scholarly journals What composes desirable formal at-home elder care? An analysis for multiple service combinations

2020 ◽  
Author(s):  
Shinya Sugawara
Keyword(s):  
Health Status ◽  
Home Care ◽  
Elder Care ◽  
Elderly Care ◽  
The Elderly ◽  
Developed Countries ◽  
Term Care ◽  
Care Services ◽  
The Relationship ◽  
At Home

AbstractI estimate the relationship between combinations of multiple services for formal at-home elder care and health status. As a reasonable substitute for expensive institutional care, at-home formal elderly care is gaining popularity in developed countries. Because at-home care is composed of many small and complementary services, the relationship between multiple service combinations and health status requires analysis. However, the high dimensionality of these combinations makes estimation difficult. This study employs a regression analysis using care service combinations as cross-dummy explanatory variables. To reduce the combination dimensions, I select the combinations that are purchased jointly by a sufficient number of the elderly using basket analysis. I apply this method to claims data for Japanese long-term care, for which the social insurance program has resulted in the emergence of a market that offers many care services for the elderly. The empirical results show that only 200 combinations of 14 at-home care services are used by more than 0.03% of the insured in Japan. Of these combinations, rehabilitation services have a considerable positive correlation with the health status of the elderly. However, their use is limited owing to regional disparities in the location of such services.

Population Ageing, Dependency and Healthcare Services Utilisation

2021 ◽  
Vol 26 (2) ◽  
pp. 1-30
Author(s):  
Jose Luis HernandezNavarro Espigares ◽  
Elisa Hernández Torres ◽  
Teresa García Muñoz
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Services ◽  
Social Protection ◽  
The Elderly ◽  
Developed Countries ◽  
Current Debate ◽  
Term Care ◽  
Care Services ◽  
The Impact

The increase in the percentage of the elderly (the population 65 years or older) in developed countries is a cause for concern about the levels of health care services expenditures and the widening of long-term care services in these countries. The current debate includes the issue of establishing a system of protection for dependence as a new modality of social protection. The objective of this paper is to analyse the evolution of the degree of dependence in the Spanish population over 65 years during the period between 1997 and 2003, and to estimate the impact of dependence on health status and health care utilisation for the same period. An increasing trend of dependence prevalence as well as of the consumption of health care services has been found. A statistical association between the degree of dependence and the variables of health status, drug consumption and in-patient services has been observed. But this association is not significant in the case of medical consultations. The low degree of association between dependence and out-patient health care services strengthens the hypothesis that the elderly population presents specific necessities, oriented to assistance of dependence needs rather than ambulatory health care services.

scholarly journals At-home care : interactions between nurses and the elderly/family

2012 ◽  
Vol 25 (spe1) ◽  
pp. 74-80
Author(s):  
Esperança Alves Gago ◽  
Manuel José Lopes
Keyword(s):  
Home Care ◽  
Nursing Practice ◽  
The Elderly ◽  
Diagnostic Assessment ◽  
Care Process ◽  
Structured Interviews ◽  
The Family ◽  
Home Context ◽  
The Relationship ◽  
At Home

OBJECTIVE: To understand the interaction process between the elderly and the family and the nurses during home care. METHODS: Grounded theory qualitative study in a community where 40% of the population is aged 65 or above. The collection of data was made via the non-participating observation of nursing practice during 41 home visits and semi-structured interviews to nurses, the elderly and the family. RESULTS: the following categories emerged - structural organization of at-home care, diagnostic assessment in context and therapeutic intervention in context. CONCLUSION: the central category was "Building the relationship in an at-home context", due to the fact that the relationship between the nurse, the elderly and the family is central across the entire care process. The relation is, simultaneously, the context for all the care and a therapeutic instrument.

Interruption of Medication among Outpatients with Chronic Conditions after a Flood

2010 ◽  
Vol 25 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Jun Tomio ◽  
Hajime Sato ◽  
Hairoko Mizumura
Keyword(s):  
Health Status ◽  
High Risk ◽  
Chronic Conditions ◽  
Flash Flood ◽  
The Elderly ◽  
Related Factors ◽  
Cross Sectional ◽  
Term Care ◽  
Affected Area ◽  
Care Services

AbstractIntroduction:The disruption of routine treatment, including the interruption of medication, exacerbates chronic conditions during disasters. However, the health consequences of the interruption of medication have not been fully examined. On 22 July 2006, a flash flood affected more than 3,000 households in five cities and four towns in the northern part of Kagoshima Prefecture in southwest Japan. The aims of this study are to describe the prevalence of the interruption of medication among the outpatients in the flood-affected area and to determine the risk and preventive factors for the interruption of medication.Methods:This was a cross-sectional study using a self-administered questionnaire. The study subjects were the outpatients who visited nine of 15 medical facilities in the flood-affected area from 23 January and 31 January 2007. Of 810 valid respondents, 309 who received medication treatment before the event were eligible for the study. Information on socio-demographic factors, chronic health conditions, preparedness-related factors before the event and damage-related factors were collected. Overall and evacuation status-specific prevalence of interruption of medication were presented. For those evacuated, the associations between interruption of medication and relevant patient characteristics, as well as deterioration of health status after the event, were examined.Results:The prevalence of interruption of medication was 9% in total, but it increased up to 23% among the evacuated subjects. Interruption of medication was more likely among those aged ≥75 years (odds ratio [OR] = 3.6; 95% confidence interval [CI] = 1.0−12.6) and those receiving long-term care services (OR = 4.6; 95% CI = 1.1−19.1), while it was less likely among those with hypertension (OR = 0.2; 95% CI = 0.1−0.8) and those prepared to go out with medication (OR = 0.2; 95% CI = 0.03−0.8). Those who experienced interruption of medication were more likely to have deteriorated health status one month after the event (OR = 4.5; 95% CI = 1.2−17.6).Conclusions:Interruption of medication occurred more commonly among the evacuated subjects. Among the evacuated, the elderly and those receiving longterm care services were at high risk for interruption of medication, while the preparedness behavior of “preparing to go out with medication” had preventive effect. Special attention must be paid to the high-risk subgroups, and some preventive behaviors should be recommended.

scholarly journals Elderly Care: A Study on Community Care Services in Sleman, DIY, Indonesia

2020 ◽  
Vol 2020 ◽  
pp. 1-11 ◽  
Author(s):  
Sumini ◽  
Sukamdi ◽  
Evita Hanie Pangaribowo ◽  
Yeremias T. Keban ◽  
Muhadjir Darwin
Keyword(s):  
Developing Countries ◽  
Home Care ◽  
Rapid Growth ◽  
Elderly Population ◽  
Community Care ◽  
Elderly Care ◽  
The Elderly ◽  
Home Care Services ◽  
Care Services ◽  
Local Initiatives

Elderly care services are important to provide in response to the rapid growth of the elderly population. In developing countries like Indonesia, the speed of growth of the elderly population does not simultaneously occur, so the needs for care services vary. This study discusses the emergence of home care services in response to the increase in elderly population. By taking the case of community home care services in Sleman, this study found the pattern and process of the emergence of local initiatives in home care services. This study also revealed an important factor affecting the implementation of community home care services, that is, leadership.

Relationship Between Nursing Students’ Attitudes Toward Elderly Discrimination and Opinions About Home Care Services

2019 ◽  
Vol 31 (4) ◽  
pp. 219-223 ◽  
Author(s):  
Meltem Meriç ◽  
Gül Ergün ◽  
Ganna Pola ◽  
Meral Dölek ◽  
Burcu Totur Dikmen ◽  
...  
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Home Care ◽  
Elderly Care ◽  
The Elderly ◽  
Home Care Services ◽  
Attitude Scale ◽  
Attitudes Toward Elderly ◽  
Care Services ◽  
Students Attitudes

The determination of nursing students’ attitudes toward elderly discrimination and their opinions about home care is important in that it will affect the quality of care provided to elderly individuals in their homes by the students in the future. For this reason, the aim of this study was to determine relationship between nursing students’ attitudes toward elderly discrimination and their opinions about home care services. This descriptive study was conducted with a total of 318 students from a university nursing faculty during the fall semester of the 2016-2017 academic year. Data for the study were collected using the Home Care Services Evaluation Questionnaire and the Ageism Attitude Scale. It was found that there was a positively significant but weak relationship between the students’ age discrimination scale total score and the positive discrimination subdimension score, and their opinions about home care services ( p < .001). Students’ attitudes toward elderly discrimination were found to make a statistically significant contribution to their opinions about home care services. It was ascertained that students’ attitudes toward elderly discrimination affected their opinions about home care services. It is recommended that geriatric nursing and home care nursing lectures be included in the nursing education curriculum, awareness of the importance of the concept of old age and elderly care be increased by establishing internship fields for students in institutions that provide home care for the elderly, and positive attitudes toward the elderly be promoted.

scholarly journals Retirement, Home Care and the Importance of Gender

2021 ◽  
Vol 10 ◽  
pp. 172-179
Author(s):  
Anders Brändström ◽  
Glenn Sandström
Keyword(s):  
Health Status ◽  
Home Care ◽  
Living Arrangements ◽  
Elderly Care ◽  
Institutional Care ◽  
The Elderly ◽  
Home Care Services ◽  
Minor Role ◽  
Retirement Home ◽  
Swedish Population

In recent decades elderly care policies in Sweden have been characterized by a marked shift from institutional care to home care. Previous research has highlighted how this has resulted in the elderly receiving care at a higher age and increased reliance on family and kin for providing care. Using register data for the entire Swedish population aged 65+ in 2016, we analyze how home care services in contemporary Sweden distribute regarding individual-level factors such as gender, health status, living arrangements, and closeness to kin. By far, the most critical determinants of receiving home care are age, health status, and whether the elderly are living alone or not. Although our results do not discard that access to kin have become more important, our results show that childlessness and geographical proximity to adult children play a minor role for differentials in the reception of home care. The main conduit for informal care instead takes the form of spousal support. Gender plays a role in how living arrangements influence the probability of receiving home care, where cohabiting women are significantly more likely to receive care than cohabiting men. We interpret this as a result of women, on average, being younger than their male partners and more easily adopting caregivers' roles. This gendered pattern is potentially explained by the persistence of more traditional gender roles prevailing in older cohorts.

Aged Care Services in India

2021 ◽  
pp. 114-143
Author(s):  
Wadad Kathy Tannous ◽  
Divya Ramachandran
Keyword(s):  
Filial Piety ◽  
Elderly Care ◽  
The Elderly ◽  
Aged Care ◽  
Geriatric Care ◽  
Term Care ◽  
Public And Private ◽  
Care Services ◽  
Care For The Elderly ◽  
The Government

India is the world's largest democracy and second most populous country with nearly 1.4 billion people. With reduced birth rates and increasing lifespans, it had nearly 104 million ‘senior citizens' in 2011, expected to grow to 300 million by 2050. Providing care for the elderly in India is a growing public and private concern. Filial piety is embedded in culture and long-term care for parents and the elderly is expected from children. However, over the last five decades there have been rapid changes in socioeconomic patterns with increasing mobility for work and rise of nuclear households. Despite this, elder care is still largely underdeveloped, with lack of formal training in geriatric care and geriatric care curriculum in medical education. Australia has a highly evolved elderly care system with care services that includes retirement villages, home care, residential care, and flexible care. These are provided by subsidization from the government and private user pay system. Australia is well poised to provide aged care expertise and services and shape elderly care in India.

scholarly journals A Study of the Factors Influencing the Residential Preferences of the Elderly in China

2021 ◽  
Vol 13 (10) ◽  
pp. 5488
Author(s):  
Hui Li ◽  
Chengyun Duan ◽  
Miao-David Chunyu
Keyword(s):  
Health Status ◽  
Multinomial Logistic Regression ◽  
Elderly Care ◽  
The Elderly ◽  
The United States ◽  
Income Level ◽  
Education Level ◽  
Personal Factors ◽  
Residential Preferences ◽  
Care Services

The global aging problem has a serious impact on the sustainable development of society. China has become the country with the largest aging population in the world, 1.75 times that of the EU and 3.01 times that of the United States. Therefore, the question of how to develop elderly care services and institutions in China is critical. Based on data from the China Health and Retirement Longitudinal Study (CHARLS), this paper details the residential preferences of the elderly, and uses a multinomial logistic regression model to analyze the influence of education level, health status, and income level on the residential preferences of the elderly in China. The results of the study are as follows: (1) From a spatial point of view, the residential preference of “living together” gradually increases from the northeast to the southwest. As for the choice of “nursing home”, northerners prefer to live in nursing homes more than southerners, especially in the northeast. (2) There are many personal factors that significantly affect housing preferences, such as education level, health status, income level, etc. (3) The development of socialized elderly care institutions should fully consider the preferences of the elderly. There are big differences in residential preferences in different regions and different cities, so the development of elderly care services should be adapted to local conditions.

scholarly journals A Summary of Researches on the Quality of Home-based Care Services in China

2021 ◽  
Vol 10 (1) ◽  
pp. 41
Author(s):  
Yi-Luo Wang ◽  
Ying Duan ◽  
Ying Zhang
Keyword(s):  
Service Quality ◽  
Home Care ◽  
Care Service ◽  
Elderly Care ◽  
The Elderly ◽  
Home Care Services ◽  
Care Services ◽  
Home Based ◽  
Home Based Care

With the increase of the aging of the population in china, the demand of the elderly continues to increase, which has brought great challenges to the elderly care service industry. As a new type of elderly care service, home-based care services directly affect the quality of the elderly&rsquo;s health and daily life in their later years. Therefore, improving the product and quality of elderly care services has become the goal and purpose of the development of home-based care service for aged. This article uses Cite Space software to perform visual analysis of keyword clustering on existing literature, and concludes that scholars focus on the integration of medical care, social elderly care service system, service quality, and influencing factors, but the impact of service quality models and indicator systems is low. Then through the integration and induction of scholars&rsquo; research progress on home care services, existing problems in service quality, and service quality evaluation index systems, in order to continue to innovate on the basis of existing knowledge, improve the service quality index system, and focus on combing process indicators with outcome indicators effectively, thereby improving the quality of community home care services.

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