-term care needs.
The National Service Framework for older people: 'the promotion of health and active life in older age'
- Author:
- GRANVILLE Gillian
- Journal article citation:
- Generations Review, 11(3), September 2001, pp.6-8.
- Publisher:
- British Society of Gerontology
The Beth Johnson Foundation has been a lead organisation for over twenty years in demonstrating the need for health promotion for ands with older people. This is the second in a series of working papers that are being produced by the Foundation to support the development of health promotion. The paper examines Standard Eight of the recently published National Service Framework for Older People (Department of Health 2001), which concentrates on promoting health and active life in older age. It introduces the policy context of National Service Frameworks; provides a more detailed examination of Standard Eight of the NSF for Older People, including the 'must dos', and some identified gaps; links to some other health strategies , including NSFs and NHS Plan; and wishes the response of the Beth Johnson Foundation to Standard Eight.
Measuring the quality of care for older people
- Authors:
- POTTER Jonathan, GEORGIOU Andrew, PEARSON Michael
- Publisher:
- Royal College of Physicians
- Publication year:
- 2000
- Pagination:
- 136p.,tables,diags.,bibliogs.
- Place of publication:
- London
Examines how to measure standards in health care for older people. Begins with a discussion of techniques for measuring quality. Moves on to discuss the national agenda for quality, with reference to the National Service Framework and the National Institute for Clinical Excellence. Then examines care studies of specific areas of health care, including stroke and incontinence, with critiques of their methodology. Concludes with recommendations for future practice.
No more piggy in the middle
- Author:
- HUDSON Bob
- Journal article citation:
- Health Service Journal, 5.4.01, 2001, p.20.
- Publisher:
- Emap Healthcare
Argues that the concept of 'intermediate care' has yet to be defined and that service co-ordinators will occupy a major role in deciding its boundaries.