Search results for ‘Subject term:"older people"’ Sort:
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What's the alternative?
- Author:
- HOLDEN John
- Journal article citation:
- Health Service Journal, 27.9.12, 2012, pp.32-33.
- Publisher:
- Emap Healthcare
Eldercare is an innovative model of delivering primary care services for housebound and vulnerable patients, most of whom are over 65. The service provides specialist GP services patients where they live (either at home or in residential care), and helps to reduce health inequalities and delivering greater choice in services. By improving access to primary care services Eldercare has reduced hospital admissions by 40 percent and reduced length of stay by 80 per cent overall. This has resulted in both improved levels of care and cost savings. The service is owned and run by three local Liverpool University training practices.
What quality healthcare means to older people: exploring and meeting their needs
- Author:
- POTTER Charlotte
- Journal article citation:
- Nursing Times, 15.12.09, 2009, pp.14-18.
- Publisher:
- Nursing Times
Face to face interviews were conducted with 20 vulnerable older adults to find out what they valued in the NHS and whether their aspirations were being met. Nine aspirations were identified: face to face flexible appointments; to retain control in their own home; respect for property and belongings; company and the opportunity to be listened to; proactive healthcare and support; choice and control over daily routines; a connected relationship between staff and patients; maintenance of privacy in hospital; and joined-up care. The findings highlighted the importance older people attached to their needs being met rather than about how meets them.
Waiting for change: how the NHS is responding to the needs of older people
- Authors:
- AGE CONCERN, HELP THE AGED
- Publisher:
- Age Concern; Help the Aged
- Publication year:
- 2009
- Pagination:
- 13p.
- Place of publication:
- London
This report by Age UK (formerly Age Concern) describes how the NHS, politicians and health professionals are failing to prioritise issues which older patients most value. The report focuses on the needs of the over 80s, and concluded that this group have a clear idea of what they want from health services, but all too often this is not delivered. Current NHS targets and performance indicators fail to adequately address the issues that matter most to older people. Findings indicate that face to face and flexible appointments with health professionals they know and trust and better coordination of care are among those things older people want from community-based healthcare. The study also highlighted the importance placed on social aspects of healthcare, particularly for those older people who are isolated in their own homes. The study also identified privacy, good relationships with staff and retaining choice and control over daily routines to be vital for positive patient experience, within hospital settings. The report stresses how these needs are not always met. Recent Government figures show that 47 percent of inpatients said that they were not, or only partially, involved as much as they wanted to be in decisions about their care and treatment in hospital.
Utilization across the continuum of long-term care services
- Authors:
- BORRAYO Evelinn, et al
- Journal article citation:
- Gerontologist, 42(5), October 2002, pp.603-612.
- Publisher:
- Oxford University Press
This American article presents an analysis of the influence of consumers' predisposing, enabling, and need characteristics on the utilization of long-term care (LTC) services in nursing facilities (NFs), assisted living facilities, or home- and community-based services (HCBS). Need contributes the most to differential LTC use. Those with the most need are more likely to be in a NF or HCBS. Although high need predicts care in NFs, some of the most impaired elders are also being cared for at home.
Community care waiting lists and older people
- Authors:
- YOUNG John, TURNOCK Stuart
- Journal article citation:
- British Medical Journal, 3.2.01, 2001, p.254.
- Publisher:
- British Medical Association
Argues that community services lack a measure as visible as surgical waiting lists to attract the public's and publications' attention.
Variables impacting on patient's perceptions of discharge from short-stay hospitalisation or same-day surgery
- Authors:
- ROWE William S., et al
- Journal article citation:
- Health and Social Care in the Community, 8(6), November 2000, pp.362-371.
- Publisher:
- Wiley
Article presents components of a Canadian study designed to examine the hospital experience of older patients and their recovery at home. Variables related to the degree of patient involvement in decisions about their treatment and their and discharge plans. Levels of health and recovery-related information reported by patients and their level of confidence in ability to resume regular activities once home were also measured. Generally, individuals reported what many would consider having received less than optimal levels of information about their illness and recovery at home. Many patients also reported that neither participated, nor were consulted on their needs or perceptions during their hospitalisation. Expectations were that problems that patients might experience once home would have their origins in problems from within the community. However, the community resources were found to be less implicated and hospital resources more so. This suggests the importance of examining institutional issues, even when one is focusing on the delivery of community services.
Wait 'til your dad gets home
- Authors:
- JOHNSON Liz, ABBOTT Stephen
- Journal article citation:
- Health Service Journal, 1.7.99, 1999, pp.24-25.
- Publisher:
- Emap Healthcare
Reports that flaws in the delivery of health care in the community mean that patients and carers are often unsure of how important care decisions are reached.
Discharge from NHS inpatient care of people with continuing health or social care needs: arrangements for reviewing decisions on eligibility for NHS continuing inpatient care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1995
- Pagination:
- 14p.
- Place of publication:
- London
Follow up to circular LAC(95)5/HSG(95)8 'NHS responsibilities for meeting continuing health care needs'. Presents guidance on the arrangements to be put in place for reviewing decisions on eligibility for NHS continuing inpatient care.