Long Term Care and Support Administration

Author(s):  
Gabriele Di Francesco
2012 ◽  
Vol 11 (3) ◽  
pp. 331-343 ◽  
Author(s):  
Michele Foster ◽  
Paul Henman ◽  
Jennifer Fleming ◽  
Cheryl Tilse ◽  
Rosamund Harrington

Internationally, over the past two decades the theme of personalisation has driven significant reforms within health and social care services. In the Australian context, the principles of ‘entitlement based on need’ and ‘personalisation’ frame the proposed National Disability Long-Term Care and Support Scheme (LTCSS). In this article, we critically examine the interpretations and ambiguities of need and personalisation. We consider the administrative complexities of applying these principles in practice and the uncertainties about the roles of state and the market, and use individual case examples to illustrate areas of potential tension. Whether principles translate to deliver personalised services and avoid harmful trade-offs between access, equity and choice is the true test of social policy.


1987 ◽  
Vol 11 (3) ◽  
pp. 92-93
Author(s):  
Allan Beveridge

Depot Clinics or ‘Moderate Clinics’ tend to be similar. They are usually regarded as ‘low priority’ and often staffed by clinical assistants with only a limited training in psychiatry. Typically a large number of patients turn up each week, and there is little time for a detailed assessment of their needs. The clinic is often seen as ‘a chore’ by medical and nursing staff who may feel that the long-term care and support of patients with chronic disabling illnesses lacks excitement. One gains the impression that the patients with the less attractive personalities or those presenting repetitive management problems are more likely to be referred.


Author(s):  
Jose-Luis Fernandez ◽  
Julien Forder ◽  
Martin Knapp

This article considers the very different context of long-term care (LTC), where the care team often combines formal and informal workers. It focuses on the economics of LTC and in particular on issues such as the organizing and delivery of care and support to meet the significant future growth in demand for LTC. It discusses rapidly growing demand for LTC and resulting pressures on public finances. It means that governments across the globe are increasingly recognizing the need to get a better understanding of financing and allocating LTC resources, achieving individual and societal outcomes cost-effectively, and pursuing equity in the distribution of benefits and burdens. This article discusses provision, financing and governance, respectively and also mentions the consequences of aging populations on the need for and cost of LTC.


2020 ◽  
Author(s):  
Karen Spilsbury ◽  
Reena Devi ◽  
Alys Griffiths ◽  
Cyd Akrill ◽  
Anita Astle ◽  
...  

Abstract The care and support of older people residing in long-term care facilities during the COVID-19 pandemic has created new and unanticipated uncertainties for staff. In this short report, we present our analyses of the uncertainties of care home managers and staff expressed in a self-formed closed WhatsApp™ discussion group during the first stages of the pandemic in the UK. We categorised their wide-ranging questions to understand what information would address these uncertainties and provide support. We have been able to demonstrate that almost one-third of these uncertainties could have been tackled immediately through timely, responsive and unambiguous fact-based guidance. The other uncertainties require appraisal, synthesis and summary of existing evidence, commissioning or provision of a sector- informed research agenda for medium to long term. The questions represent wider internationally relevant care home pandemic-related uncertainties.


2010 ◽  
Vol 9 (5) ◽  
Author(s):  
Luis Salvador-Carulla ◽  
Jordi Balot ◽  
Germain Weber ◽  
Luk Zelderloo ◽  
Anne-Sophie Parent ◽  
...  

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