Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 30
Strategies of care: changing elderly care in Italy and the Netherlands
- Author:
- ROIT Barbara Da
- Publisher:
- Amsterdam University Press
- Publication year:
- 2010
- Pagination:
- 220p.
- Place of publication:
- Amsterdam
This book traces the changes in the elderly care systems of Italy and the Netherlands since the early 1990s, drawing attention to the advantages and disadvantages of these two very different models. It examines the formal care system of the Dutch, and reveals how this system, despite strong policy pressures, has remained relatively stable, while the Italian system has undergone major transitions despite minimal policy intervention. Based on a wealth of data and extensive interviews with both caregivers and patients, this book is designed for anyone interested in the future of European health care debates. Contents include: changing care systems - an introduction; the context and policy trajectories; the challenge of dependence; changing care packages; care packages in practice; the creation of care packages and the transformations of care systems; and conclusions.
Contrasting European policies for the care of the elderly
- Editors:
- JAMIESON Anne, ILLSLEY Raymond
- Publisher:
- Avebury
- Publication year:
- 1990
- Pagination:
- 199p., tables, bibliogs.
- Place of publication:
- London
Looks at Belgium, Denmark, France, Greece, Germany, Ireland, Italy, the Netherlands, and the UK. Part 1 examines the relationship between formal and informal care, Part 2 deals with care systems and care delivery problems. Includes chapter by Ian Sinclair, Peter Gorbach, Enid Levin and Jenny Williams: 'Community care and residential admissions: results from two empirical studies'.
Quality assurance indicators of long-term care in European countries
- Authors:
- DANDI Roberto, CASANOVA Georgia
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 128p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. The report presents the quality indicators that were collected by the ANCIEN project partners in each country. The main contribution of this report is a classification of the quality assurance indicators in different European countries according to three dimensions: organisation type; quality dimensions; and system dimensions. The countries that provided quality indicators, which are used at a national level or are recommended to be used at a local level by a national authority, are: Estonia, Finland, France, Germany, Hungary, Italy, Latvia, the Netherlands, Spain, Sweden and the United Kingdom. In total, 390 quality indicators were collected. Each quality indicator has been assigned to one or more options in each dimension.
Long-term care quality assurance policies in European countries
- Authors:
- DANDI Roberto, et al
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 89p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. This report analyses the quality assurance policies for long-term care (LTC) in the following countries: Austria, Estonia, Finland, France, Germany, Hungary, Italy, Latvia, Poland, Slovakia, Slovenia, Spain, Sweden, the Netherlands, and the United Kingdom. First, it discusses quality assurance in LTC by analysing: the dimensions of quality, the policy frameworks for quality in LTC, the different levels of development of LTC quality policies at the international, national, organisational, and individual levels. Second, it describes the methodology for collecting and analysing data on quality policies in the selected countries. Finally, it discusses the results, identifying four clusters of countries based on quality policies and indicators for LTC. These clusters are compared to the clusters identified in Work Package 1 of the ANCIEN project. Policy recommendations are proposed.
Preferences for long-term care services: willingness to pay estimates derived from a discrete choice experiment
- Authors:
- NIEBOER Anna P., KOOLMAN Xander, STOLK Elly A.
- Journal article citation:
- Social Science and Medicine, 70(9), May 2010, pp.1317-1325.
- Publisher:
- Elsevier
Ageing populations increase pressure on long-term care. Optimal resource allocation requires a mix of care services based on costs and benefits, and requires knowledge of how individuals place value on particular aspects of long-term care. This study elicits preferences in the elderly population for long-term care services for varying types of patients. A discrete choice experiment was conducted in a general population subsample of 1082 people aged 50–65 years drawn from the Dutch Survey Sampling International panel. To ascertain relative preferences for long-term care and willingness to pay for these, participants were asked to choose the best of 2 care scenarios for 4 groups of hypothetical patients: frail and demented elderly, with and without partner. The scenarios described long-term care using 10 attributes: hours of care, organised social activities, transportation, living situation, same person delivering care, room for individual preferences, coordination of services, punctuality, time on waiting list, and co-payments. Overall, the results showed that long-term care services were thought to produce greatest well-being for the patients without a partner and those with dementia. Individuals combining these 2 risk factors were thought to benefit the most from all services except transportation which was considered more important for the frail elderly. The results support the notion that long-term care services represent different value for different types of patients and that the value of a service depends upon the social context. Policy-making would profit from allocation models in which budgetary requirements of different services can be balanced against the well-being they produce for individuals.
Growing older in the community: European projects in housing and planning
- Authors:
- BRECH Joachim, POTTER Philip
- Publisher:
- Anchor Housing Trust/Wohnbund
- Publication year:
- 1994
- Pagination:
- 197p.,tables,illus.,bibliogs.
- Place of publication:
- Oxford
Research report looking at how meeting the care and housing needs of older people, to enable them to live in the community for as long as possible, is being tackled by European countries.
The economics of care of the elderly
- Authors:
- PACOLET Jozef, WILDERCOM Celeste
- Publisher:
- Avebury
- Publication year:
- 1991
- Pagination:
- 241p.,tables,bibliogs.
- Place of publication:
- Aldershot
Set of papers given at a colloquium in March 1990 in Brussels, where a group of economists presented their theoretical and empirical progress on an EC initiated project on the care of elderly people. Divided into 4 parts: part 1: the ageing population and the organisation of the welfare state: macro economic analysis; part 2: significance of informal care of elderly people; part 3: how to meet the needs of elderly people: relevance of micro-economic analysis; and part 4: policy formation for older people. This section includes comparative studies of Belgium, Denmark, Spain, France, West Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, and the United Kingdom.
Mixed care networks of community-dwelling older adults with physical health impairments in the Netherlands
- Authors:
- GROENOU Marjolein Broese Van, et al
- Journal article citation:
- Health and Social Care in the Community, 24(1), 2016, pp.95-104.
- Publisher:
- Wiley
As part of long-term care reforms, home-care organisations in the Netherlands are required to strengthen the linkage between formal and informal caregivers of home-dwelling older adults. Information on the variety in mixed care networks may help home-care organisations to develop network type-dependent strategies to connect with informal caregivers. This study first explores how structural (size, composition) and functional features (contact and task overlap between formal and informal caregivers) contribute to different types of mixed care networks. Second, it examines to what degree these network types are associated with the care recipients' characteristics. Through home-care organisations in Amsterdam, the Netherlands, the authors selected 74 frail home-dwelling clients who were receiving care in 2011–2012 from both informal and formal caregivers. The care networks of these older adults were identified by listing all persons providing help with five different types of tasks. This resulted in care networks comprising an average of 9.7 caregivers, of whom 67% were formal caregivers. On average, there was contact between caregivers within 34% of the formal–informal dyads, and both caregivers carried out at least one similar type of task in 29% of these dyads. A principal component analysis of size, composition, contact and task overlap showed two distinct network dimensions from which four network types were constructed: a small mixed care network, a small formal network, a large mixed network and a large formal network. Bivariate analyses showed that the care recipients’ activities of daily living level, memory problems, social network, perceived control of care and level of mastery differed significantly between these four types. The results imply that different network types require different actions from formal home-care organisations, such as mobilising the social network in small formal networks, decreasing task differentiation in large formal networks and assigning co-ordination tasks to specific dyads in large mixed care networks. (Edited publisher abstract)
The experiences of neighbour, volunteer and professional support-givers in supporting community dwelling older people
- Authors:
- DIJK Hanna M. van, CRAMM Jane M., NEIBOER Anna P.
- Journal article citation:
- Health and Social Care in the Community, 21(2), 2013, pp.150-158.
- Publisher:
- Wiley
Numerous studies have demonstrated the importance of informal support networks in promoting active and healthy aging and public policy is increasingly focusing on its value. However, there is a lack of evidence about what types of support neighbours provide to older people and how neighbours collaborate with formal support-givers. This study explored types of informal neighbour support and the experiences of neighbours, volunteers and professionals providing the support. Nine Dutch neighbour support-givers, five volunteers and 12 professionals were interviewed and their responses subjected to latent content analysis. The findings reveal that commitment occurred naturally among neighbours; along with providing instrumental and emotional support, neighbour support seemed to be a matter of carefully ‘watching over each other’. However, neighbour support-givers are often frail themselves, become overburdened and lack support from professionals. The authors conclude that neighbour, volunteer and professional support-givers seem to operate in distinct, non-collaborative spheres. They suggest that professionals should identify more closely with the local neighbourhood and aim to take a more cooperative and facilitating role to strengthen and medicate neighbour and volunteer support.
The Netherlands: the struggle between universalism and cost containment
- Author:
- ROIT Barbara Da
- Journal article citation:
- Health and Social Care in the Community, 20(3), May 2012, pp.228-237.
- Publisher:
- Wiley
The tension between good-quality care and costs has been a key issue since the inception of the long-term care (LTC) scheme. This article addresses the question of how these two distinct objectives have been dealt with in policy in the past 20 years in the Netherlands. Based on existing studies, official statistics and policy documents, the article argues that the issue of cost containment is a theme in the development of home care that has been accompanied and legitimised over time by distinct normative views. On the one hand, budgetary controls have been predicated on the need to ensure the financial sustainability of the system and its universalistic features. On the other hand, the practice of cost containment has, since the early 1990s, also been accompanied by views that structurally challenge universalism through the introduction of new ideas about the responsibility for LTC risks, resource allocation and regulation of the system.