Now that delayed discharge fines have arrived, looks at the relationship between health and social services. Also considers whether older people are benefiting.
Now that delayed discharge fines have arrived, looks at the relationship between health and social services. Also considers whether older people are benefiting.
Looks at an example of good practice in cooperative working between health and social services in the area of intermediate care for older people.
Looks at an example of good practice in cooperative working between health and social services in the area of intermediate care for older people.
Subject terms:
interagency cooperation, joint working, intermediate care, older people, hospital discharge, rehabilitation, social services, health, health authorities, good practice;
An evidence review, commissioned by Kent Surrey Sussex Academic Health Science Network (KSS AHSN) and undertaken by the Housing LIN, which looks at evidence and initiatives across the UK which bring together health and housing, with a particular focus on older people. The review includes projects which contribute to improving health outcomes, reducing demand and expenditure, and improving the experience of patients and residents. It involved searches of key websites and databases and interviews with key stakeholders to provide an understanding of effective health and housing initiatives. The review provides a strategic overview of the policy context, followed by sections covering: housing with care; housing advice and information; aids and adaptations; handyperson schemes; falls prevention; assistive technology and telecare; discharge services; design of the built environment; warm housing and fuel poverty; and dementia related initiatives. Each section contains a brief introduction, a review of relevant research, and examples of current projects and initiatives. The review concludes that housing and related services can contribute to emerging models of integrated health and social care services. It suggests that closer working between the NHS and the housing sector can help reduce hospital admissions and emergency department visits, speed up the discharge of older patients and maintain the independence of older people.
(Edited publisher abstract)
An evidence review, commissioned by Kent Surrey Sussex Academic Health Science Network (KSS AHSN) and undertaken by the Housing LIN, which looks at evidence and initiatives across the UK which bring together health and housing, with a particular focus on older people. The review includes projects which contribute to improving health outcomes, reducing demand and expenditure, and improving the experience of patients and residents. It involved searches of key websites and databases and interviews with key stakeholders to provide an understanding of effective health and housing initiatives. The review provides a strategic overview of the policy context, followed by sections covering: housing with care; housing advice and information; aids and adaptations; handyperson schemes; falls prevention; assistive technology and telecare; discharge services; design of the built environment; warm housing and fuel poverty; and dementia related initiatives. Each section contains a brief introduction, a review of relevant research, and examples of current projects and initiatives. The review concludes that housing and related services can contribute to emerging models of integrated health and social care services. It suggests that closer working between the NHS and the housing sector can help reduce hospital admissions and emergency department visits, speed up the discharge of older patients and maintain the independence of older people.
(Edited publisher abstract)
Subject terms:
housing, home improvements, assistive technology, older people, hospital discharge, building design, dementia, advice services, telecare, supported housing, health, extra care housing, falls, literature reviews;
Journal of Gerontological Social Work, 32(3), 1999, pp.27-47.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
This study examines data from a 1991 American survey to examine the changes in care arrangements for elderly patients. Following the onset of their dependency, over 60 percent of elderly patients experienced at least one form of institutionalisation. A majority of those who remained in the community also experienced changes in living/care arrangements. The findings confirm that health-related need factors and race are significant determinants of institutionalisation immediately following the onset of dependency. But the availability of caregivers and other enabling factors are also significant determinants of care settings used following hospitalisation.
This study examines data from a 1991 American survey to examine the changes in care arrangements for elderly patients. Following the onset of their dependency, over 60 percent of elderly patients experienced at least one form of institutionalisation. A majority of those who remained in the community also experienced changes in living/care arrangements. The findings confirm that health-related need factors and race are significant determinants of institutionalisation immediately following the onset of dependency. But the availability of caregivers and other enabling factors are also significant determinants of care settings used following hospitalisation.
Outpatient geriatric evaluation and management (GEM) is a sustained, intensive interdisciplinary process used in the USA that begins with a comprehensive geriatric assessment (CGA) of many factors that affect health and continues until the implementation of a new plan of care has been completed. It is designed to maximise the health and the physical, psychological, and social functioning of high-risk older persons. Evaluates, among other outcomes, high-risk older adults' satisfaction with seven aspects of outpatient GEM.
Outpatient geriatric evaluation and management (GEM) is a sustained, intensive interdisciplinary process used in the USA that begins with a comprehensive geriatric assessment (CGA) of many factors that affect health and continues until the implementation of a new plan of care has been completed. It is designed to maximise the health and the physical, psychological, and social functioning of high-risk older persons. Evaluates, among other outcomes, high-risk older adults' satisfaction with seven aspects of outpatient GEM.
Subject terms:
intervention, multidisciplinary services, older people, outcomes, hospital discharge, user views, vulnerable adults, assessment, care management, evaluation, health;
International Journal of Geriatric Psychiatry, 12(8), August 1997, pp.838-840.
Publisher:
Wiley
Assesses the outcome of the transfer of elderly patients suffering from dementia from hospital to private nursing home care under a partnership contract. The nursing home population fared badly compared with patients remaining in hospital during the first 3 months. This difference was less evident at 6 months follow-up and had disappeared after 12 months. Concludes that a partnership agreement can deliver quality health care at least as good as hospital treatment, as long as the transfer is handled carefully.
Assesses the outcome of the transfer of elderly patients suffering from dementia from hospital to private nursing home care under a partnership contract. The nursing home population fared badly compared with patients remaining in hospital during the first 3 months. This difference was less evident at 6 months follow-up and had disappeared after 12 months. Concludes that a partnership agreement can deliver quality health care at least as good as hospital treatment, as long as the transfer is handled carefully.
Subject terms:
hospitals, long term care, mixed economy of care, nursing homes, older people, hospital admission, hospital discharge, private sector, psychiatric care, quality of life, residential care, dementia, evaluation, health, health care;
Collection of papers based on presentations at the 1988 conference of the British Society of Gerontology in 1988. These include: a mixed economy of welfare and the ageing experience; private sector provision of sheltered housing; the reaction of social workers to the challenge of private sector growth in residential care; adjusting to mental infirmity in local authority homes; a survey of delayed hospital discharge; lessons for the future of day care; preparation for retirement in the EC; emerging issues in feminist groupwork; types of inter-generational relations; and the meaning and experience of 'home' in later life.
Collection of papers based on presentations at the 1988 conference of the British Society of Gerontology in 1988. These include: a mixed economy of welfare and the ageing experience; private sector provision of sheltered housing; the reaction of social workers to the challenge of private sector growth in residential care; adjusting to mental infirmity in local authority homes; a survey of delayed hospital discharge; lessons for the future of day care; preparation for retirement in the EC; emerging issues in feminist groupwork; types of inter-generational relations; and the meaning and experience of 'home' in later life.
Subject terms:
hospitals, local authorities, older people, hospital discharge, private sector, residential care, sheltered housing, day services, European Union, feminist theory, health;