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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.
Residential care transformed: revisiting 'The last refuge'
- Authors:
- JOHNSON Julia, ROLPH Sheena, SMITH Randall
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2010
- Pagination:
- 304p.
- Place of publication:
- Basingstoke
Drawing on data deposited at the University of Essex the authors revisit Peter Townsend's classic study of residential care in England and Wales, The Last Refuge (1962), and with input from a hundred older volunteer researchers, the authors traced what happened to the 173 homes that Townsend visited. They also revisited 20 of the surviving local authority, voluntary and private homes. The book straddles the boundary between history and sociology and reviews: the policy context and the history of research into residential care for older people over the last 50 years; provides new insights into the continuing history of residential care for older people about what kinds of homes have survived and why; makes comparisons between particular homes today and in the past demonstrating not only substantial changes but also strong continuities; reveals persisting inequalities in the standard of care home provision in the early 2000s in England and Wales and discusses the ethical and practical challenges involved in designing a revisiting study, reusing archived data and in engaging older people as 'volunteer' researchers.
New technologies and emerging spaces of care
- Authors:
- SCHILLMEIER Michael, DOMENECH Miquel, (eds.)
- Publisher:
- Ashgate
- Publication year:
- 2010
- Pagination:
- 240p.
- Place of publication:
- Farnham
This book provides the latest practice-oriented qualitative research and innovative conceptual discussions of how health and health care systems are currently dealing with complex transformations and varied reforms. Exploring and analysing the social and cultural impact of new technologies, the book examines the societal relevance of new technologies of care and the manner in which technological innovations configure and reconfigure institutionalised spaces of care. It addresses issues of social control, accountability, surveillance and disciplining; diverging patterns of inclusion and exclusion; new relations and subjectivities of patients and care givers; the relation between private and public forms of care and the practices and concerns generated by new technologies at the individual as well as the societal level. The book presents sophisticated theoretical discussions and detailed empirical case studies and compares and evaluates on a transnational level the role and impact of assistive technologies for elderly and disabled people on the concepts and practices of spaces of care.
Maritime Charities Funding Group: accommodation, care and support strategy for older seafarers and their dependents: executive summary
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2010
- Pagination:
- 4p.
- Place of publication:
- Oxford
Demographic change amongst the seafarer population is neither uniform nor does it follow the national increase. Over the next ten years it is estimated that for the over 60's population the number of ex Royal Navy personnel will fall by 31 % and former fishermen by 15% although the number of ex merchant seamen aged over 60 is projected to rise by 12%. Overall, this will produce a decline in the number of former seafarers aged over 60 from 569,000 to 439,000. Older seafarers, as for all older people, will have an increasingly complex range of support needs. There is recognition that there is going to be an increasing demand for specialist dementia care facilities, as well as general nursing care needed by older seafarers. This report suggests that the Maritime Charities Funding Group adopts as its vision the following four outcomes in order to prioritise and determine future funding: older seafarers are helped to be independent, healthy and happy; older seafarers are able to live in the community and accommodation they want; older seafarers are able to make informed choices about where and how they live; and older seafarers with complex needs are able to receive high quality specialist care.
Call for evidence on the future funding of care and support
- Author:
- COMMISSION ON FUNDING OF CARE AND SUPPORT
- Publisher:
- Commission on Funding of Care and Support
- Publication year:
- 2010
- Pagination:
- 25p.
- Place of publication:
- London
The Commission on Funding of Care and Support is seeking suggestions on the future funding of care and support in England. In this paper the Commission sets out its remit; explains the opportunities and challenges it perceives facing the future funding of care and support; outlines its assessment of the current system; sets out the direction of reform; explains how it plans to appraise the options; and sets out the questions it would like addressed as part of this Call for Evidence. Three questions are posed. Respondents are asked to comment on the Commission’s description of the main opportunities and challenges facing the future funding of care and support; the Commission’s description of the strengths of the current funding system, and its potential shortcomings and to suggest any gaps; and to provide suggestions for how the funding system should be reformed, with the proviso that any suggested model should be sustainable and resilient, fair, offer value for money, be easy to use and understand, and offer choice. The Call for Evidence will be open until midnight on 28 January 2011.
Careless: funding long-term care for the elderly
- Authors:
- FEATHERSTONE Henry, WHITHAM Lilly
- Publisher:
- Policy Exchange
- Publication year:
- 2010
- Pagination:
- 39p.
- Place of publication:
- London
This “think piece” presents an overview of the issues surrounding the funding of long term care for the elderly in the UK. In part it is based on two public events on the subject. The authors begin by defining long term care and discuss the current arrangements. They then look at the need for reform, the political appetite and how this care can be paid for. Total spending on long term care for the year 2008-09 is estimated at more than £16 billion. The report considers what form change might take and suggests priorities for the coalition government and the new commission on the funding of care and support. The importance of asking the right questions in order to achieve consensus and a lasting solution is stressed. The report concludes that given the current reality of public finances, funding long term care exclusively from taxation should not be one of the options considered. Instead it is suggested that the Commission focuses on analysing how three specific models could be adapted in England: a partnership model where the state funds 50% of care; a full social insurance model as used in parts of Europe; and a third hybrid model with some state guarantees but where co-payments are required backed by insurance or annuity products rather than matched funding.
The needs of frail older people with sight loss
- Authors:
- CATTAN Mima, GIUNTOLI Gianfranco
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2010
- Pagination:
- 7p.
- Place of publication:
- London
This briefing summarises the findings from research which explored the specific needs and aspirations of frail older people with sight loss. The original study consisted of a literature review, in-depth interviews with 24 frail older people living in care homes and sheltered housing schemes, and interviews with a manager and two wardens. The findings look at the research evidence to date; living with sight loss; living in supported accommodation with sight loss; service provision for frail older people with sight loss; and the conclusions and recommendations for further research. Key findings included that some older people struggled to retain a "will to live" in the face of increasing sight loss and frailty, frail older people needed help and support to come to terms with their sight loss, feelings of isolation were not uncommon, sight loss was compounded by other problems including mobility problems, and older people needed practical as well as emotional support to maintain their well-being.
Dementia care programs and services for Chinese Americans in the U.S
- Authors:
- WU Bei, LOMBARDO Nancy B. Emerson, CHANG Kun
- Journal article citation:
- Ageing International, 35(2), June 2010, pp.128-141.
- Publisher:
- Springer
- Place of publication:
- New York
It is recognised that there is a requirement for dementia care services in the United States that target minority groups. This study aimed to provide an overview of development of dementia caregiving models for Chinese Americans in the U.S. It reviewed some existing programmes and interventions for Chinese dementia caregivers that were provided by service organisations and academic institutions. Findings led to the following recommendations for development of dementia care models including: collaborating with local community agencies that work with the Chinese population; create, maintain, and expand existing Chinese-language help-lines with individualised counselling, skills training, and support system-building services; increase caregiving information available in the Chinese language; sustain adequate funding for existing programmes and services; raise public awareness through ongoing publications, media outlets, and workshops in senior housing and centres; raise health care and social service providers’ awareness; and increase programme evaluation effort.
Caregiving: its role in medicine and society in America and China
- Author:
- KLEINMAN Arthur
- Journal article citation:
- Ageing International, 35(2), June 2010, pp.96-108.
- Publisher:
- Springer
- Place of publication:
- New York
This paper examines the undervaluation of caregiving in contemporary biomedical training and practice. Using a cross-cultural approach, it highlights the institutional structures, practices and values that support an increasingly technocratic and bureaucratic model of care in biomedicine as it is organised in China and the United States. Drawing from personal experience as caregiver to his wife (a sufferer of Alzheimer’s disease) as well as from ethnographic research into local moral experiences of illness, suffering and healing in varied contexts, the author shows that this biomedical model of care fails to attend to the basic, socially grounded conditions, needs and concerns of patients and their loved ones as they suffer, endure and confront the genuine existential reality of the human condition. The author concludes that caregiving, or recognising and addressing those conditions, needs and concerns that shape suffering and illness experience, must be a central component of training and practice if clinicians are to realise a more humane, just, and ethical model of biomedicine.
Comprehensive assessment of older people with complex care needs: the multi-disciplinarity of the Single Assessment Process in England
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Ageing and Society, 30(7), October 2010, pp.1115-1134.
- Publisher:
- Cambridge University Press
In the United Kingdom, the quality of assessment of older people with health and social care needs has been a concern of policy makers and others. This paper examined a key aspect of these concerns – whether sufficient expertise is deployed when an older person's eligibility for local authority adult social-care services requires a comprehensive needs assessment of their complex and multiple problems. The Single Assessment Process (SAP) was introduced in England in 2004 to promote a multi-disciplinary model of service delivery. After its introduction, a survey in 2005/06 was conducted to establish the prevalence and patterns of comprehensive assessment practice across England. The arrangements for multi-disciplinary working among local authority areas in England were categorised and reviewed. Results revealed that the provision of comprehensive assessments of older people that require the expertise of multiple professionals is limited, except where the possibility arose of placement in a care-home-with-nursing. Also, a systematic multi-disciplinary approach was absent. The authors concluded that policy initiatives to address the difficulties in assessment need to be more prescriptive if they are to produce the intended outcomes.