QUALITY OF CARE, QUALITY OF LIFE AND THE RELATIONSHIP BETWEEN THEM IN LONG-TERM CARE INSTITUTIONS FOR THE ELDERLY

1996 ◽  
Vol 11 (10) ◽  
pp. 883-888 ◽  
Author(s):  
YVONNE CHALLINER ◽  
STEVE JULIOUS ◽  
RACHEL WATSON ◽  
IAN PHILP
Keyword(s):  
Quality Of Life ◽  
Quality Of Care ◽  
Long Term Care ◽  
The Elderly ◽  
Care Quality ◽  
Term Care ◽  
The Relationship

scholarly journals Review of evolution of the public long-term care insurance (LTCI) system in different countries: influence and challenge

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linhong Chen ◽  
Lu Zhang ◽  
Xiaocang Xu
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
The Public ◽  
Disabled Elderly ◽  
The Disabled ◽  
Long Term Care Insurance ◽  
The Relationship

Abstract Background The growing demand for LTC (Long-term care) services for disabled elderly has become a daunting task for countries worldwide, especially China, where population aging is particularly severe. According to CSY (China Statistical Yearbook,2019), the elderly aged 65 or above has reached 167 million in 2018, and the number of disabled elderly is as high as 54%. Germany and other countries have alleviated the crisis by promoting the public LTCI (Long-Term Care Insurance) system since the 1990s, while China’s public LTCI system formal pilot only started in 2016. Therefore, the development of the public LTCI system has gradually become a hot topic for scholars in various countries, including China. Methods This review has been systematically sorted the existing related literature to discuss the development of public LTCI (Long-Term Care Insurance)system form four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, challenge of public LTCI, and the relationship between public LTCI and private LTCI. We searched some databases including Web of Science Core Collection, Medline, SCOPUS, EBSCO, EMBASE, ProQuest and PubMed from January 2008 to September 2020. The quality of 38 quantitative and 21 qualitative articles was evaluated using the CASP(Critical Appraisal Skills Programme) critical evaluation checklist. Results The review systematically examines the development of public LTCI system from four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, the challenge of public LTCI, and the relationship between public LTCI and private LTCI. For example, LTCI has a positive effect on the health and life quality of the disabled elderly. However, the role of LTCI in alleviating the financial burden on families with the disabled elderly may be limited. Conclusion Some policy implications on the future development of China’s LTCI system can be obtained. For example, the government should fully consider the constraints such as price rise, the elderly disability rate, and the substantial economic burden. It also can strengthen the effective combination of public LTCI and private LTCI. It does not only help to expand the space for its theoretical research but also to learn the experiences in the practice of the LTCI system in various countries around the world. It will significantly help the smooth development and further promote the in-depth reform of the LTCI system in China.

Autonomy, Personal Empowerment, and Quality of Life in Long-Term Care

1988 ◽  
Vol 7 (3) ◽  
pp. 279-297 ◽  
Author(s):  
Phillip G. Clark
Keyword(s):  
Quality Of Life ◽  
Long Term Care ◽  
Personal Autonomy ◽  
Care Service ◽  
The Elderly ◽  
Service Needs ◽  
Term Care ◽  
Potential Health

The philosophical principle of autonomy provides a conceptual framework within which an understanding of quality of life for the elderly can be developed. This structure provides the basis for designing interventions to enhance the quality of life of older persons by maintaining their autonomy in spite of long-term care service needs. Such programs should encourage proactive strategies to anticipate and plan for potential health crises, promote empowerment of the elderly, expand knowledge, and clarify personal and familial values regarding service options. Examples of the kinds of programs needed to enhance autonomy in community-based and institutional long-term care settings are presented to illustrate how independence can be supported even under conditions of increasing frailty and service needs. These applied approaches to enhancing personal autonomy give explicit recognition to the importance of ethical concepts in developing and implementing long-term care services to improve the elderly's quality of life.

scholarly journals Evaluating the quality of care received in long-term care facilities from a consumer perspective: development and construct validity of the Consumer Choice Index – Six Dimension instrument

2017 ◽  
Vol 39 (1) ◽  
pp. 138-160 ◽  
Author(s):  
RACHEL MILTE ◽  
JULIE RATCLIFFE ◽  
CLARE BRADLEY ◽  
WENDY SHULVER ◽  
MARIA CROTTY
Keyword(s):  
Quality Of Life ◽  
Quality Of Care ◽  
Construct Validity ◽  
Consumer Choice ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Consumer Perspective

ABSTRACTThe Consumer Choice Index – Six Dimension (CCI-6D) is a new instrument designed specifically to evaluate the quality of care received in long-term care from a consumer perspective. This study aims to demonstrate the construct validity of the CCI-6D. Older residents living in long-term care facilities and proxy family carers (where severely impaired cognition precluded resident consent) participated as consumers of long-term care. Data collected included the CCI-6D instrument, quality of life, physical function and characteristics of the care facility. Relationships between these variables and the CCI-6D dimensions were assessed and analysed through chi-squared and Kruskal–Wallis tests to assess the construct validity of each dimension. Of 430 eligible consumers, a total of 253 completed the questionnaire, of whom 68 (27%) were residents and 185 (73%) were informal carer proxy participants. There was strong evidence of construct validity of the dimensions relating to adequacy of individual care time, access to outside and gardens, access to meaningful activities and flexibility of care. There was more moderate evidence of validity of the home-like own room and shared spaces items, which may be in part due to difficulty in identifying strong discriminatory variables for comparison with these items. The results also indicate a strong association between ‘processes’ of care delivery (as measured by the CCI-6D) and quality of life of care recipients.

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