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Best place of care for older people after acute and during sub-acute illness: report of a national survey
- Authors:
- PARKER Gillian, et al
- Publisher:
- University of Leicester. Nuffield Community Care Studies Unit
- Publication year:
- 1999
- Pagination:
- 200p.
- Place of publication:
- Leicester
Acute hospital care is not necessarily the best way to look after all older people when they are ill. Their illnesses may not require the extensive range of services offered in an acute hospital and the admission and stay in an acute hospital, in itself, can be harmful for some frail people. The results of the systematic review of literature comparing alternative models of care with ‘conventional’ care for older people indicated that stroke units, early discharge schemes and in-patient rehabilitation delivered better outcomes at discharge in terms of mortality, physical function and discharge destination. However, it was unclear whether the improvements are maintained over the longer term or why they were achieved. The most significant finding was the lack of firm evidence about the quality, costs and effectiveness of different places of care. However, there is some evidence that admission avoidance schemes may have potential for reducing costs without worsening outcomes.
Attitudes and behaviour towards financial planning for care in old age
- Authors:
- PARKER Gillian, CLARKE Harriet
- Publisher:
- University of Leicester. Nuffield Community Care Studies Unit
- Publication year:
- 1997
- Pagination:
- 81p.,tables,bibliog.
- Place of publication:
- Leicester
Research study based on a representative sample of men and women aged between twenty-five and seventy and focusing on attitudes and beliefs towards finance for care in old age. Relates findings to current debates about the role of the state and personal financial decision-making.
Will you still need me, will you still feed me? - Paying for care in old age
- Authors:
- PARKER Gillian, CLARKE Harriet
- Journal article citation:
- Social Policy and Administration, 31(2), June 1997, pp.119-135.
- Publisher:
- Wiley
Examines the socio-economic, demographic and policy changes that are influencing the debate about providing good-quality support and outlines findings from current research on attitudes towards financial planning for care in old age. This shows that the majority of people feel that the state should provide or pay for care for older people, either through a means-tested system or one which provides some basic level of protection which people can choose to enhance through their own means. However, only a minority would be willing to pay themselves for this, either directly through increased taxation or indirectly through reduced prospects of inheritance of housing capital. Concludes with a discussion of the policy implications of these findings.