Using benchmarking to assist the improvement of service quality in home support services for older people—IN TOUCH (Integrated Networks Towards Optimising Understanding of Community Health)

2018 ◽  
Vol 67 ◽  
pp. 113-121 ◽  
Author(s):  
Stephen P. Jacobs ◽  
Matthew Parsons ◽  
Paul Rouse ◽  
John Parsons ◽  
Michelle Gunderson-Reid
2008 ◽  
Vol 27 (2) ◽  
pp. 207-224 ◽  
Author(s):  
M. Markle-Reid ◽  
G. Browne ◽  
R. Weir ◽  
A. Gafni ◽  
J. Roberts ◽  
...  

RÉSUMÉLa présente étude évalue les caractéristiques de base et les changements dans l'état de santé et le coût des services de soins de santé utilisés en association avec les services de soutien à domicile subventionnés par l'État. l'analyse comprend 122 personnes de ≥75ans admissibles aux services de soutien à domicile. Au cours d’une période de six mois, un tiers des personnes faisant partie de l'échantillon ont utilisé des services de soutien à domicile pendant ≥1 heure par semaine. Le taux de dépression et de déficience cognitive, le degré réduit de fonctionnement physique et émotionnel, et une capacité d’adaptation moins efficace étaient plus élevés chez ces aînés que chez ceux qui utilisaient moins de services. La déficience cognitive a expliqué 17 pour cent de la variation dans l'utilisation des services de soutien à domicile. Pour la période de six mois, l'utilisation de services de soutien à domicile pendant ≥1 heure par semaine par des aînés ayant des besoins plus importants était associée à un coût plus faible d’utilisation pour les services de soins de santé et à un niveau d’amélioration plus faible de l'état de santé. Ces résultats suggèrent qu’il faut accélérer la recherche visant à déterminer des méthodes plus efficaces pour la prestation des services de soutien à domicile à ces personnes afin d’améliorer leur état de santé à l'aide des ressources disponibles.


GeroPsych ◽  
2011 ◽  
Vol 24 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Mirko Di Rosa ◽  
Christopher Kofahl ◽  
Kevin McKee ◽  
Barbara Bień ◽  
Giovanni Lamura ◽  
...  

This paper presents the EUROFAMCARE study findings, examining a typology of care situations for family carers of older people, and the interplay of carers with social and health services. Despite the complexity of family caregiving situations across Europe, our analyses determined the existence of seven “caregiving situations,” varying on a range of critical indicators. Our study also describes the availability and use of different support services for carers and care receivers, and carers’ preferences for the characteristics of support services. Our findings have relevance for policy initiatives in Europe, where limited resources need to be more equitably distributed and services should be targeted to caregiving situations reflecting the greatest need, and organized to reflect the preferences of family carers.


2019 ◽  
Author(s):  
Lee Lindquist ◽  
Kenzie Cameron ◽  
Jody Ciolino ◽  
Chris Forcucci ◽  
Dianne Campbell ◽  
...  

2018 ◽  
Vol 32 (1-2) ◽  
pp. 83-94 ◽  
Author(s):  
Anne Esther Marcus-Varwijk ◽  
Lilian L. Peters ◽  
Tommy L. S. Visscher ◽  
Carolien H. M. Smits ◽  
Adelita V. Ranchor ◽  
...  

Objective: The study evaluated the nurse-led intervention “ Community Health Consultation Offices for Seniors (CHCO)” on health-related and care needs–related outcomes in community-dwelling older people (⩾60 years). Method: With a quasi-experimental design, the CHCO intervention was evaluated on health-related and care needs–related outcomes after 1-year follow-up. Older people who received the intervention were frail, overweight, or were smoking. The comparison group received care as usual. In both groups, similar data were collected on health status, falls and fractures, and care needs. In the intervention group, additional data were collected on biometric measures and health-related behavior. Results: The intervention group and the care-as-usual group included 403 seniors and 984 seniors, respectively. Health-related outcomes, behaviors, and biometric measures, remained stable. After 1 year, care needs increased for both groups, but at a lower rate for the care-as-usual group. Discussion: The CHCO intervention showed no significant improvement on health-related outcomes or stability in care needs–related outcomes.


2007 ◽  
Vol 23 (1) ◽  
pp. 65-72 ◽  
Author(s):  
Ian Rothera ◽  
Rob Jones ◽  
Rowan Harwood ◽  
Anthony J. Avery ◽  
Kate Fisher ◽  
...  

Author(s):  
Feliciano Villar ◽  
Rodrigo Serrat ◽  
Annette Bilfeldt ◽  
Joe Larragy

AbstractLiving in a long-term care (LTC) institution provides older people experiencing health and social problems with a comprehensive range of support services that address their quality of life. Despite access to such services, challenges arise in relation to their participation in key activities both within and outside the institution. This chapter examines such challenges, reviewing and describing ways to prevent exclusion along various domains, specifically social relationships, civic participation and socio-cultural life. Firstly, we discuss ways in which bio-medical models of care and the quality control systems, which are dominant in LTC services, standardise care, tending to put decisions exclusively in hands of staff, taking away residents’ autonomy, and ultimately curtailing rights and citizenship status. Secondly, we examine how LTC services might prevent such exclusion and promote older people’s participation in at least four respects: (1) prompting and supporting residents’ ability to take decisions on their own care, (2) favouring the maintenance and creation of social relationships, (3) enabling residents’ participation in the activities and management of the institution, and (4) guaranteeing residents’ rights and full access to citizenship. We discuss the impact and limitations of recent initiatives put into practice in these areas of practice.


2000 ◽  
Vol 13 (4) ◽  
pp. 244-255 ◽  
Author(s):  
G. Philip ◽  
J. Stewart

This paper describes the development and use of a modified SERVQUAL research instrument for measuring the service quality of voluntary organizations from the perspective of their ‘customers’. A series of focus group meetings were run with providers and users of the services to identify the appropriate dimensions of service quality. These were structured meetings led by the researchers addressing set questions in a group setting. The meeting enabled the identification of six different dimensions of service quality which neatly mapped on to the pivotal–core–peripheral (P–C–P attributes model [Philip and Hazlett, 1997]), which was developed after extensive research of existing models such as SERVQUAL. These dimensions were used to develop a questionnaire to assess service quality within the voluntary sector. The questionnaire was distributed to 2005 service users, representing eight voluntary organizations from across Northern Ireland. The research resulted in the development of a methodology and research instrument suitable for measuring service quality in the voluntary sector.


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