Search results for ‘Subject term:"older people"’ Sort:
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Integrated service delivery to ensure persons' functional autonomy
- Editors:
- HEBERT Rejean, TOURIGNY Andre, GAGNON Maxime, (eds.)
- Publisher:
- Edisem
- Publication year:
- 2005
- Pagination:
- 323p.
- Place of publication:
- Saint-Hyacinthe, QC
Within healthcare-systems innovations in service organisations are constantly being constructed due -for example- to new medical-, governmental- or managerial insights, political constraints and/or financial objectives. The socio-demographic changes in Canada, the increasing costs, shortage of personnel and dissatisfaction among elders with the traditional hospital-centred-model forced the Canadians towards innovation.This book is relevant for all elders in the world: 'How can one's functional autonomy at old age adequately be ensured?' The book represents the struggle of researchers dealing with an innovation started in 1999 called Integrated Service Delivery (ISD) for the frail elders in three communities in Canada. Aspects of the Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) are highlighted in this book.
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)
Integrating occupational therapy services: playing the long game
- Author:
- KELLY Janet
- Journal article citation:
- Journal of Integrated Care, 23(4), 2015, pp.185-193.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore some of the critical areas of work in any long-term strategy to develop integrated occupational therapy services across health and social care for adults who are frail and elderly and living in their local communities. It explores the success that has been experienced in Aneurin Bevan University Health Board over the past eight years or more and proposes “keeping the faith” as a helpful personal strategy in avoiding disillusionment and disengagement in the process when setbacks occur along the way. Design/methodology/approach: The paper is a combination of personal reflection and experience, with reference to the literature and what has been written about others’ professional experiences at bringing services and professional groups together. Findings: Developing integrated occupational therapy services is not easy. However there are several critical factors, which once understood for their role in the overall process, add weight to the 'right thing to do' argument. These 'critical factors' provide a continued focus for the work when the challenges inherent in developing integrated services are in danger of outweighing the successes and the pressure is strong to revert to the default position of single agency service delivery. Originality/value: This paper makes an effort to pursue integrated occupational services to serve as an example of wider attempts to pursue collaboration and integration, highlighting the need for remaining doggedly determined on the final objective – better services for people. (Publisher abstract)
Making integrated care happen at scale and pace: lessons from experience
- Authors:
- HAM Chris, WALSH Nicola
- Publisher:
- Kings Fund
- Publication year:
- 2013
- Pagination:
- 8
- Place of publication:
- London
The current fragmented services in health and social care fail to meet the needs of the population. A shift to an approach that develops integrated models of care for patients, especially older people and those with long-term conditions, can improve the patient experience and the outcomes and efficiency of care. Making integrated care happen at scale and pace: Lessons from experience is intended to support the process of converting policy intentions into meaningful and widespread change on the ground. The authors summarise 16 steps that need to be taken to make integrated care a reality and draw on work by The King’s Fund and others to provide examples of good practice. There are no universal solutions or approaches to integrated care that will work everywhere and there is also no ‘best way’ of integrating care, and the authors emphasise the importance of discovery rather than design and of sharing examples of good practice when developing policy and practice. Finally, the paper acknowledges that changes are needed to national policy and to the regulatory and financial frameworks for local leaders to fully realise a vision of integration. (Publisher abstract)
Providing an alternative pathway: the value of integrating housing, care and support
- Authors:
- BERRINGTON James, NATIONAL HOUSING FEDERATION
- Publisher:
- National Housing Federation
- Publication year:
- 2013
- Pagination:
- 20p.
- Place of publication:
- London
This report by the National Housing Federation highlights the value of integrating housing with care and support in five case studies where integrated working between housing providers, health and social care have improved outcomes for individuals and reduced costs. These case studies, which provide practical examples of bringing together housing, health and care, deliver savings of between £2,946 and £17,992 a year compared to less integrated pathways. One service saved a total of £241,670 to local health and social care budgets. The report concludes that, at a time when local authorities have to cut spending while continuing to meet the needs created by changing demographics, it is imperative that we integrate as a way of improving outcomes while achieving efficiencies.
Breaking the mould: re-visioning older people's housing: examples of innovative housing, care and support solutions for older people
- Author:
- NATIONAL HOUSING FEDERATION
- Publisher:
- National Housing Federation
- Publication year:
- 2012
- Pagination:
- 5p.
- Place of publication:
- London
The report describes a number of the business opportunities that an ageing population brings, particularly in the wider community. It also offers examples of how care, support and other practical services such as handyperson or ‘help at home’ services can be offered to older people in all types of tenure, including people who would pay for such a service from a trusted provider. It contains case studies and suggestions about how the increasing number of older people seeking effective housing solutions can provide business opportunities despite reduced public funds for housing and care. Published by the National Housing Federation it demonstrates how the growing numbers of older owner occupiers and people able to pay for care are keen to find alternatives to traditional care and housing options.
Integrated care: what is it? Does it work? What does it mean for the NHS?
- Authors:
- HAM Chris, CURRY Natasha
- Publisher:
- King's Fund
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
The author summarises the different forms of integrated care and their impact so far on the NHS. This short paper is based on a major review of integrated care published by The King’s Fund (Curry and Ham 2010). Integrated care takes many different forms and may involve whole populations, care for particular groups or people with the same diseases, and co-ordination of care for individual service users and carers. There is good evidence of the benefits of integrated care for whole populations, as seen in organisations such as Kaiser Permanente, the Veterans Health Administration and integrated medical groups in the United States. The evidence of the benefits of integrated care for older people, for example as seen in areas like Torbay, is good. However there is mixed evidence of the benefits of integrated care for people with long-term conditions like diabetes and those with complex needs. There is evidence of the benefits of care co-ordination for individual service users and carers, especially when multiple approaches are used together. The report concludes that integrated care in the NHS needs to be pursued at all levels to overcome the risks of fragmentation. Policy-makers need to act on the evidence not by promoting a preferred approach but by supporting clinical and managerial leaders to adapt the ingredients of integrated care discussed.
Integrated care for older people: report of a one-day conference organised by the Department of Health Strategy Unit and the Integrated Care Network
- Author:
- INTEGRATED CARE NETWORK
- Publisher:
- Care Services Improvement Partnership. Integrated Care Network
- Publication year:
- 2004
- Pagination:
- 20p., bibliog.
- Place of publication:
- Leeds
While this one-day conference was based on a number of different individual presentations and on a series of parallel sessions, several key themes emerged from the day which may have implications for future policy and practice. They were: partnerships as a means to an end; person-centred services; avoiding structural solutions; and seeking local solutions.
United, in sickness and in health?
- Authors:
- McCURRY Patrick, WHITE Caroline
- Journal article citation:
- Community Care, 21.1.99, 1999, pp.8-9.
- Publisher:
- Reed Business Information
As a flu bug throws winter pressures plans in to chaos, and elderly and vulnerable patients in accident and emergency departments grow longer, reports on how MPs are recommending tearing down divisions between health and social services.
Dementia care: developing partnerships in practice
- Editors:
- ADAMS Trevor, CLARKE Charlotte L.
- Publisher:
- Bailliere Tindall
- Publication year:
- 1999
- Pagination:
- 396p.,bibliog.
- Place of publication:
- London
Promotes dementia care as a service emphasising the individuality of people with dementia, and the importance of their continuing relationships with their family carers. Explores the implications for professional practice of valuing and protecting individuals who have dementia and the family care giving relationship. Aims to reflect and stimulate research into practice, and discusses issues which need to be acknowledged by practitioners in order to provide informed and enlightened care.