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Home care for the elderly in Sweden, Germany and Italy: a case of multi‐level governance strategy‐making
- Authors:
- LONGO Francesco, NOTARNICOLA Elisabetta
- Journal article citation:
- Social Policy and Administration, 52(7), 2018, pp.1303-1316.
- Publisher:
- Wiley
Home care is a policy field characterized by strong interdependencies and multi‐level governance. In such a setting, decision‐ and strategy‐making is complex, with interrelated governance mechanisms between the private and public actors involved, and the risk of lack of a clear and sharp definition of public contents. In this article the authors are interested in understanding “if and how” multi‐level governance influences planning in home care and, more generally, social care fields. Through the analysis of home care services for the elderly in three prominent European countries, the article highlights critical dimensions that should be taken into consideration in such contexts: users' selection, services features, coordination and funding mechanisms, provision forms. These dimensions turn out to be representative of key processes of strategic development within multi‐level settings. (Edited publisher abstract)
Minority elderly health and social care in Europe: summary findings of the minority elderly care (MEC) project
- Editors:
- PATEL Naina, (ed.)
- Publisher:
- Policy Research Institute on Ageing and Ethnicity
- Publication year:
- 2004
- Pagination:
- 13p.
- Place of publication:
- Bolton
This report, using data from the United Kingdom, France, Germany, the Netherlands, Spain, Finland, Hungary, Bosnia and Herzegovina, Croatia and Switzerland, is designed to inform and help plan the nature and direction of provision of health and social care services in the years to come. The project has the explicit intention of seeking to draw attention to the needs of minority ethnic (ME) elders and thereby improve the provision of services for them throughout Europe. Key findings showed that family was very important to ME elders in all countries and not surprisingly, most elders preferred to be looked after by their family in their own home. It is apparent that in every country there were significant proportions of ME elders on low incomes which were substantially less than the average incomes for elderly in the country concerned. In all countries there were quite significant proportions who described their general health as poor or very poor and these elders needed more medical treatment. The use of different health and social care services is not uniform across the different ethnic groups and countries. While each country has its own systems and procedures it is apparent that in all countries there are some elders who are failing to gain access to services. There are several things an organisation can do to help ME elders to overcome barriers and gain access to services. For example, information can be provided in appropriate languages, staff can be given training in culture-specific care, or new services may be designed specifically to meet the needs of different ME groups. The report makes several recommendations including the provision of clear information about the rights of the individual in accessing and using health and social care services and in different formats and languages. Adopt a person centred approach to patients and service users. Recognise that certain ethnic groups face particularly strong access barriers. Each of the issues is described in detail for each country included in the report.
Rights, risks and restraint-free care of older people: person-centred approaches in health and social care
- Editors:
- HUGHES Rhidian, (ed.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2010
- Pagination:
- 224p., bibliog.
- Place of publication:
- London
This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. It provides an overview of the different forms of restraint, the conditions under which they are used and their implications for the health and wellbeing of older people. Practical approaches to minimising restraint are then explored, underlining the importance of person-centred care. Innovative programmes and approaches to reducing the use of restraint are described and assessed, and case studies are drawn upon to highlight practice challenges and their effective resolutions. The perspectives of older people and their carers and families, as well as of professionals, commissioners and regulators of health and social care, are also taken into account. The contributors are drawn from an international range of health and social care settings, as well as from the academic world.
An international comparison of health, social care and welfare legislation and its effects on older British nationals' mobility within the European Union: final report
- Authors:
- COLDRON Keleigh, O'BRIEN Charlotte
- Publisher:
- Age Concern England; Royal British Legion
- Publication year:
- 2008
- Pagination:
- 56p., bibliog.
- Place of publication:
- London
The purpose of this study was to examine the rights to statutory health, social care and welfare provision that are lost on migrating from the UK. In order to do this the health, welfare and social care benefits and services available for older British nationals within the United Kingdom, Portugal, France, Germany and Cyprus are defined and compared. The report also investigated whether retirement migrants are specifically disadvantaged or other migrants are equally disadvantaged. Section 2 outlines the 'losses' retirement migrants would face should they move to another state. Section 3 revealed gaps in the statutory services available to older British nationals should they move to one of the member states in the study. One of the conclusions in the report is that if individuals are heavily dependent on social care services to live their lives in the UK, it may not be a wise move to move to another Member State.
Social care in Europe
- Editors:
- MUNDAY Brian, ELY Peter
- Publisher:
- Prentice Hall
- Publication year:
- 1996
- Pagination:
- 247p.,bibliogs.
- Place of publication:
- London
Collection of articles looking at the contexts for, and the outcomes of, the diversity of social care provision by the member states of the European Union. The book first addresses how we define social care in Europe and looks at the differences between member states. Goes on to look in more detail at the context for social care provision and the constitutional framework provided by the European Union itself. Further chapters cover Europe's mixed economy of welfare and provide detailed analysis of the impact of social care provision on 3 key clients groups: children and families, disabled people and older people.
Common experiences of staff working in integrated health and social care organisations: a European perspective
- Author:
- COXON Kirsite
- Journal article citation:
- Journal of Integrated Care, 13(2), April 2005, pp.13-21.
- Publisher:
- Emerald
Presents a comparison of the views of staff working in 18 integrated care settings, undertaken as part of the PROCARE study of integrated health and social care. The data reveals commonalities across the nine European countries (Austria, France, Germany, Italy, Finland, UK, Denmark, Greece and the Netherlands). Increased job satisfaction was an advantage of integrated working, but respondents also reported difficulties in working with hospitals or medical professionals, and continued barriers to integrated working generally. Single standalone organisations such as home care teams reported the clearest benefits from integrated working, while cross-agency models continued to encounter significant barriers to health and social care integration.
Glossary of social care terms: English, French, German, Spanish
- Authors:
- DICKINSON Marian, GREENWOOD Adrian, MITCHELL John
- Publisher:
- University of Kent. European Institute of Social Services
- Publication year:
- 1995
- Pagination:
- 27p.
- Place of publication:
- Canterbury
The young, the old and the state: social care systems in five industrial nations
- Editor:
- ANTTONEN Anneli
- Publisher:
- Edward Elgar
- Publication year:
- 2003
- Pagination:
- 206p.,bibliog.
- Place of publication:
- Cheltenham
This work is a comparative account of social care services for children and older people in five key industrial nations (Finland, Germany, Japan, the United Kingdom and the United States). The authors move beyond institutional description and seeking to understand the normative and moral qualities of welfare systems. The book builds on existing theories of welfare state regimes by extending the analysis to the arena of social care. A full account is provided of the historical, economic and political origins of childcare and care for older people in each of the five countries. These analyses are then used as the basis for a theoretical account of the developmental trajectories of social care systems. The book proposes that there are common pressures at work in all industrial nations driving their welfare systems to similar forms of organisation and structure. However, these trends are mediated by important differences in culture and history.