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Comparing nations on timeliness and coordination of health care: findings from the 2021 Commonwealth Fund health policy survey of older adults
- Authors:
- DOTY Michelle M., et al
- Publisher:
- Commonwealth Fund
- Publication year:
- 2021
- Pagination:
- 18
- Place of publication:
- New York
Aging populations present major challenges to health care systems around the world. The 2021 Commonwealth Fund International Health Policy Survey, conducted among adults age 65 and older between March and June 2021, provides insights about how well U.S. seniors fare relative to older adults in 10 other high-income countries. The findings present a mixed picture of U.S. health system performance as the COVID-19 pandemic continues: U.S. seniors are more likely than their counterparts in other wealthy countries to experience economic hardship as a result of the pandemic, with Latino/Hispanic and Black seniors most affected; despite the near-universal coverage Medicare provides, U.S. older adults have comparatively high out-of-pocket health expenses and are much more likely to forgo care because of cost than are their counterparts in the other survey countries. The report also shows that older adults in Germany, the Netherlands, and Switzerland were least likely to have long waits for a doctor’s appointment; older adults in the U.S. were the least likely to experience gaps in hospital discharge planning in the past two years; older adults with chronic conditions in Germany were the most likely to have conversations around care management with their physicians. (Edited publisher abstract)
Shaping the choreography of care and support for older people in Glasgow
- Author:
- INSTITUTE FOR RESEARCH AND INNOVATION IN SOCIAL SERVICES
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2012
- Pagination:
- 44p.
- Place of publication:
- Glasgow
The government’s Reshaping Care for Older People (RCOP) agenda highlights the need to change the way care and support is planned and developed. Not only does it mean improving a whole range of services, but also designing better ways of communicating across different agencies to support these improvements. Over the course of 2011/12, IRISS (the Institute for Research and Innovation in Social Services), in partnership with The Glasgow School of Art, Glasgow City Council Social Work Services, Greater Glasgow and Clyde NHS, Cornerstone Care and BUPA, was involved in a project to foster innovative strategies and actions for the development of future support for older people's well-being. It involved multidisciplinary teams comprising designers, social service practitioners and users. The objective was to match the future expectations and aspirations of living a good older life to the resources that will be available to deliver it. There were 2 overall areas of learning on this project; one being the old adage of partnership working, the other, the new and emerging role of service design for public services. The learning suggests that partnership working is still difficult in practice, and that service design can be used not just to improve a given situation but also to generate knowledge that can inform policy making.
Distance learning
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 13.10.11, 2011, p.24.
- Publisher:
- Reed Business Information
Midlothian Council are working with the island of St Helena to develop the island's community service for older people and to train two new care managers.
Integrating care: from horizontal to vertical integration
- Author:
- WILDING Helen
- Journal article citation:
- Journal of Integrated Care, 18(3), June 2010, pp.15-20.
- Publisher:
- Emerald
The benefits of greater integration are widely recognised in both health and social care. This article outlines the work being carried out in Torbay to provide more seamless services for people aged 65 and over. Torbay Care Trust is one of 16 Department of Health pilot sites for integrated care and is using its already established strong partnerships with Torbay Council, South Devon Healthcare NHS Foundation Trust and Devon Partnership Trust to progress towards a form of vertical integration for older people's care. The article includes sections on: clinical leadership; public and patient involvement; and the ethos of integration. It outlines how the programme is made up of five work-streams intended to span the whole pathway of care, and within each work-stream, specific projects have been identified to help achieve the overall objective: memory cafe project; falls; rapid assessment for care of the elderly; the medical model in the community; emergency department management; hospital discharge; orthopaedic pathways; community hospitals medical model; dementia patients in care homes; and the commissioning challenges. These projects are briefly detailed.
Balancing pragmatism and sustainability: a case study of an interorganisational network to improve integrated care for the elderly
- Authors:
- HALLBERG Anna, WINBLAD Ulrika, FREDRIKSSON Mio
- Journal article citation:
- International Journal of Integrated Care, 21(3), 2021, p.14. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Networks constitute a promising strategy for interorganisational collaboration, but may fail due to network tensions. By investigating the activities and internal dynamics of a voluntary meso-level network operating in the intersection of health and social care, this study aims to enhance the understanding of the relationship between pragmatism and sustainability and the role network governance plays in this respect. Methods: In this descriptive case study, 2–3 researchers observed 3 three-hour long network meetings during the course of a year, and four complementary interviews were performed. Data were analysed based on the literature on network functioning and effectiveness. Results: Pragmatism (a focus on ‘getting things done’) was more emphasised than sustainability although the network meetings also contained elements of relationship- and trust-building. The network leadership (a Network Administrative Organisation, NAO) created structure and concretized the participants’ ideas while remaining flexible and perceptive, and also carried out tasks which would otherwise not have been performed. Discussion: The emphasis on pragmatism did not seem to influence sustainability negatively which has been pointed out as a potential risk in previous literature. Rather, the focus on pragmatism reinforced sustainability in a way that is similar to what has been described in prior research as a “trust-building loop” and discussed further in terms of a “perception of progress” mechanism. However, it was unclear what future the voluntary network would have without the NAO. Conclusion: Network governance is instrumental to success, and should be carefully considered when initiating interorganisational network initiatives for integrated care. (Edited publisher abstract)
“Listen and then listen again”: prevention and promotion of independence for older adults
- Author:
- CARE INSPECTORATE WALES
- Publisher:
- Care Inspectorate Wales
- Publication year:
- 2020
- Pagination:
- 25
- Place of publication:
- Llandudno Junction
Explores the progress made by local authority social services and health boards in supporting older adults to be as independent as possible, in line with the Social Services and Well-being Act (Wales) 2014. The research looked at the experiences of people aged over 65 who had received support from social care and health services, focusing on these key themes: people – are their voices heard and do they have control; partnerships, integration and co-production – who is working together and who is designing support together; prevention – how are services stopping people from reaching crisis or from needing care and support; and well-being - what matters to people. The key findings are: People (voice and control) – almost all of the time, people were treated with dignity and respect by care staff who made a positive difference in their lives but more work is needed to make sure that carers have their voices heard; Well-being – the importance of helping older people to maintain their well-being was increasingly recognised as a positive way to promote independence, and an aspect of work many care staff found rewarding; Partnerships and integration – many people benefitted from positive relationships they developed with care staff who treated them as equals but leaders and manager need to develop a culture of sustainability, through working together and designing services together; Prevention – the duty to support people before they reach crisis is not consistently carried out across Wales. (Edited publisher abstract)
Care co‐ordination for older people in the third sector: scoping the evidence
- Authors:
- ABENDSTERN Michele, et al
- Journal article citation:
- Health and Social Care in the Community, 26(3), 2018, pp.314-329.
- Publisher:
- Wiley
The third sector has played a significant role internationally in the delivery of adult social care services for many years. Its contribution to care co‐ordination activities for older people, however, in England and elsewhere, is relatively unknown. A scoping review was therefore conducted to ascertain the character of the literature, the nature and extent of third sector care co‐ordination activity, and to identify evidence gaps. It was undertaken between autumn 2013 and summer 2014 and updated with additional searches in 2016. Electronic and manual searches of international literature using distinct terms for different approaches to care co‐ordination were undertaken. From a total of 835 papers, 26 met inclusion criteria. Data were organised in relation to care co‐ordination approaches, types of third sector organisation and care recipients. Papers were predominantly from the UK and published this century. Key findings included that: a minority of literature focused specifically on older people and that those doing so described only one care co‐ordination approach; third sector services tended to be associated with independence and person‐centred practice; and working with the statutory sector, a prerequisite of care co‐ordination, was challenging and required a range of features to be in place to support effective partnerships. Strengths and weaknesses of care co‐ordination practice in the third sector according to key stakeholder groups were also highlighted. Areas for future research included the need for: a specific focus on older people's experiences; an investigation of workforce issues; detailed examination of third sector practices, outcomes and costs; interactions with the statutory sector; and an examination of quality assurance systems and their appropriateness to third sector practice. The main implication of the findings is a need to nurture variety within the third sector in order to provide older people and other adults with the range of service options desired. (Edited publisher abstract)
Together: a vision of whole person care for a 21st century health and care service
- Editor:
- BURNHAM Andy
- Publisher:
- Fabian Society
- Publication year:
- 2013
- Pagination:
- 98
- Place of publication:
- London
Whole person care – integrating physical, social and mental health care in a preventative and person-centred system – is potentially Labour’s big idea going into the 2015 election. The concept has already gained wide support among health professionals, policy experts, campaigners, practitioners and political advocates, who have united to welcome the approach. However, big questions remain around how to turn it from an interesting idea into a credible programme for government. To inform the development of the whole person care agenda, Andy Burnham MP, the shadow health secretary, brings together a range of independent experts to explore the policy implications of integrated health and social care. Their essays do not represent Labour party policy, but outline the key areas that will need to be answered, in order to develop a coherent and effective ‘whole person’ approach to health and social care. The publication has been supported by Age UK. (Edited publisher abstract)
Reasons for redesigning care for older people
- Author:
- PHILP Ian
- Journal article citation:
- Health Service Journal, 29.11.12, 2012, pp.30-32.
- Publisher:
- Emap Healthcare
South Warwickshire Foundation Trust has transformed its acute and community services to meet the needs of older people. A review of evidence about interventions to improve productivity and outcomes in older people's health and care led the Trust to focus on four main principles: get in early; invest in alternatives to acute hospital care; provide acute care by old age specialists; and discharge to assess. The principles have been put into practice in a number of linked projects. These include: using a single assessment instrument. EASY-Care, to be used by the health, social care and the third sector; close partnership working with adult social care and primary care services to provide alternatives to hospital care; and expansion of old-age specialist care teams.
IFS in action: personalising block contracts: as research report
- Author:
- HOOLAHAN Sian
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2012
- Pagination:
- 19p.
- Place of publication:
- Sheffield
Choice Support was formed in 1984 in south east London to provide a range of support services for disabled and disadvantaged people. In 2010, a 3-year partnership was set up between Choice Support and Southwark Council to develop personalisation in adult social care. This is the 1st of 3 short research reports outlining progress and describing the steps necessary to make the changes. The aims of the project were to transform a block contract worth in excess of £6 million, to develop individual funding for 83 people, and hence to transform the options and supports available to people in Southwark. Savings are expected to be £1.79 million over 4 years, a 29.75% saving for Southwark Adult Services. By November 2011, the following has been achieved: the large block contract for 83 people has been broken down into individual budgets; Individual Service Funds (ISF) have been created for more flexible services; better and more empowering services have been created; and a more dynamic and respectful relationship between a service provider and commissioner have been developed.