Search results for ‘Subject term:"older people"’ Sort:
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Let's go Dutch
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 10.2.00, 2000, p.26.
- Publisher:
- Reed Business Information
Talks to Meic Phillips, a winner of last year's Isabel Schwarz Travel Fellowship about how colleagues in Europe have developed sheltered housing.
Constant hierarchic patterns of physical functioning across seven populations in five countries
- Authors:
- FERRUCCI Luigi, et al
- Journal article citation:
- Gerontologist, 38(3), June 1998, pp.286-294.
- Publisher:
- Oxford University Press
This research was aimed at identifying critical steps in the decline in physical function that often parallels ageing. Six basic and nine instrumental activities of daily living (ADLs) were classified into four domains of disability characterised by specific underlying physical impairment. The hierarchical order of this classification was verified in two random samples representative of the older home-dwelling population. The cross-cultural reliability of the model was verified in seven population-based samples of older persons living in five European countries. In older persons the disabling process follows a general pattern of progression based on a typical sequence of impairments.
Report on the mechanisms for stakeholder co-ordination
- Authors:
- FINN Rachel, WRIGHHT David
- Publisher:
- Bridging Research in Ageing and ICT Development
- Publication year:
- 2010
- Pagination:
- 106p.
- Place of publication:
- Belfast
Bridging Research in Ageing and ICT Development (BRAID) is a 2-year European Union funded project. Within the EU, there have been frequent comments about the lack of adequate collaboration and co-operation among stakeholders in meeting the needs of senior citizens with specific regard to e-inclusion and active aging. The aim of the BRAID project is to develop a comprehensive Research and Technological Development (RTD) roadmap for active ageing by consolidating existing roadmaps and by describing and launching a stakeholder co-ordination and consultation mechanism. The purpose of this work package is to determine whether stakeholder needs are being met by existing multi-stakeholder mechanisms. It categorises the stakeholders into 6 groups (end users, industry, civil society organisations, public authorities, academics and the media), and examines how different examples of organisational models (including forums, platforms, networks, associations, virtual forums, consortiums, clusters, international conferences, federations and public-private partnerships) can address the needs of these stakeholders. It finds that organisational structures are both diverse and overlapping, and that different organisational structures are best suited to different activities. The final section discusses the objectives that a new multi-stakeholder co-ordination mechanism must address to be successful, and makes recommendations regarding the criteria that this mechanism will need to address.
The four notions of dignity
- Authors:
- NORDENFELT Lennart, EDGAR Andrew
- Journal article citation:
- Quality in Ageing, 6(1), June 2005, pp.17-21.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Presents the theoretical model of dignity that has been created within the Dignity and Older Europeans (DOE) Project. The model consists of four kinds of dignity: the dignity of merit (social rank and formal positions in life); the dignity of moral stature (the result of moral deeds); the dignity of identity (the integrity of the subjects body, mind and sometimes self-image; and Menschenwurde (the universal dignity that pertains to all human beings to the same extent and cannot be lost as long as the person exists).
Proposal of a service delivery integration index of home care for older persons: application in several European cities
- Authors:
- SORBYE Liv Wergeland, et al
- Journal article citation:
- International Journal of Integrated Care, 6(3), 2006, Online only
- Publisher:
- International Foundation for Integrated Care
The aim of this study was to propose an integration index of home care delivery to older persons, to study its validity and to apply it to home care services of 11 European cities. For the study home care delivery integration was based on two dimensions referring to process-centred integration and organisational structure approach. Items considered as part of both dimensions according to an expert consensus (face validity) were extracted from a standardised questionnaire used in “Aged in Home care” (AdHoc) study to capture basic characteristics of home care services. Their summation leads to a services' delivery integration index. This index was applied to AdHoc services. A factor analysis was computed in order to empirically test the validity of the theoretical constructs. The plot of the settings was performed. Application of the index ranks home care services in four groups according to their score. Factor analysis identifies a first factor which opposes working arrangement within service to organisational structure bringing together provisions for social care. A second factor corresponds to basic nursing care and therapies. Internal consistency for those three domains ranges from 0.78 to 0.93. When plotting the different settings different models of service delivery appear. It is concluded that the proposed index shows that behind a total score several models of care delivery are hidden. Comparison of service delivery integration should take into account this heterogeneity.
Rebuilding for sustainability and resilience: strengthening the integrated delivery of long-term care in the European region
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2022
- Pagination:
- 22
- Place of publication:
- Copenhagen
The pandemic of coronavirus disease 2019 has revealed and accentuated important gaps in the provision of appropriate, community-based, long-term care services for a rapidly growing number of people experiencing decline in functional ability, across the WHO European Region. As countries work to rebuild and strengthen health and long-term care systems, it is essential to support broad dialogue, a common vision for change and focused interventions to bridge existing divides. This policy brief proposes a conceptual framework that maps long-term care actions within the health and social policy landscape and highlights the need and potential for deeper integration and coordination across systems. (Edited publisher abstract)
Impact assessment of an innovative integrated care model for older complex patients with multimorbidity: the CareWell Project
- Authors:
- MATEO-ABAD Maider, et al
- Journal article citation:
- International Journal of Integrated Care, 20(2), 2020, Online only
- Publisher:
- International Foundation for Integrated Care
Objectives: To evaluate the impact in terms of use of health services, clinical outcomes, functional status, and patient´s satisfaction of an integrated care program, the CareWell program, for complex patients with multimorbidity, supported by information and communication technology platforms in six European regions. Data Sources: Primary data were used and the follow-up period ranged between 8 and 12 months. Study design: A quasi-experimental study, targeting chronic patients aged 65 or older, with 2 or more conditions – one of them necessarily being diabetes, congestive heart failure or congestive obstructive pulmonary disease. The intervention group received the integrated care program and the control group received usual care. Generalized mixed regression models were used. Data collection: Data were obtained from individual interviews and electronic clinical records. Principal Findings: Overall, 856 patients were recruited (475 intervention and 381 control). In the intervention group, the number of visits to emergency rooms was significantly lower, and the number of visits to the general practitioners and primary care nurses was higher than in the control group. Conclusion: The CareWell program resulted in improvements in the use of health services, strengthening the role of PC as the cornerstone of care provision for complex patients with multimorbidity. (Publisher abstract)
The silent impact of hearing loss: using longitudinal data to explore the effects on depression and social activity restriction among older people
- Authors:
- ANDRADE Claudia Campos, PEREIRA Cicero Roberto, Da SILVA Pedro Alcantara
- Journal article citation:
- Ageing and Society, 38(12), 2018, pp.2468-2489.
- Publisher:
- Cambridge University Press
Hearing loss is frequent in old age and has been associated with fewer social activities and depression. However, hearing problems have also been associated with other comorbidities, which prevent more definitive conclusions about the unique role on older people's wellbeing. Moreover, little attention has been paid to the psychological processes through which this relationship occurs. This study aims to investigate the effect of hearing loss on older adults’ wellbeing from a longitudinal perspective. Using data from three points in time, the authors investigated the mutual relationship between hearing loss, depression and social activities. Based on longitudinal data of the Survey of Health, Ageing and Retirement in Europe (SHARE) from ten European countries, they conducted the test of competing auto-regressive cross-lagged theoretical models. Results show that hearing loss reduces social activity, which is mediated by depression. The adequacy of this model (versus a model proposing that social activity restriction mediates the relationship between hearing loss and depression) was supported in each of the countries of the sample. Findings showing that hearing loss can contribute to depression and, subsequently, to restriction in social activities have implications for early detection and clinical interventions on hearing loss. (Edited publisher abstract)
Integrating health and social care services for older persons: evidence from nine European countries
- Editors:
- BILLINGS Jenny, LEICHSENRING Kai, (eds.)
- Publisher:
- Ashgate
- Publication year:
- 2005
- Pagination:
- 345p., bibliog.
- Place of publication:
- Aldershot
'Providing Integrated Health and Social Care for Older Persons (PROCARE)' is a project in the EU Fifth Framework Programme (Quality of Life and Management of Living Resources, Area "The Ageing Population and Disabilities") which aims to help in defining the new concept of an integrated health and social care for older persons in need of care by comparing and evaluating different modes of care delivery. This volume draws on the achievements of the second project phase (2003-2004) that consisted of empirical fieldwork and a cross-national analysis of model ways of working in the nine participating EU Member States (Austria, Denmark, Finland, France, Germany, Greece, Italy, the Netherlands and the UK). The book underpins the more general national and European considerations gathered in the project with empirical findings analyzed from a trans-national perspective. Its chapters have been written by 'internationally mixed' teams and will thus contribute to the development of a truly European perspective, providing: a general overview of European approaches to integrated social and health care services and policies that are to be developed to face the growing need for care in ageing societies; indicators for successful approaches and models of good practice to overcome the 'social-health-divide'; better understanding of the meaning of integrated services and the coordination of social and health systems in the different countries; facts and figures about coordination at the interface between health and social care for older persons; and problems and solutions ('lessons to learn') concerning regulation and coordination.
Towards integrated health and social care for older people: a European review
- Authors:
- BILLINGS J, ALASZEWSKI A, COXON K.
- Journal article citation:
- Journal of Integrated Care, 12(1), February 2004, pp.3-8.
- Publisher:
- Emerald
Provides a European overview of alternative approaches to integrated care for older people, drawing from a wider European project entitled PROCARE. It discusses the structural complexities that create the challenges in integrated care, compares and contrasts approaches to integrated care through a structure and process framework, and considers the place of person-centred seamless care in European health and social care models.