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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.
Integrated care for older adults: a struggle for sustained implementation in northern Netherlands
- Authors:
- HOLTERMAN Sander, et al
- Journal article citation:
- International Journal of Integrated Care, 20(3), 2020, p.1. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Integrated care has been suggested as a promising solution to the disparities in access and sustained high quality long-term care emerging in Europe’s ageing population. This study aims to gain a better understanding of context-specific barriers to and facilitators of implementation of integrated care by doing a retrospective assessment of seven years of Embrace. This Dutch integrated person-centred health service for older adults was based on two evidence-based models (the Chronic Care Model and the Kaiser Permanente Triangle). Despite successful deployment the programme ended in 2018. This case study assesses the impact of the programme based on past evaluations, reflect on why it ended, lessons learned and ideas to take forward. Discussion: The majority of health outcomes were positive and the perceived quality of care improved, albeit no clear-cut savings were observed, and the costs were not balanced across stakeholders. The Embrace payment model did not support the integration of health services, despite reforms in long-term care in 2015. Key lessons: Enabling policy and funding are crucial to the sustained implementation of integrated person-centred health services. The payment model should incentivize the integration of care before the necessary changes can be made at organizational and clinical levels towards providing proactive and preventive health services. (Edited publisher abstract)
Quality of life in dementia in perspective; an explorative study of variations in opinions among people with dementia and their professional caregivers, and in literature
- Authors:
- DROES Rose-Marie, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 5(4), November 2006, pp.533-558.
- Publisher:
- Sage
Many different definitions of the concept of quality of life (QOL) are found in the literature. This raises the question as to which domains are viewed as really important by people with dementia and which are possibly based on views of others, such as (in)formal carers, or theoretical models. An explorative study was carried out among people with dementia living in the community and in nursing homes. Their opinions were compared to those of professional carers and to the current theoretical models and instruments for QOL in dementia. Data were gathered by means of interviews, focus groups and literature study. Most QOL domains mentioned as important by the persons with dementia were also acknowledged by the carers and in the literature. A few, however, were not mentioned by the carers (i.e. ‘sense of aesthetics in living environment’,‘financial situation’ and ‘being of use/giving meaning to life’), and not selected in the measuring instruments (‘security and privacy’, and ‘self-determination and freedom’). This indicates differences in perspectives on quality of life between persons with dementia, their carers and theoretical models. Further research is recommended on this point.
A neurological and philosophical perspective on the design of environments and technology for older people with dementia
- Authors:
- VERKERK Maarten J., et al
- Journal article citation:
- Journal of Enabling Technologies, 12(2), 2018, pp.57-75.
- Publisher:
- Emerald
Purpose: Older people with dementia (OPD) have specific housing and technology-related needs, for which various design principles exist. A model for designing environments and its constituting items for people with dementia that has a firm foundation in neurology may help guide designers in making design choices. The paper aims to discuss these issues. Design/methodology/approach: A general design model is presented consisting of three principles for OPD, namely designing for ageing people; designing for a favourable state and designing for beautiful moments. The neurosciences as a whole give shape to an eminent framework explaining the behaviour of OPD. One of the objectives of this paper is to translate the design principles into design specifications and to show that these specifications can be translated in a design. Findings: Philosophical concepts are introduced which are required to understand design for OPD. Four case studies from Dutch nursing homes are presented that show how the theory of modal aspects of the philosopher Dooyeweerd can be used to map design specifications in a systematic way. Research limitations/implications: These examples of design solutions illustrate the applicability of the model developed in this article. It emphasises the importance of the environment for supporting the daily life of OPD. Originality/value: There is a need for a design model for OPD. The environment and technology should initiate positive behaviours and meaningful experiences. In this paper, a general model for the designing of environments for OPD was developed that has a firm foundation in neurology and behavioural sciences. This model consists of six distinct steps and each step can be investigated empirically. In other words, this model may lay the foundation for an evidence-based design. (Edited publisher abstract)
Social work in the Netherlands: current developments
- Editors:
- HESSER Karl-Ernst H., KOOLE Wibo
- Publisher:
- Hogeschool van Amsterdam. Faculty of Social Work
- Publication year:
- 1994
- Pagination:
- 127p.,tables,bibliog.
- Place of publication:
- Amsterdam
Introduces social work in the Netherlands and goes on to look at: social work and drug addiction - the Amsterdam model; female social work or gender-specific social work with women and girls; gender-specific social work with men and boys; the office for children of drug addicted parents; Opstap, a preventive home based programme; social work with people with learning difficulties, older people, migrants, people with mental health problems, and young people; AIDS prevention; community development; child welfare; and an overview of social work education in the Netherlands.