Search results for ‘Subject term:"older people"’ Sort:
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Effects of digital technologies on older people’s access to health and social care: umbrella review
- Authors:
- KUNONGA Tafadzwa Patience, et al
- Journal article citation:
- Journal of Medical Internet Research, 23(11), 2021, p.e25887. Online only
- Publisher:
- JMIR Publications
Background: The 2020 COVID-19 pandemic prompted the rapid implementation of new and existing digital technologies to facilitate access to health and care services during physical distancing. Older people may be disadvantaged in that regard if they are unable to use or have access to smartphones, tablets, computers, or other technologies. Objective: This study synthesized evidence on the impact of digital technologies on older adults’ access to health and social services. Methods: the researchers conducted an umbrella review of systematic reviews published from January 2000 to October 2019 using comprehensive searches of 6 databases. This study looked for reviews in a population of adults aged ≥65 years in any setting, reporting outcomes related to the impact of technologies on access to health and social care services. Results: A total of 7 systematic reviews met the inclusion criteria, providing data from 77 randomized controlled trials and 50 observational studies. All of them synthesized findings from low-quality primary studies, 2 of which used robust review methods. Most of the reviews focused on digital technologies to facilitate remote delivery of care, including consultations and therapy. No studies examined technologies used for first contact access to care, such as online appointment scheduling. Overall, this review found no reviews of technology to facilitate first contact access to health and social care such as online appointment booking systems for older populations. Conclusions: The impact of digital technologies on equitable access to services for older people is unclear. Research is urgently needed in order to understand the positive and negative consequences of digital technologies on health care access and to identify the groups most vulnerable to exclusion. (Edited publisher abstract)
Caregiving and older Japanese adults: lessons learned from the periodical literature
- Authors:
- MOKUAU Noreen, TOMIOKA Michiyo
- Journal article citation:
- Journal of Gerontological Social Work, 53(2), February 2010, pp.117-136.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
With an increasingly ageing and multicultural population in the United States, these authors call for social care provision to be culturally competent and adapt to the demands of such a diverse, ageing population. This research review looks at the periodical literature from 1980 to 2007 on older Japanese or Japanese/American people, who have the longest life expectancy in the USA, to assess associations between ageing, caregiving and culture. The search, using the Social Science Citation Index, included ‘Japanese’ and ‘caregivers’ as key terms. Twenty-two articles written by Japanese and/or American authors, were critically analysed using content analysis (rather than meta-analysis), with two researchers independently reading and coding articles into three categories of cultural values, family caregiving and social services. Two important points that emerged were the influence of cultural values on family caregiving and women as caregivers and providers of informal family support. Traditionally in Japan, care of the aged is an expected and fixed responsibility of the succeeding generation within the patrilineal extended family, principally the wives of eldest sons, and has roots in the group goals of Confucianism, Buddhism and Shintoism. Openness to use of formal social services depended on them being ‘ethnically appropriate’ and the severity of illness or disability involved. The authors detail directions for future social work practice within this and other black and minority ethnic people groups.
Measurement issues of service use among elders
- Author:
- TAN Jing
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 19(2), March 2009, pp.171-185.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Published studies on service use among elders were reviewed to analyse how service use is defined and measured. Specific questions focused on how services are defined and classified, how service use is operationalised, and how data on service use are collected. Twenty studies published from 2001 to 2006 were analysed. Fifteen studies measured service use in the medical sector of care, 4 measured service use in the mental health sector, and 9 measured service use in the social services sector. Services were distinguished and classified based on type of service provided in a majority of the studies. The majority of the studies quantified service use dichotomously in terms of use and non-use, whereas more than one third quantified service use in terms of frequency of some unit. Self-report and provider records were the two sources of information about service utilisation among elders. Two studies used data from both these sources. Suggestions of how to improve measurement of service use among elders are discussed.
Show me the way to go home: a narrative review of the literature on delayed hospital discharges and older people
- Authors:
- GLASBY Jon, LITTLECHILD Rosemary, PRYCE Kathryn
- Journal article citation:
- British Journal of Social Work, 34(8), December 2004, pp.1189-1197.
- Publisher:
- Oxford University Press
This Research Note reports findings from a narrative review of the literature on the rate and cause of delayed hospital discharge in the UK. In addition to summarizing our knowledge to date in this important area, the Research Note raises a series of questions about aspects of current hospital discharge policy and practice (and in particular, the recent reimbursement policy to charge social services departments for delayed discharges).
Unmet need and older people: towards a synthesis of user and provider views
- Authors:
- CORDINGLEY Lis, HUGHES Jane, CHALLIS David
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 52p.
- Place of publication:
- York
Reviews literature on unmet need among older people. Begins by surveying commonly overlooked needs identified by older people, and reasons why older people may resist support or help, and then describes studies which examine the processes by which social services departments identify and respond to the needs of older people. The final section suggests a number of alternative strategies for identifying unmet needs.