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Long-term care quality assurance policies in European countries
- Authors:
- DANDI Roberto, et al
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 89p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. This report analyses the quality assurance policies for long-term care (LTC) in the following countries: Austria, Estonia, Finland, France, Germany, Hungary, Italy, Latvia, Poland, Slovakia, Slovenia, Spain, Sweden, the Netherlands, and the United Kingdom. First, it discusses quality assurance in LTC by analysing: the dimensions of quality, the policy frameworks for quality in LTC, the different levels of development of LTC quality policies at the international, national, organisational, and individual levels. Second, it describes the methodology for collecting and analysing data on quality policies in the selected countries. Finally, it discusses the results, identifying four clusters of countries based on quality policies and indicators for LTC. These clusters are compared to the clusters identified in Work Package 1 of the ANCIEN project. Policy recommendations are proposed.
Quality assurance indicators of long-term care in European countries
- Authors:
- DANDI Roberto, CASANOVA Georgia
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 128p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. The report presents the quality indicators that were collected by the ANCIEN project partners in each country. The main contribution of this report is a classification of the quality assurance indicators in different European countries according to three dimensions: organisation type; quality dimensions; and system dimensions. The countries that provided quality indicators, which are used at a national level or are recommended to be used at a local level by a national authority, are: Estonia, Finland, France, Germany, Hungary, Italy, Latvia, the Netherlands, Spain, Sweden and the United Kingdom. In total, 390 quality indicators were collected. Each quality indicator has been assigned to one or more options in each dimension.
Elder abuse in Finland
- Author:
- KIVELA Sirkka-Liisa
- Journal article citation:
- Journal of Elder Abuse and Neglect, 6(3/4), 1995, pp.31-44.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Outlines responses to elder abuse in Finland. Describes the demographic characteristics of the elderly population and Finnish social and health care services. Looks at: the 'discovery' of elder abuse; the extent and risk of elder abuse; explanations of the cause and efforts at prevention, detection and intervention in elder abuse.
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.
"They're always in a hurry" - older people's perceptions of access and recognition in health and social care services
- Authors:
- TIILIKAINEN Elisa, et al
- Journal article citation:
- Health and Social Care in the Community, 27(4), 2019, pp.1011-1018.
- Publisher:
- Wiley
The article examines older people's perceptions of quality of life from the perspective of access and use of health and social care services. The data include focus group discussions with older people living alone. The data were analysed using thematic analysis focusing on the older people's collective views on health and social care services as supportive or restrictive factors for their quality of life. Two central themes were present in all the focus group discussions: the importance of accessing services and information regarding the services, and need for recognition within the services/by the professionals. Both themes were connected to the older people's desire to maintain autonomy in their everyday life despite increasing functional disabilities, which was seen as an important factor of quality of life. The older people felt that accessing and finding information about the services was difficult, and dependent on the professional's good will and the older person's own financial resources. Within the services, older people experienced a lack of recognition of their own personhood and individual needs. The participants felt that they were easily bypassed and left out of negotiations regarding their own care. The article highlights the importance of developing health and social care services and practices towards a more holistic approach recognising older people's individual needs. (Publisher abstract)
“They’re always in a hurry” - Older people´s perceptions of access and recognition in health and social care services
- Authors:
- TIILIKAINEN Elisa, et al
- Journal article citation:
- Health and Social Care in the Community, early cite 5 February 2019,
- Publisher:
- Wiley
The article examines older people's perceptions of quality of life from the perspective of access and use of health and social care services. The data include focus group discussions with older people living alone. The data were analysed using thematic analysis focusing on the older people's collective views on health and social care services as supportive or restrictive factors for their quality of life. Two central themes were present in all the focus group discussions: the importance of accessing services and information regarding the services, and need for recognition within the services/by the professionals. Both themes were connected to the older people's desire to maintain autonomy in their everyday life despite increasing functional disabilities, which was seen as an important factor of quality of life. The older people felt that accessing and finding information about the services was difficult, and dependent on the professional's good will and the older person's own financial resources. Within the services, older people experienced a lack of recognition of their own personhood and individual needs. The participants felt that they were easily bypassed and left out of negotiations regarding their own care. The article highlights the importance of developing health and social care services and practices towards a more holistic approach recognising older people's individual needs. (Edited publisher abstract)
The care of older people with dementia in surgical wards from the point of view of the nursing staff and physicians
- Authors:
- HYNNINEN Nina, SAARNIO Reetta
- Journal article citation:
- Journal of Clinical Nursing, 24(1-2), 2015, pp.192-201.
- Publisher:
- John Wiley and Sons
Aims and objectives: The aim of this study is to describe the care of older people with dementia in surgical wards from the viewpoint of the nursing staff and physicians. Background: There has been little research on the impact of the increasing number of older people with dementia in surgical wards and the preparedness of multi-professional staff caring for them. Design: A qualitative, descriptive design was used. Methods: The data were collected using unstructured interviews with nursing staff (n = 19) and physicians (n = 9) who participate in caring for people with dementia in surgical wards. The collected data were analysed using inductive content analysis. Result: The nursing staff reported that caring for people with dementia was physically and mentally demanding. Physicians regarded memory disorder-related symptoms as primary causes of patients’ challenging behaviour, while in similar situations the nursing staff felt that such behaviour was related to their own personality or a deficiency in their nursing competence. The nursing staff commented that they had not received specific training in caring for people with dementia. Conclusion: The study highlights the importance of developing nurses’ skills to meet the current demands of their jobs. Thus, nursing staff urgently require additional training to safely care for this group of patients. In addition, the well-being of nursing staff needs further support, and working practices in the wards should be reviewed. Relevance to clinical practise: Education and up-to-date information related to patient care strongly improve the quality of nursing. The results can be applied to the development of competences related to the care of older people with dementia in surgical wards from a multi-professional standpoint. (Publisher abstract)
A good place to grow older: synthesis report: Peer Review in Social Protection and Social Inclusion 2010, London, 18-19 January 2011
- Authors:
- HOKEMA Anna, TESCH-ROMER Clemens
- Publisher:
- Peer Review in Social Protection and Social Inclusion
- Publication year:
- 2011
- Pagination:
- 40p., bibliog.
- Place of publication:
- Vienna
Peer Reviews are a key instrument of the EU framework ‘the open method of coordination’. They aim to enable open discussion on social protection and social inclusion policies in the different EU Member States and facilitate the mutual learning process among them. This publication reports on a Peer Review held in London in January 2011 which focused on strategies for building ‘a good place to grow older’. The Peer Review was hosted by the UK Department for Work and Pensions and also involved representatives from Cyprus, Denmark, Finland, Hungary, Romania and Spain. This publication covers: the policy debate at European level; the main elements of the UK’s policy; the experiences in peer countries and stakeholder contributions; and discussions at the Peer Review meeting covering UK policy reforms (including pension reform and reforms to health and social care), the role of ‘Big Society’, and the principles behind the reforms. The main conclusions and key lessons to emerge from the Peer Review relate to: the transferability of the UK reforms; older people as a societal resource; old age as part of life’s course; diversity; active ageing and the extension of working life; volunteering; partnerships across sectors; the role of stakeholder organisations; access to information; the role of the environment; and strategies for scaling up pilot projects.
Minority elderly health and social care in Europe: summary findings of the minority elderly care (MEC) project
- Editors:
- PATEL Naina, (ed.)
- Publisher:
- Policy Research Institute on Ageing and Ethnicity
- Publication year:
- 2004
- Pagination:
- 13p.
- Place of publication:
- Bolton
This report, using data from the United Kingdom, France, Germany, the Netherlands, Spain, Finland, Hungary, Bosnia and Herzegovina, Croatia and Switzerland, is designed to inform and help plan the nature and direction of provision of health and social care services in the years to come. The project has the explicit intention of seeking to draw attention to the needs of minority ethnic (ME) elders and thereby improve the provision of services for them throughout Europe. Key findings showed that family was very important to ME elders in all countries and not surprisingly, most elders preferred to be looked after by their family in their own home. It is apparent that in every country there were significant proportions of ME elders on low incomes which were substantially less than the average incomes for elderly in the country concerned. In all countries there were quite significant proportions who described their general health as poor or very poor and these elders needed more medical treatment. The use of different health and social care services is not uniform across the different ethnic groups and countries. While each country has its own systems and procedures it is apparent that in all countries there are some elders who are failing to gain access to services. There are several things an organisation can do to help ME elders to overcome barriers and gain access to services. For example, information can be provided in appropriate languages, staff can be given training in culture-specific care, or new services may be designed specifically to meet the needs of different ME groups. The report makes several recommendations including the provision of clear information about the rights of the individual in accessing and using health and social care services and in different formats and languages. Adopt a person centred approach to patients and service users. Recognise that certain ethnic groups face particularly strong access barriers. Each of the issues is described in detail for each country included in the report.
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.