Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 16
Barriers and facilitators in the uptake of integrated care pathways for older patients by healthcare professionals: a qualitative analysis of the French national “Health Pathway of Seniors for Preserved Autonomy” pilot program
- Authors:
- LORETTE Lorette, et al
- Journal article citation:
- International Journal of Integrated Care, 21(2), 2021, p.7. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Integrated care is a particularly promising approach in geriatrics – a field in which the medical, psychological and social issues are often complex. The uptake of integrated care by healthcare professionals (HCPs) is essential but varies markedly. The objective of the present study of healthcare professionals was to identify barriers to and facilitators of commitment to integrated care for seniors. Methods: We performed a two-step, qualitative study, comprising (i) six qualitative, semi-directive series of interviews with HCPs (hospital practitioners, family physicians, nurses and pharmacists) who agreed or disagreed to take part in the French national “Health Pathway of Seniors for Preserved Autonomy” (PAERPA) pilot program; and (ii) an analysis of the pooled results, in order to identify common concerns among the healthcare professionals. Results: We identified four key “barrier” and “facilitator” topics shared by HCPs who had committed to the pilot program and those who had not: (i) awareness of and/or interest in geriatric medicine and team working, (ii) the presence of a care coordinator; (iii) the provision of information about the program and about the patient, and communication between HCPs, and (iv) personal benefits for the HCPs and the patients. Key conclusions: The four key topics identified in this large qualitative study of several healthcare professions should be considered during the design and dissemination of integrated care pathways for older patients. (Edited publisher abstract)
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.
Dignity and older people
- Authors:
- ARINO-BLASCO Sergio, TADD Win, BOIX-FERRER Josep Antoni
- Journal article citation:
- Quality in Ageing, 6(1), June 2005, pp.30-36.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This article deals with professionals' views concerning the importance of dignity for older people and how this can best be maintained. Overall, participants painted a negative picture of the lives of older people, although clear distinctions were drawn between fit and frail older people. Indignities associated with old age arose from ill health, dependency, vulnerability, frailty and loss of competence. It was considered that technological advances made older people seem left behind. However, many described working with this age group as an enjoyable experience. Professionals identified the following factors as essential to dignified care: promotion of autonomy and independence,; a person-centred and holistic approach; maintenance of identity and encouragement of involvement; participation and empowerment; effective communication and respect. Undignified care was associated with invisibility, de-personalisation, abuse, humiliation and narrow and mechanistic approaches to care.
Home care for the elderly
- Author:
- INTERNATIONAL SOCIAL SECURITY ASSOCIATION
- Publisher:
- International Social Security Association
- Publication year:
- 1992
- Pagination:
- 140p.
- Place of publication:
- Geneva
Report describing the experience in 8 European countries with regard to assistance, health care and home care for older and disabled people, focusing in particular on the debate over the introduction of a dependency benefit.
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.
An international comparison of health, social care and welfare legislation and its effects on older British nationals' mobility within the European Union: final report
- Authors:
- COLDRON Keleigh, O'BRIEN Charlotte
- Publisher:
- Age Concern England; Royal British Legion
- Publication year:
- 2008
- Pagination:
- 56p., bibliog.
- Place of publication:
- London
The purpose of this study was to examine the rights to statutory health, social care and welfare provision that are lost on migrating from the UK. In order to do this the health, welfare and social care benefits and services available for older British nationals within the United Kingdom, Portugal, France, Germany and Cyprus are defined and compared. The report also investigated whether retirement migrants are specifically disadvantaged or other migrants are equally disadvantaged. Section 2 outlines the 'losses' retirement migrants would face should they move to another state. Section 3 revealed gaps in the statutory services available to older British nationals should they move to one of the member states in the study. One of the conclusions in the report is that if individuals are heavily dependent on social care services to live their lives in the UK, it may not be a wise move to move to another Member State.
Social policy review 10
- Editors:
- BRUNSDON Edward, HARTLEY Dean, WOODS Roberta
- Publisher:
- Social Policy Association
- Publication year:
- 1998
- Pagination:
- 304.,bibliogs.
- Place of publication:
- London
Collection of essays on social policy divided into two sections: developments in British welfare under New Labour; and international developments.
Health and mortality among elderly populations
- Editors:
- CASELLI Graziella, LOPEZ Alan D.
- Publisher:
- Clarendon Press
- Publication year:
- 1996
- Pagination:
- 376p.,tables,bibliog.
- Place of publication:
- Oxford
Pinpoints the most recent trends internationally in the growing population of older people. Includes papers on: what is old age - variation over time and between cultures; prospects for extended survival - a critical review of the biological evidence; a demographic and medical survey about centenarians in France; comparative mortality trends among older people in developed countries; socio-demographic differentials in mortality at older ages in Finland; social support, life satisfaction and survival at older ages; old age mortality in Japan; trends and differentials in disability free life expectancy; disability and functional status among older people - cross national comparisons; health and survival of older people; future longevity; mortality predictions for Japan; new approaches to formal and informal care; and strategies for the provision of health and social care services for older people.
Private markets in health and welfare: an international perspective
- Editor:
- JOHNSON Norman
- Publisher:
- Berg
- Publication year:
- 1995
- Pagination:
- 263p.,tables,bibliogs.
- Place of publication:
- Oxford
Collection of papers examining the growing role of private markets in the provision and finance of health and social welfare services in the UK, Canada, France, Italy, Sweden, the United States, Hungary, Poland and Slovenia. Considers whether the principal beneficiaries have been the state, the consumers, or the commercial providers. Includes papers on domiciliary and residential services, housing, and a range of health services.