Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 21
Substitution between formal and informal care: a ‘natural experiment’ in social policy in Britain between 1985 and 2000
- Author:
- PICKARD Linda
- Journal article citation:
- Ageing and Society, 32(7), October 2012, pp.1147-1175.
- Publisher:
- Cambridge University Press
This article examines substitution between formal and informal care in England between 1985 and 2000. During the late 1980s and early 1990s, there was an increase in long-stay residential care for older people, which came to an end around the mid-1990s. The article examines whether this increase in formal services led to a decline in informal care, and whether this was subsequently reversed. The paper shows that there was a decline in provision of intense co-resident care for older parents between 1985 and 1995, which came to an end in the mid-1990s. These trends in intergenerational care were related to changes in long-stay residential care. In particular, controlling for age and disability, there was evidence of substitution between nursing home and hospital care and co-resident care for older parents. The author concludes that a key policy implication is that an expansion of very intense formal services for older people could bring about a decline in very intense intergenerational care.
Caring for older people in New Zealand: informal carers' experiences of the transition of care from the home to residential care
- Author:
- MILLLIGAN Christine
- Publisher:
- Lancaster University. Institute for Health Research
- Publication year:
- 2004
- Pagination:
- 84p., bibliog.
- Place of publication:
- Lancaster
This study investigated how informal carers can be most effectively supported through the longer-term transition of care for their spouse or close family member, in ways that can contribute to their own positive well-being. It is based on informal care-givers experiences of the transition of care for their elderly spouse or relative from the home to residential care in New Zealand. Participants included 20 carers, aged 54 to 83 years, who were asked to submit a written or audio account of their experiences using their own words. Findings revealed that informal carers can experience a range of physical, mental and emotional health problems both at the point of initial care transition and over the longer-term. The care transition is experienced by most informal carers as a period of grief, guilt and great unhappiness, not dissimilar to the experience of bereavement. Counselling and support mechanisms are needed to help informal carers over periods of transition. The hospice model could offer one framework of support. Good and mutually understandable levels of communication between health professionals and informal carers; informal carers and care staff; and between care staff within the care home are essential for an enhanced quality of care.
There's no place like home: place and care in an ageing society
- Author:
- MILLIGAN Christine
- Publisher:
- Ashgate
- Publication year:
- 2009
- Pagination:
- 188p.
- Place of publication:
- Farnham
This book addresses key concerns about the nature and site of care and care-giving. Following a review of research into who cares, where and how, it uses geographical perspectives to present a comprehensive analysis of how the intersection of informal care-giving within domestic, community and residential care homes can create complex landscapes of care. Case studies are used to develop a theoretical basis for a geographical analysis of the issue of care. By relating these theoretical concepts to empirical data and case studies it describes how formal and informal care-giver responses can act to facilitate or constrain the development of inclusionary models of care. Although much of the focus of this book is on the care of older people within the UK, many of the core themes and concepts discussed are of wider relevance. Chapters include: conceptualising the complex landscapes of care; who cares? people, place and gender; mapping the contours of care: international and transnational perspectives; care and home; the impact of new care technologies on home and care; care and community?; care and transition: from community to residential care; emotion and the socio-spatial mediation of care; and reconfiguring the landscape of care: porosity, integration and extitution.
Comparative costs of home care and residential care
- Authors:
- CHAPPELL Neena, et al
- Journal article citation:
- Gerontologist, 44(3), June 2004, pp.389-400.
- Publisher:
- Oxford University Press
This paper reports on Canadian research that examined the cost effectiveness of home care for seniors as a substitute for long-term institutional services. Two Canadian cities were included in the research: Victoria, British Columbia, and Winnipeg, Manitoba. The research computes the costs of formal care and informal care in both settings and ensures comparable groups of clients in both settings by comparing individuals at the same level of care. The results reveal that costs were significantly lower for community clients than for facility clients, regardless of whether costs only to the government were taken into account or whether both formal and informal costs were taken into account. When informal caregiver time is valued at either minimum wage or replacement wage, there was a substantial jump in the average annual costs for both community and facility clients relative to when informal caregiver time was valued at zero. Nevertheless, the results reveal that home care is significantly less costly than residential care even when informal caregiver time is valued at replacement wage.
Paying for care: lessons from Europe
- Authors:
- GLENDINNING Caroline, McLAUGHLIN Eithne
- Publisher:
- HMSO/Great Britain. Social Security Advisory Committee
- Publication year:
- 1993
- Pagination:
- 169p.,tables,bibliog.
- Place of publication:
- London
Comparative study looking at financial support for informal carers which has been introduced in some developed countries in the light of demographic trends experienced across Europe.
Heterogeneity in the effect of obesity on future long-term care use in England
- Authors:
- GOUSIA Katerina, et al
- Publisher:
- Quality and Outcomes of Person-centred Care Policy Research Unit
- Publication year:
- 2019
- Pagination:
- 28
- Place of publication:
- Canterbury
This study provides new evidence on the effect of obesity on future use of long-term care services in England. More specifically, it explores the effect of obesity on different types of care and tests for heterogeneous effects on different types of care by looking at different classifications of obesity. It also explores whether the findings are sensitive to the incorporation of information on long-term care use prior to death. The results found that in addition to the obesity at the level of BMI between 25 and 45 representing a risk for future use of informal care, (super) obesity at the level of BMI at 45 and greater represents a significant risk for all types of care use, including social care and nursing home/residential care. (Edited publisher abstract)
Residential care and care to community-dwelling parents: out-selection, in-selection and diffusion of responsibility
- Author:
- BROEK Thijs van den
- Journal article citation:
- Ageing and Society, 37(8), 2017, pp.1609-1631.
- Publisher:
- Cambridge University Press
Research suggests that adult children are less likely to provide care to community-dwelling parents when beds in residential care settings are more widely available. The underlying mechanisms are not well understood. Drawing on data from the Survey of Health, Ageing and Retirement in Europe (SHARE) on 1,214 impaired parent–child dyads from 12 countries, we find that adult children are less likely to provide care in countries where beds in residential care settings are more widely available because (a) parents’ care needs are less severe in such countries (out-selection hypothesis) and (b) adult children and impaired parents are less likely to share a household in such countries (in-selection hypothesis). Finally (c), after taking these two factors into account, adult children remain less likely to provide care in countries where beds in residential care settings are more widely available (diffusion of responsibility hypothesis). Plausibly, being able to rely on residential care undermines adult children's sense of urgency to step in and provide care to their parents. (Publisher abstract)
Family care work: a policy-relevant research agenda
- Authors:
- MOEN Phyllis, DEPASQUALE Nicole
- Journal article citation:
- International Journal of Care and Caring, 1(1), 2017, pp.45-62.
- Publisher:
- Policy Press
This article addresses the need for policy-relevant research agendas on family care in transaction with formal care and public as well as organisational norms and policies in light of the crisis in caregiving for older adults. The authors propose a combined institutional and life-course theoretical approach, suggesting seven ways of organising scholarly enquiry to promote understanding of the changing nature of family care in the 21st century, inform policymakers' efforts at supporting family caregivers and improve caregivers' and care recipients' quality of life. These include: (1) moving beyond snapshots of individuals; (2) conducting comparative cross-cultural and crosscohort analyses; (3) documenting social heterogeneity, vulnerability and inequality; (4) capturing individuals' and families' adaptive strategies and cycles of control during the caregiving process; (5) investigating policy innovations and natural experiments; (6) assessing third parties as mediating institutions between regulatory environments and caregiving families; and (7) attending to the subjective meanings of care. (Edited publisher abstract)
Changing the balance of social care for older people: simulating scenarios under demographic ageing in New Zealand
- Authors:
- LAY-LEE Roy, et al
- Journal article citation:
- Health and Social Care in the Community, 25(3), 2017, pp.962-974.
- Publisher:
- Wiley
The demographic ageing of New Zealand society, as elsewhere in the developed world, has dramatically increased the proportion of older people (aged 65 years and over) in the population. This has major policy implications for the future organisation of social care. Our objective was to test the effects on social care use, first, of putative changes in the overall disability profile of older people, and second, of alterations to the balance of their care, i.e. whether it was community-based or residential. In order to undertake these experiments, we developed a microsimulation model of the later life course using individual-level data from two official national survey series on health and disability, respectively, to generate a synthetic version which replicated original data and parameter settings. A baseline projection under current settings from 2001 to 2021 showed moderate increases in disability and associated social care use. Artificially decreasing disability levels, below the baseline projection, only moderately reduced the use of community care (both informal and formal). Scenarios implemented by rebalancing towards informal care use moderately reduced formal care use. However, only moderate compensatory increases in community-based care were required to markedly decrease the transition to residential care. The disability impact of demographic ageing may not have a major negative effect on system resources in developed countries like New Zealand. As well as healthy ageing, changing the balance of social care may alleviate the impact of increasing demand due to an expanding population of older people. (Publisher abstract)
Choosing a nursing home: families need more support
- Authors:
- ASHTON Susan, ROE Brenda, JACK Barbara
- Journal article citation:
- Journal of Dementia Care, 24(4), 2016, pp.22-24.
- Publisher:
- Hawker
Nursing homes are sometimes the best option for people with advanced dementia, but the authors ask what is it like choosing one. In their study the authors focused on the challenges and experiences of family carers of people with advanced dementia, who are at the end of life.. (Edited publisher abstract)