Search results for ‘Subject term:"older people"’ Sort:
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Transport resources, mobility and unmet transport needs in old age
- Author:
- HJORTHOL Randi
- Journal article citation:
- Ageing and Society, 33(7), 2013, pp.1190-1211.
- Publisher:
- Cambridge University Press
This paper discusses how transport resources are distributed among different groups of older people, to which degree the transport needs of these groups are met and how this is related to their wellbeing. The empirical analysis is based on a Norwegian nationwide survey among 4,723 respondents 65 years and older. The respondents were asked about their access to transport resources, both private and public, health problems connected to use of transport modes, their daily activities and mobility, their uncovered transport needs and the importance of different activities for their life quality. The analysis reveals great differences between groups; especially between men and women, but also between different age groups and by different place of living. The special transport offered by the local authorities is seen as insufficient, and with increasing age a great deal of older people have low mobility and an uncovered transport need that reduces their life quality. (Edited publisher abstract)
Uncharted territory: a report into the first generation growing older with HIV
- Author:
- TERRENCE HIGGINS TRUST
- Publisher:
- Terrence Higgins Trust
- Publication year:
- 2017
- Pagination:
- 67
- Place of publication:
- London
Using a peer-led research model, this report updates the findings of a 2010 study on the needs and experiences of people aged 50 and over living with HIV. A total of 307 people living with HIV aged 50 or over participated in the research which included 246 completed surveys, and 30 interviews and six workshops conducted by peer researchers. The findings show that people living with HIV aged 50 and over are a diverse group in terms of employment, income, family and social relationships, and gender. The report discusses the findings and provides a series of recommendations in the following areas: the impact of the availability of HIV treatment on individuals' needs and experiences; differences in the experiences of those in the age group of 50-60 compared to those aged over 65; the impact of poverty; unmet social care needs of people living with HIV; the need for co-ordinated support to manage long-term conditions and self-care; the role of GPs in supporting people living with HIV aged 50 and over; social isolation and loneliness; experience of HIV self-stigma; and the needs of older women affected by HIV. Short case studies and quotations are included throughout. The report concludes that there are many individuals growing older with HIV who will require additional health and social care services or financial support. It also found that that living with HIV adds an extra level of need beyond ‘standard’ experiences of ageing. (Edited publisher abstract)
Horizontal and vertical target efficiency: a comparison between users and non-users of public long-term care in Sweden
- Journal article citation:
- Ageing and Society, 34(4), 2014, pp.700-719.
- Publisher:
- Cambridge University Press
The extent to which a system of services is in tune with the needs of the population can be expressed in terms of target efficiency, which includes horizontal target efficiency – the extent to which those deemed to need a service receive it – and vertical target efficiency – the corresponding extent to which those who receive a service actually need it. Vertical efficiency can be measured by looking only at those receiving services. To measure horizontal target efficiency in a population, one must have access to population surveys. Data were taken from the baseline survey of the Swedish National Study on Ageing and Care (SNAC study). The results show that more than 80 per cent of those dependent in personal activities of daily living in the studied geographic areas were users of public long-term care (LTC). Dependency in instrumental activities of daily living was identified as the most important predictor of using LTC. Vertical target efficiency was 83–95 per cent depending on age, gender and type of household, if need was defined as dependency in instrumental activities of daily living. It was considerably lower, 35–61 per cent when defined as dependency in personal daily activities. Overall, long-term target efficiency in Sweden must be regarded as high. Few persons who need public LTC services fail to receive them. (Publisher abstract)
Perceived mental health needs and adequacy of service provision to older people in care homes in the UK: a national survey
- Authors:
- PURANDARE Nitin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(6), June 2004, pp.549-553.
- Publisher:
- Wiley
A postal survey of managers of a stratified random sample of 2638 (14% of 18,698) care homes in the UK caring for older residents. Reminders were sent to those not returning the questionnaires. The response rate was 64% (n = 1689). Forty-one percent of care home managers felt that at least 50% of their residents needed psychiatric evaluation. Cognitive impairment, depressive symptoms and challenging behaviour was thought to be present in at least a quarter of residents by 78%, 29% and 17% respectively. Thirty-eight percent of managers reported that their homes never received any visits from OAPs and only a half described the current frequency of visits as adequate. Pharmacological advice was perceived to be adequate by about three-quarters but less than a half perceived non-pharmacological advice as adequate. Eighty percent wanted more input for staff education and training. Perceived need ( p < 0.001), frequency of visits by OAPs ( p = 0.001), availability of geriatrician ( p = 0.001), amount of non-pharmacological advice ( p = 0.014) and direct referral access to OAPs for known patients ( p = 0.036) were found to be independent predictors of perceived inadequacy of service provision by OAPs. The survey highlights the perception of unmet need and inadequacy of service provision by OAPs amongst managers of care homes in the UK. The study findings, if confirmed by direct observational studies, may have a considerable impact on already sparse resources with a need to explore efficacy of different models of care in meeting this need.
A comparison of methods to assess nursing home residents' unmet needs
- Authors:
- LEVY-STORMS Lene, SCHNELLE John F., SIMONS Sandra F.
- Journal article citation:
- Gerontologist, 42(4), August 2002, pp.454-461.
- Publisher:
- Oxford University Press
This article compares three interview methodologies to assess nursing home (NH) residents' unmet needs with regard to activity of daily living (ADL) care. The study was a survey of 70 residents across seven ADL care domains. The three types of interview methods included: (a) direct satisfaction questions about ADL care, (b) questions that compared residents' preferences about ADL care frequency or occurrence to perceptions of the ADL care delivered (discrepancy measure), and (c) open-ended questions that asked what residents wanted changed about ADL care. Estimates of the proportion of residents with unmet needs were significantly higher with the discrepancy and open-ended measures as compared to the direct satisfaction measures across most ADL care domains.
From pillar to post: early onset dementia in Leeds; prevalence, experience and service needs
- Authors:
- WILLIAMS Tim, et al
- Publisher:
- Leeds Health Authority
- Publication year:
- 1999
- Pagination:
- 132p.,tables,bibliog.
- Place of publication:
- Leeds
Examines the needs of young (ie under 65) people with dementia and their carers. Attempts to determine the prevalence of early onset dementia in Leeds, to identify the needs of patients and their carers, to examine services available to them and identify gaps and make recommendations for future provision.
Unmet need in social care: a tale of confusion?
- Author:
- CALDOCK Kerry
- Journal article citation:
- Generations Review, 5(4), December 1995, pp.2-3.
- Publisher:
- British Society of Gerontology
Presents findings drawn from a survey of care management in Wales which looks at the identification and documentation of 'unmet need' of older people.
A prevalence study of suicide ideation among older adults in Hong Kong SAR
- Authors:
- YIP Paul S. F., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(11), November 2003, pp.1056-1062.
- Publisher:
- Wiley
The objective of this paper is to ascertain estimates of the prevalence, and associated risk factors for, suicidal ideation among community-dwelling older adults in Hong Kong. The study was conducted as part of the General Household Survey (GHS), using face to face interviews of ethnic Chinese people aged 60 or above living in the community. Elders living in institutions or elderly homes were excluded from the study. Six percent of the sample was found to have ever had suicide ideation. The results showed that poor physical health, including poor vision, hearing problems, and a greater number of diseases; and poor mental health, especially in the form of depression, are predictors of suicidal ideation in the elderly population. Also, statistical analysis by linking individual factors to depression showed that financial and relationship problems are significant risk factors as well. Older adults who engaged in active coping, that is, those who actively seek to manage or control the negative events in their lives, fare better with lower levels of suicidal ideation than those who use passive coping styles. The prevalence of suicidal ideation is similar among elders in Hong Kong and western countries. Factors that contribute to risk for suicidal ideation span physical and mental health, social, and psychological domains. Although the association of suicidal ideation to self-destructive acts remains to be determined, these findings indicate a variety of potential foci for late life suicide prevention efforts.
Older people: their transport needs and requirements; summary report
- Author:
- ATKINS W.S
- Publisher:
- Great Britain. Department of the Environment, Transport and the Regions
- Publication year:
- 2001
- Pagination:
- 30p.
- Place of publication:
- London
Summary of a report presenting the findings of an investigation into the transport needs of older people. Aim of the study was to audit current and future needs, taking into account future demographic changes. Surveys existing research and presents its own findings from findings from focus groups and a household survey. Found that key issues include accessibility, safety, cost and availability. Makes recommendations for future policy and practice.
Older people: their transport needs and requirements
- Author:
- ATKINS W.S
- Publisher:
- Great Britain. Department of the Environment, Transport and the Regions
- Publication year:
- 2001
- Pagination:
- 105p.
- Place of publication:
- London
Presents the findings of an investigation into the transport needs of older people. Aim of the study was to audit current and future needs, taking into account future demographic changes. Surveys existing research and presents its own findings from findings from focus groups and a household survey. Found that key issues include accessibility, safety, cost and availability. Makes recommendations for future policy and practice.