Search results for ‘Subject term:"older people"’ Sort:
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When it's time to go home
- Author:
- SHEPHERD Eileen
- Journal article citation:
- Nursing Times, 23.8.01, 2001, pp.22-23.
- Publisher:
- Nursing Times
Sending a patient home from hospital without the right support can be costly in human and financial terms. Looks at the importance of proper discharge planning, particularly for older people.
Discharge planning: a management challenge
- Author:
- LAING Barbara
- Publisher:
- Social Care Association
- Publication year:
- 1995
- Pagination:
- 31p.,bibliog.
- Place of publication:
- Surbiton
Paper exploring the research relating to discharge planning, the components of good practice, and the benefit to patients and hospitals of well managed discharges and service delivery. The organisational implications of effecting discharge planning and afercare are also considered.
Case managing long-term conditions: what impact does it have in the treatment of older people?
- Authors:
- HUTT Ruth, ROSEN Rebecca, MCCAULEY Janet
- Publisher:
- King's Fund
- Publication year:
- 2004
- Pagination:
- 24p.
- Place of publication:
- London
Case management is being developed across the National Health Service (NHS) in England as a tool for improving care for patients with long-term conditions. This review examines evidence for the effectiveness of case management for older people. Case management has been defined as the process of planning, co-ordinating, managing and reviewing the care of an individual. The broad aim is to develop cost-effective and efficient ways of co-ordinating services in order to improve quality of life.
Family and social work roles in the long-term care facility
- Author:
- MALENCH Stephanie S.
- Journal article citation:
- Journal of Gerontological Social Work, 43(1), 2004, pp.49-60.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this article is to explore current practice regarding family involvement in long-term care facilities and the role social workers play in these facilities. Questionnaires were received from 87 long-term care facilities surveyed throughout the Midwest. Family members can provide the long-term care center with an invaluable resource while assisting the resident with adaptation to this new life phase. Only 36% of facilities employ a qualified social worker as defined by NASW. Future research needs to be aimed at educating owners and directors of long-term care facilities of the importance of recruiting and retaining qualified, degreed social workers to care for the residents and families. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Future costs of long-term care for older people
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 4p.
- Place of publication:
- York
Long-term care spending in the UK would need to rise by around 315 per cent in real terms between 2000 and 2051, to meet demographic pressures and allow for real rises in care costs, if dependency rates, patterns of care and funding arrangements remain unchanged. On this basis, spending on long-term care would need to increase from about 1.4 per cent of GDP in 2000 to around 1.8 per cent of GDP in 2051, assuming a real increase of 2.25 per cent a year in GDP. This projection of 1.8 per cent of GDP in 2051 using the 2002-based official population projections updates an earlier projection of 1.6 per cent of GDP in 2051 using the 2000-based population projections. These projections are sensitive to assumptions about trends in life expectancy, dependency rates and real unit costs of care, as well as changes in patterns of care and funding systems.Public expenditure on long-term care is projected to reach around 1.2 per cent of GDP in 2051 under current funding arrangements and around 1.5 per cent of GDP in 2051 under a policy of free personal care with an assumed 25 per cent increase in demand for domiciliary services. The share of total long-term care costs met publicly is projected to be almost 80 per cent in 2051 under a policy of free personal care, as against around 66 per cent under current funding arrangements.
Linkages in the rural continuum: the Balanced Budget Act and beyond
- Authors:
- ANGELELLI Joseph, et al
- Journal article citation:
- Gerontologist, 43(2), April 2003, pp.151-157.
- Publisher:
- Oxford University Press
This American study examined how rural hospitals altered their postacute and long-term care strategies after the Balanced Budget Act of 1997 (BBA97). Methods:A nationally representative sample of 540 rural hospital discharge planners were interviewed in 1997. In the year 2000, 513 of 540 discharge planners were reinterviewed. The study is a descriptive analysis of how rural hospitals formed new and altered existing organizational strategies during a time of turbulent changes in federal government reimbursement policy. The authors classify rural hospital strategic behavior in 1997 according to the Miles and Snow typology of Prospectors, Analyzers, Defenders, and Reactors, and then examine how the various hospital types altered key strategies following BBA97. Between 1997 and 2000, more than 26% of sampled rural hospitals that did not participate in the swing-bed programme in 1997 (44/167) had chosen to do so in 2000, whereas only 3% of those using swing beds in 1997 had eliminated them (12/346). Other strategies such as divestiture of hospital-based nursing homes were related to concurrent swing-bed adoption. Rural hospitals also increased their reliance on formal linkages with external providers of long-term care. After the BBA97 reimbursement changes, rural hospitals increased their reliance on swing beds and formal linkages to external providers. We observed changes in overall strategy types, away from the Defender and toward the Prospector and Analyzer strategy types. Our findings illustrate the importance of swing beds as a critical buffer for rural hospitals challenged by the uncertainty of the post-BBA97 environment.
Age concern's summary and commentary on the NHS plan (including the Government's response to the Royal Commission on Long Term Care)
- Author:
- AGE CONCERN ENGLAND
- Publisher:
- Age Concern
- Publication year:
- 2000
- Pagination:
- 20p.
- Place of publication:
- London
Intended as summary of those points in the NHS plan which will impact particularly on older people, with an explanation of Age Concern's policy position on these. Discusses funding and charges, standards, patient involvement and new structures for service delivery.
'...well I go not option': consumer perspective on discharge planning to residential aged care
- Authors:
- JORDAN Sue, LINDSAY Rae
- Journal article citation:
- Australian Social Work, 51(5), December 1998, pp.45-50.
- Publisher:
- Taylor and Francis
This article takes a preliminary look at the quality of discharge planning from acute hospitals to residential care in Australia from the consumers viewpoint.
A continuing challenge: an evaluation of the implementation of continuing health care guidance: a synopsis of the final report
- Authors:
- ABBOTT Stephen, et al
- Publisher:
- Nuffield Institute for Health
- Publication year:
- 1998
- Pagination:
- 10p.,bibliog.
- Place of publication:
- Leeds
Examines how the guidance on continuing health care is being implemented locally and explores the experience of patients and carers.
Preadmission psychosocial screening of older orthopaedic surgery patients: evaluation of a social work service
- Authors:
- EPSTEIN Janet, et al
- Journal article citation:
- Social Work in Health Care, 27(2), 1998, pp.1-25.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In this article a preadmission social intervention is evaluated for impact on length of hospital stay (LOS) and patient satisfaction. Psychosocial issues related to function and post-discharge needs were assessed at an exploratory level. A more intensive preadmission intervention is recommended to improve impact on LOS and informal support system involvement, while future outcomes studies would clarify the nature of service gaps and high risk groups.