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The Italian national survey on Coronavirus disease 2019 epidemic spread in nursing homes
- Authors:
- LOMBARDO Flavia L., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 36(6), 2021, pp.873-882.
- Publisher:
- Wiley
Introduction: Residents in facilities such as nursing homes (NHs) are particularly vulnerable to Coronavirus disease 2019 (COVID‐19). A national survey was carried out to collect information on the spreading and impact of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection in nursing homes, and on how suspected and/or confirmed cases were managed. We carried out a survey between 25 March 2020 and 5 May 2020. Materials and Methods: All Italian nursing homes either public or providing services both privately and within the NHS were included in the study. An on‐line questionnaire was sent to 3292 nursing homes across all Italian regions. Nursing homes were also contacted by telephone to provide assistance in completing the questionnaire. Results: A total of 1356 nursing homes voluntarily participated to the survey, hosting a total of 100,806 residents. Overall, 9154 residents died due to any cause from February 1 to the time when the questionnaire was completed (from March 25 to May 5). Of these, 7.4% had COVID‐19 and 33.8% had flu‐like symptoms, corresponding to a cumulative incidence of 0.7 and 3.1, respectively. Lack of personnel, difficulty in transferring patients to hospital or other facility, isolating residents with COVID‐19, number of beds and geographical area were the main factor positively associated to the presence of COVID‐19 in nursing homes. Discussion: This survey showed the dissemination and impact of SARS‐CoV‐2 infection in Italian nursing homes and on how older and potentially chronically ill people residing in these long‐term care facilities were managed. (Edited publisher abstract)
The impact of migrant work in the elder care sector: recent trends and empirical evidence in Italy
- Authors:
- ROSA Mirko Di, et al
- Journal article citation:
- European Journal of Social Work, 15(1), 2012, pp.9-27.
- Publisher:
- Taylor and Francis
This article analyses the phenomenon of migrant care work in the Italian elder care sector. Due to current demographic, economic and socio-cultural trends, the potential availability of informal family care has been decreasing while, on the other hand, still strong familistic attitudes have so far limited the emergence of home and residential care services. A care regime has gradually developed in which monetary transfers to dependent older people are often used to privately employ migrant care workers. This is analysed in the context of 2 different studies carried out in Italy in 2004-2005. The Italian survey for the EUROFAMCARE study was conducted on 990 family caregivers of older people, and the DIPO survey was conducted on 220 foreign women privately employed by families to provide care to older people in Central Italy. The article uses the results of these surveys to discuss the impact of migrant care work on both family care and professional care work in Italy. The main findings suggest that the widespread employment of migrant care workers, propelled by public care allowances, has certainly relieved many families from most burdensome care tasks, but at the same time partly ‘crowded out’ formal care services. Care quality issues remain, however, largely under-investigated, as do care drain effects in sending countries.
Ageing societies: challenges and opportunities: evidence from the BUPA health pulse 2010 international healthcare survey
- Authors:
- FERNANDEZ Jose-Luis, FORDER Julien
- Publisher:
- Bupa
- Publication year:
- 2010
- Pagination:
- 27p., bibliog.
- Place of publication:
- London
This report presents the findings of the Bupa Health Pulse 2010 international healthcare survey around the theme of 'ageing societies'. It summarises some of the most important evidence about the ageing process across the world, and discusses some of the key policy challenges that ageing presents, looking particularly at the capacity for societies to provide high quality support for their older people in the future. The study surveyed 12,262 people across 12 countries (Australia, Brazil, China, France, Germany, India, Italy, Mexico, Russia, Spain, UK, USA), but the patterns described are common to a much larger number of countries. The report is structured around 3 parts. The first examines the question of the ageing process in different societies and what it means in terms of: increases in the older population; changes in the balance between young and old; and increases in the number of people with health problems and in the level of demand for care services. The second part examines the support system required to look after older people in need of care including: the sharing of caring and funding responsibilities between the state and private individuals; the need to ensure that resources are in place to look after the growing number of older people; and the levels of support provided to older people in need. The last section summarises the key policy implications.