Search results for ‘Subject term:"older people"’ Sort:
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Pioneer spirit
- Author:
- COHEN Phil
- Journal article citation:
- Social Work Today, 8.11.90, 1990, pp.16-17.
- Publisher:
- British Association of Social Workers
Reports on a project in inner-city Amsterdam which has fought for home care of older people, rooted in the community.
Home care across Europe: current structure and future challenges
- Editors:
- GENET Nadine, ed.
- Publisher:
- World Health Organization
- Publication year:
- 2012
- Pagination:
- 156p.
- Place of publication:
- Copenhagen
Currently, for every person over the age of 65 in the European Union, there are four people of working age. But by 2050 there will only be two. Demand for long-term care, of which home care forms a significant part, will inevitably increase in the decades to come. Despite the importance of the issue, however, up-to-date and comparative information on home care in Europe is lacking. This report attempts to fill some of that gap by examining current European policy on home care services and strategies. It examines a wide range of topics including the links between social services and health-care systems, the prevailing funding mechanisms, how service providers are paid, the impact of governmental regulation, and the complex roles played by informal caregivers. Drawing on a set of Europe-wide case studies, the report provides comparable descriptive information on many aspects of the organisation, financing and provision of home care across the continent. The report is designed to help frame the coming debate about how best to serve elderly citizens as European populations age.
Second European Congress on home care and help at home: Maastricht, The Netherlands October 6th - 7th, 1994; closing the gap between institutional care and home care
- Author:
- EUROPEAN ASSOCIATION OF ORGANIZATIONS FOR HOME CARE AND HELP AT HOME
- Publisher:
- European Association of Organizations for Home Care and Help at Home
- Publication year:
- 1995
- Pagination:
- 55p.,tables,bibliogs.
- Place of publication:
- Brussels
Conference papers discussing the main trends in home care in Europe and the United States.
Going Dutch
- Author:
- COHEN Phil
- Journal article citation:
- Social Work Today, 25.10.90, 1990, pp.15-17.
- Publisher:
- British Association of Social Workers
Concerned by rising demand for and costs of residential care, social work in the Netherlands is moving towards a mixture of residential and domiciliary care to best meet the user's need.
Caring, the French Way
- Author:
- BARTLETT Nigel
- Journal article citation:
- Community Care, 9.11.89, 1989, pp.2O-22.
- Publisher:
- Reed Business Information
Home care services for the elderly in France have been provided by non-profit-making organisations for 25 years. Service provision can vary between such organisations.
Modelling an entitlement to long-term care services for older people in Europe: projections for long-term care expenditure to 2050
- Authors:
- PICKARD Linda, et al
- Journal article citation:
- Journal of European Social Policy, 17(1), February 2007, pp.33-48.
- Publisher:
- Sage
As the numbers of older people rise in Europe, the importance of long-term care services in terms of numbers of users and expenditures can be expected to grow. This article examines the implications for expenditure in four countries of a national entitlement to long-tem care services for all older people, based on assessed dependency. It is based on a European Commission-funded cross-national study, which makes projections to 2050 of long-term care expenditure in Germany, Italy, Spain and the UK. The policy option investigated is based on the German long-term care insurance scheme, which embodies the principle of an entitlement on uniform national criteria to long-term care benefits. The research models this key principle of the German system in the other three participating countries, with respect to home care services. The study finds that, if all moderately/severely dependent older people receive an entitlement to formal (in-kind) home care, the impact on expenditure could be considerable, but would vary greatly between countries. The impact on long-term care expenditure is found to be the least in Germany, where there is already an entitlement to benefits; and the greatest in Spain, where reliance on informal care is widespread. This article discusses the policy implications of these results.
Supporting older people to live safely at home - findings from thirteen case studies on integrated care across Europe
- Authors:
- LETTE Manon, et al
- Journal article citation:
- International Journal of Integrated Care, 20(4), 2020, p.1. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: While many different factors can undermine older people’s ability to live safely at home, safety as an explicit aspect of integrated care for older people living at home is an underexplored topic in research. In the context of a European project on integrated care, this study aims to improve our understanding of how safety is addressed in integrated care practices across Europe. Methods: This multiple case study included thirteen integrated care sites from seven European countries. The Framework Method guided content analyses of the case study reports. Activities were clustered into activities aimed at identifying and managing risks, or activities addressing specific risks related to older people’s functioning, behaviour, social environment, physical environment and health and social care receipt. Results: Case studies included a broad range of activities addressing older people’s safety. Although care providers felt they sufficiently addressed safety issues, older people were often concerned and insecure about their safety. Attention to the practical and social aspects of safety was often insufficient. Conclusions and discussion: Integrated care services across Europe address older people’s safety in many ways. Further integration of health and social care solutions is necessary to enhance older people’s perceptions of safety. (Edited publisher abstract)
The role of social networks in using home care by older people across Continental Europe
- Authors:
- FERNANDEZ-CARRO Celia, VLACHANTONI Athina
- Journal article citation:
- Health and Social Care in the Community, 27(4), 2019, pp.936-952.
- Publisher:
- Wiley
Using a sample of 37,708 individuals aged 65 and over from Wave 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE), this study examines to what extent the characteristics of older people's social networks predict the use of three types of home care; formal, informal, or combined, exploring the cross‐European convergences and divergences. Binomial logistic regressions are conducted to compare four macro‐regions in continental Europe (northern countries: Denmark and Sweden; western countries: Austria, Belgium, France, Germany, Switzerland, and Luxembourg; southern countries: Italy, Spain, Greece, and Portugal; and eastern countries: Poland, Czech Republic, Slovenia, Estonia, and Croatia). The structure, availability, and accessibility to the members of the social network are the major predictors of the receipt of informal care everywhere. Regional divergences are observed regarding to formal care, alone or combined with informal caregivers. (Edited publisher abstract)
Psychological well-being over time among informal caregivers caring for persons with dementia living at home
- Authors:
- LETHIN Connie, et al
- Journal article citation:
- Aging and Mental Health, 21(11), 2017, pp.1138-1146.
- Publisher:
- Taylor and Francis
Objectives: To investigate informal caregivers’ psychological well-being and predicted increase in psychological well-being, when caring for persons with dementia (PwDs) living at home, related to caregiver, PwD and formal care (FC) factors. Method: A cohort study at baseline and 3 months’ follow-up in eight European countries. Caregivers included (n = 1223) were caring for PwDs aged ≥ 65 years at home. Data on caregivers, PwDs and FC were collected using standardised instruments. Regression analysis of factors associated with caregiver psychological well-being at baseline and 3 months later was performed. Results: Factors associated with caregiver psychological well-being at baseline were positive experience of caregiving, low caregiver burden, high quality of life (QoL) for caregivers, male gender of PwD, high QoL of PwD, few neuropsychiatric symptoms and depressive symptoms for the PwD. At follow-up, caregivers with increased psychological well-being experienced of quality of care (QoC) higher and were more often using dementia specific service. Predicting factors for caregivers’ increased psychological well-being were less caregiver burden, positive experience of caregiving, less supervision of the PwD and higher caregiver QoL, if PwD were male, had higher QoL and less neuropsychiatric symptoms. Furthermore, higher QoC predicted increased caregivers’ psychological well-being. Conclusion: Informal caregiving for PwDs living at home is a complex task. The authors' study shows that caregivers’ psychological well-being was associated with, among other things, less caregiver burden and higher QoL. Professionals should be aware of PwD neuropsychiatric symptoms that might affect caregivers’ psychological well-being, and provide proper care and treatment for caregivers and PwDs. (Edited publisher abstract)
Social and functional health of home care clients with different levels of cognitive impairments
- Authors:
- GARMS-HOMOLOVA Vjenka, et al
- Journal article citation:
- Aging and Mental Health, 21(1), 2017, pp.18-23.
- Publisher:
- Taylor and Francis
Objectives: The ability to manage one's life with some degree of independence, to fulfill basic obligations, and to participate in social activities are social functions that delineate the core of ‘social health’. This study examines to what extent clients of community care in Europe (n = 2884) complete such activities despite their cognitive problems. It focuses on mildly and moderately impaired people, aged 65+ years. Methods: Data were collected using the interRAI HC-Assessment in IBenC-project. The association between participants' capacity and performance was tested in three LADLs (instrumental activities of daily living) and their cognitive performance and specific memory problems. Results: About 30 % of home care clients in Europe suffer from mild-to-moderate cognitive impairment. Their relatively independent coping with requirements of routine activities is strongly determined by overall cognitive performance. Specific memory functions seem unimportant, except for procedural memory. It is striking that all clients, and particularly those with mild-to-moderate cognitive impairment, interact mostly with close relatives and friends. Mild-to-moderate cognitive limitations do not hinder clients from coping semi-independently with routine requirements. Discussion: When considering the influence of cognitive function on clients' capacity and performance in everyday activities and social relations, a comprehensive construct of cognitive function has to be applied. (Edited publisher abstract)