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Under reconstruction: the impact of COVID-19 policies on the lives and support networks of older people living alone
- Authors:
- PFABIGAN Johanna, et al
- Journal article citation:
- International Journal of Care and Caring, 6(1-2), 2022, pp.211-228.
- Publisher:
- Policy Press
In the spring of 2020, the Austrian government introduced COVID-19 containment policies that had various impacts on older people living alone and their care arrangements. Seven qualitative telephone interviews with older people living alone were conducted to explore how they were affected by these policies. The findings show that the management of everyday life and support was challenging for older people living alone, even though they did not perceive the pandemic as a threat. To better address the needs of older people living alone, it would be important to actively negotiate single measures in the area of conflict between protection, safety and assurance of autonomy. (Edited publisher abstract)
Analysing equity in the use of long-term care in Europe
- Authors:
- RODRIGUES Ricardo, ILINCA Stefania, SCHMIDT Andrea
- Publisher:
- European Commission
- Publication year:
- 2014
- Pagination:
- 39
- Place of publication:
- Brussels
There are significant differences across social protection systems in Europe in the scope, breadth and depth of coverage of the risk to need long-term care in old-age. Together with other factors, such as education, household structure or societal values regarding care for frail older people, these differences can have a significant impact on the use of long-term care. Using SHARE data, this Research Note compares differences between European countries in the use of long-term care across income groups, for older people living at home. It analyses not only inequalities in the use of long-term care, but also differences in use that persist after differences in need have been taken into consideration, i.e. horizontal inequity. For this purpose, concentration indices, concentration curves and horizontal inequity indices are estimated for home care services and informal care. The countries analysed here are Austria, Germany, Sweden, the Netherlands, Spain, Italy, France, Denmark, Greece, Belgium and Czech Republic. The findings suggest that differences in use of home care services across income groups mostly reflect differences in need between those same groups. For informal care, the differences in use persist even after accounting for needs, and less affluent individuals are much more likely to use informal care. Some possible causes for these differences and policy implications are considered.
Livindhome: living independently at home: reforms in home care in 9 European countries
- Authors:
- ROSTGAARD Tina, et al
- Publisher:
- Danish National Centre for Social Research
- Publication year:
- 2011
- Pagination:
- 252p., bibliog.
- Place of publication:
- Copenhagen
This report presents findings from the project Living Independently at Home: Reforms in organisation and governance of European home care for older people and people with disabilities (LIVINDHOME). The study provides an overview of recent and current reforms in the organisation and governance of home care systems in nine European countries, and analyses the intended and unintended results of these reforms, in particular, how the reforms have affected the organisation, supply and quality of care. The focus of the study is home care for older people and for people with disabilities. In countries that have more family-oriented welfare traditions (Austria, Germany, Italy, Ireland), comprehensive approaches to long-term care have started to develop only relatively recently. Despite increases in funding for long-term care, home care provision in Italy and Ireland remains highly fragmented, with major local variations in access to services. The second group of countries (Denmark, England, Finland, Norway, and Sweden) have had more or less comprehensive home care services in place for many years. These have been delivered by local authorities under a legislative framework set by central government. Reforms have here involved the introduction of market- and consumer-related mechanisms into the supply and delivery of home care.
Workplace health promotion in domiciliary care: an Austrian project
- Authors:
- HICKEL Susanne, PALKOVICH Tamara
- Journal article citation:
- Journal of Integrated Care, 13(4), August 2005, pp.26-33.
- Publisher:
- Emerald
This article reports practical experiences with workforce health promotion in domiciliary care arising from an ongoing EU-funded Austrian project. The auuthors review research-based findings on working conditions and indicate starting points for health-promoting measures. We describe the approach, and give insight into challenges and obstacles to workplace health promotion in this field of work. The issues may have strong relevance for the UK.
Effectiveness of home treatment for elderly people with depression: randomised controlled trial
- Authors:
- KLUG Gunter, et al
- Journal article citation:
- British Journal of Psychiatry, 197(6), December 2010, pp.463-467.
- Publisher:
- Cambridge University Press
This study tested the effectiveness of home treatment for elderly people with depression living independently in Austria. Sixty out-patients aged 65 and over with major depression were either allocated to a home treatment model over a 1-year period or to conventional psychiatric out-patient care. Home treatment was delivered by a multidisciplinary team consisting of one psychiatrist, two psychologists and one social worker who was also qualified as a psychiatric nurse. Treatment included talks about self-esteem, coping resources and medication adherence; encouragement to establish and maintain social networks, increase social and leisure activities and cope with tasks of daily living; support of carers; and crisis interventions when required. The primary outcome was the level of depressive symptoms after 3 and 12 months. The secondary outcomes were global functioning, subjective quality of life, admissions to nursing homes, duration of psychiatric hospital treatments and the cost of care. Findings revealed that the individuals receiving home treatment had significantly fewer symptoms of depression, better global functioning and a higher quality of life at 3 months and at 12 months. In the 1 year period there were fewer admissions to nursing homes, they spent less time in psychiatric in-patient care and the overall cost of care was lower. The study concluded that home treatment appeared to be an effective and cost-effective service model for elderly people with depression.
Common experiences of staff working in integrated health and social care organisations: a European perspective
- Author:
- COXON Kirsite
- Journal article citation:
- Journal of Integrated Care, 13(2), April 2005, pp.13-21.
- Publisher:
- Emerald
Presents a comparison of the views of staff working in 18 integrated care settings, undertaken as part of the PROCARE study of integrated health and social care. The data reveals commonalities across the nine European countries (Austria, France, Germany, Italy, Finland, UK, Denmark, Greece and the Netherlands). Increased job satisfaction was an advantage of integrated working, but respondents also reported difficulties in working with hospitals or medical professionals, and continued barriers to integrated working generally. Single standalone organisations such as home care teams reported the clearest benefits from integrated working, while cross-agency models continued to encounter significant barriers to health and social care integration.