scholarly journals Health and Community-Based Services for Individuals with Neurological Conditions

2017 ◽  
Vol 44 (6) ◽  
pp. 670-675
Author(s):  
Sarah E.P. Munce ◽  
Kristen B. Pitzul ◽  
Sara J.T. Guilcher ◽  
Tarik Bereket ◽  
Mae Kwan ◽  
...  
Keyword(s):  
Online Survey ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Community Based ◽  
Term Care ◽  
Neurological Patient ◽  
Suburban Areas ◽  
Neurological Conditions ◽  
Community Based Services

AbstractBackground:The current study involves a national survey of healthcare providers who offer services for individuals with a variety of neurological conditions. It aims to describe the provision of health and community-based services as well as the admission criteria, waitlist practices, and referral sources of these services.Methods:An online survey was directed at administrators/managers from publicly funded hospital programs, long-term care homes, and community-based healthcare provider agencies that were believed to be providing information and/or services to patients with a variety of neurological conditions.Results:Approximately 60% (n=254) of respondents reported providing services in either urban/suburban areas or rural/remote areas only, whereas the remaining 40% (n=172) provided services regardless of patient location. A small proportion of respondents reported providing services for individuals with dystonia (28%), Tourette syndrome (17%), and Rett syndrome (13%). There was also a paucity of diverse healthcare professionals across all institutions, but particularly mental healthcare professionals in hospitals. Lastly, the majority of respondents reported numerous exclusion criteria with regard to service provision, including prevalent comorbid conditions.Conclusions:If the few services provided for these neurological patient populations exclude common comorbidities, it is likely that there will be no other place for these individuals to seek care.

scholarly journals Can Chatbots Help Support a Person’s Mental Health? Perceptions and Views from Mental Healthcare Professionals and Experts

2021 ◽  
Vol 2 (3) ◽  
pp. 1-15
Author(s):  
Colm Sweeney ◽  
Courtney Potts ◽  
Edel Ennis ◽  
Raymond Bond ◽  
Maurice D. Mulvenna ◽  
...  
Keyword(s):  
Mental Health ◽  
User Interfaces ◽  
Personal Experience ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Health Perceptions ◽  
Human Emotion ◽  
Health And Wellbeing ◽  
Perceived Importance

The objective of this study was to understand the attitudes of professionals who work in mental health regarding the use of conversational user interfaces, or chatbots, to support people’s mental health and wellbeing. This study involves an online survey to measure the awareness and attitudes of mental healthcare professionals and experts. The findings from this survey show that more than half of the participants in the survey agreed that there are benefits associated with mental healthcare chatbots (65%, p < 0.01). The perceived importance of chatbots was also relatively high (74%, p < 0.01), with more than three-quarters (79%, p < 0.01) of respondents agreeing that mental healthcare chatbots could help their clients better manage their own health, yet chatbots are overwhelmingly perceived as not adequately understanding or displaying human emotion (86%, p < 0.01). Even though the level of personal experience with chatbots among professionals and experts in mental health has been quite low, this study shows that where they have been used, the experience has been mostly satisfactory. This study has found that as years of experience increased, there was a corresponding increase in the belief that healthcare chatbots could help clients better manage their own mental health.

scholarly journals Mental health reforms in the Czech Republic

2018 ◽  
Vol 16 (1) ◽  
pp. 4-6 ◽  
Author(s):  
Ondrej Pec
Keyword(s):  
Mental Health ◽  
Czech Republic ◽  
Health Reform ◽  
Mental Healthcare ◽  
Rehabilitation Services ◽  
Community Based ◽  
The Czech Republic ◽  
Mental Health Reform ◽  
Mental Health Reforms ◽  
Community Based Services

This paper describes the history and current provision of mental healthcare in the Czech Republic. After the political changes in 1989, there was an expansion of out-patient care and several non-governmental organisations began to provide social rehabilitation services, but the main focus of care still rested on mental hospitals. In recent years, mental health reform has been in progress, which has involved expanding community-based services and psychiatric wards of general hospitals, simultaneously with educational and destigmatisation programmes.

scholarly journals Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan

2020 ◽  
Vol 17 (8) ◽  
pp. 2649
Author(s):  
Chia-Mei Shih ◽  
Yu-Hua Wang ◽  
Li-Fan Liu ◽  
Jung-Hua Wu
Keyword(s):  
Low Income ◽  
Long Term Care ◽  
Common Factor ◽  
Behavioral Model ◽  
Care Needs ◽  
Community Based ◽  
Term Care ◽  
Care Recipients ◽  
Community Based Services

In response to the irreversible aging trend, the Taiwan government has promoted the Long-Term Care (LTC) policy 1.0 launched in 2007 and the LTC policy 2.0 reform since 2016. This study aimed to explore the utilization of formal home and community-based care under LTC policy 1.0 to add scientific support for the on-going LTC policy 2.0 reform. Methods: By using Andersen and Aday’s behavioral model of healthcare utilization, the long-term care dataset was analyzed from 2013 to 2016. A total of 101,457 care recipients were identified after data cleaning. Results: The results revealed that about 40.7% of the care recipients stayed in the care system for more than two years. A common factor influencing the length of home and community-based services (HCBS) utilization period included need factors, where more dependent recipients leave the LTC system regardless of their socio-economic status. However, the utilization period of non-low-income households is significantly affected by the level of service resources. Conclusion: For long-term care needs, the phenomenon of a short utilization period was concerning. This study adds information which suggests policy should reconsider care capacity and quality, especially for moderate to severely dependent recipients. This will allow for better understanding to help maintain care recipients in their own communities to achieve the goal of having an aging in place policy.

scholarly journals EFFECTIVENESS OF HOME- AND COMMUNITY-BASED SERVICES IN DECREASING HEALTH CARE EXPENDITURE IN TAIWAN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S159-S159
Author(s):  
Ya-Mei Chen ◽  
Hsiao-Wei Yu ◽  
Ying-Chieh Wang
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Long Term Care ◽  
Community Based ◽  
Term Care ◽  
Care Recipients ◽  
Home Based ◽  
Number Of Visits ◽  
Community Based Services

Abstract Ideally, continuum of care involves wide-ranging health and long-term care (LTC) services. Taiwan’s National Health Insurance scheme and 10-Year Long-term Care Plan attempts to provide universal and fundamental services of continuum care. However, the accessibility of these services for care recipients remains unclear. This study aims to examine the effectiveness of continuum care in decreasing the healthcare expenditure of LTC recipients using home- and community-based services (HCBS). Data collated from the 2010–2013 Long-Term Care Service Management System (N = 77,251) were subjected to latent class analysis to identify subgroups of recipients using HCBS. Subsequently, the 1-year primary care expenditure after receiving HCBS was compared through generalized linear modeling. Three discrete HCBS subgroups were found: home-based personal care (HP), home-based health care (HH), and community-based care (CC). No difference in the number of visits to doctors and the average primary care expenses was observed between the HP and HH subgroups. However, considering physical and psychosocial confounders, care recipients in the CC subgroup recorded a higher number of visits to doctors (β = 3.05, SD = 0.25, p &lt; 0.05) and lower primary care expenditure (β = -98.15, SD = 43.17, p = 0.02) than the other two subgroups. These findings suggest that LTC recipients in Taiwan may obtain better continuum care only for CC service recipients. Additionally, community-based LTC services may lower the cost of health expenditure after 1 year.

The Use of Community-Based Services in Long-term Care by Older Minority Persons

1979 ◽  
Vol 19 (4) ◽  
pp. 389-397 ◽  
Author(s):  
D. Holmes ◽  
M. Holmes ◽  
L. Steinbach ◽  
T. Hausner ◽  
B. Rocheleau
Keyword(s):  
Long Term Care ◽  
Community Based ◽  
Term Care ◽  
Community Based Services

scholarly journals Diagnostic value of cutaneous manifestation of SARS-CoV-2 infection

2020 ◽  
Author(s):  
Alessia Visconti ◽  
Veronique Bataille ◽  
Niccolò Rossi ◽  
Justine Kluk ◽  
Ruth Murphy ◽  
...  
Keyword(s):  
Online Survey ◽  
Healthcare Professionals ◽  
Diagnostic Value ◽  
Cutaneous Manifestation ◽  
Community Based ◽  
Positive Skin ◽  
Key Points ◽  
Test Result ◽  
New Skin

AbstractImportanceSARS-CoV-2 causes multiple immune-related reactions at various stages of the disease, and the wide variety of cutaneous presentations has delayed linking these to the virus. Previous studies had attempted to look at the prevalence and timing of COVID-19 rashes but were mostly based on hospitalized severe cases with limited follow up.ObjectiveTo assess the diagnostic value of new skin rashes in SARS-CoV-2 infection.DesignObservational study including data collected longitudinally via the COVID Symptom Study app between May 7th and June 22nd, 2020, as well as data from an independent online survey on skin-related symptoms.SettingCommunity-basedParticipantsVolunteer sample of 336,847 UK users of the COVID Symptom Study app and 11,546 surveyees, aged 1 to 90 years old.ExposureUsers self-reporting a positive or negative SARS-CoV-2 swab test result, untested symptomatic users, and survey respondents.Main Outcome(s) and Measure(s)the diagnostic value of new skin rashes in SARS-CoV-2 infection, and observation on their duration and timing in relation to other COVID-19 symptomsResultsIn the app data, 8.8% of the swab positive cases (N=2,021) reported either a body rash or an acral rash, compared to 5.4% of those with a negative swab test (N=25,136). Together, these two cutaneous presentations showed an odds ratio (OR) of 1.67 (95% confidence interval [CI]: 1.42-1.97) for being swab positive. Skin rashes were also predictive in the larger untested group of symptomatic app users (N=54,652), as 8.2% of those who had reported at least one classic COVID-19 symptom, i.e., fever, persistent cough, and/or anosmia, also reported a rash. Data from the independent online survey showed that in 17% of swab positive cases, the rash was the initial presentation. Furthermore, in 21%, the rash was the only clinical sign.Conclusions and RelevanceSkin rashes cluster with other COVID-19 symptoms, are predictive of a positive swab test and occur in a significant number of cases, either alone or before other symptoms. Recognising rashes is important for the early detection of COVID-19 cases. To help healthcare professionals in this task we have established a large library of high-quality manually curated photos, available at: https://covidskinsigns.comKey pointsQuestionWhat is the diagnostiv value of the cutaneous manifestation of SARS-CoV-2 infection?FindingsWe confirmed, in a community-based setting, that the presence of a rash is predictive of SARS-CoV-2 infection, and provided a large library of cutaneous manifestation photos to help healthcare professionals in diagnosing COVID-19.MeaningSkin rashes should be considered as part of the clinical presentation of COVID-19 to aid earlier diagnosis and curb the spread of the infection.

Long-Term Care Goes to Market: Managed Competition and Ontario's Reform of Community-Based Services

1999 ◽  
Vol 18 (2) ◽  
pp. 125-153 ◽  
Author(s):  
A. Paul Williams ◽  
Jan Barnsley ◽  
Sandra Leggat ◽  
Raisa Deber ◽  
Pat Baranek
Keyword(s):  
Nous Avons ◽  
Long Term Care ◽  
Managed Competition ◽  
Community Based ◽  
Term Care ◽  
Longue Duree ◽  
Longue Durée ◽  
Community Based Services

RÉSUMÉLa désinstitutionnalisation et le virage vers les ressources communautaires posent des défis importants aux décideurs et aux dispensateurs de services, le plus important étant sans nul doute le défi de fournir un volume de services communautaires de haute qualité suffisant à répondre aux besoins de la clientèle. Ce défi est particulièrement évident dans les soins de longue durée (SLD), en raison de la complexité et de la diversité de ce champs d'action, de la vulnérabilité de la clientèle et de l'accroissement de la demande consécutive aux compressions dans le système hospitalier. Dans ce contexte, la dernière réforme des soins de longue durée en Ontario est particulièrement intéressante parce que, comme l'exprime le mot d'ordre gouvernemental «meilleure qualité au meilleur prix,» elle promet la coüt-efficacité tout en assurant le maintien ou l'amélioration de la qualité. Pour y arriver, on a recours à un modèle de «gestion de la concurrence» dans lequel les fournisseurs sans but lucratif et à but lucratif entrent en concurrence pour des contrats de services attribués par des Centres d'accès aux soins communautaires locaux, gérés par un conseil de bénévoles. Dans cette communication, nous avons utilisé les commentaires de hauts fonctionnaires et de représentants de fournisseurs de soins, ainsi que des documents du domaine public, pour mettre en lumière les questions et les problèmes soulevés par cette plus récente réforme provinciale. Nous soumettons que le modèle de gestion de la concurrence pourra entraîner la subordination de la qualité des services et du choix du consommateur aux impératifs de limitation des coûts, particulièrement dans le contexte actuel de budgets fermés et d'augmentation de la demande.

Quality Improvement in Community-Based, Long-Term Care: Theory and Reality

1994 ◽  
Vol 20 (1-2) ◽  
pp. 59-77
Author(s):  
Eleanor D. Kinney ◽  
Jay A. Freedman ◽  
Cynthia A. Loveland Cook
Keyword(s):  
Daily Living ◽  
Long Term Care ◽  
Care Service ◽  
The Elderly ◽  
Community Based ◽  
Term Care ◽  
Care Theory ◽  
Care Services ◽  
Community Based Services

Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients.An ever increasing proportion of the population is in need of community-based, long-term care services. Between nine and eleven million Americans of all ages are chronically disabled and require some help with tasks of daily living. In 1990, thirty percent of the elderly with at least one impaired activity of daily living used a community-based, long-term care service. Not surprisingly, expenditures for community-based, long-term care have increased.

CHANGES OF THE ORGANIZATIONS, PROVIDING SOCIAL SERVICES, IN THE CONTEXT OF DEINSTITUTIONALIZATION

2018 ◽  
Vol 1 ◽  
Author(s):  
Janina Čižikienė ◽  
Audronė Urmanavičienė
Keyword(s):  
Social Services ◽  
Inpatient Care ◽  
Institutional Care ◽  
Developed Countries ◽  
Community Based ◽  
Term Care ◽  
Expert Interview ◽  
The Individual ◽  
Community Based Services

The challenges of globalization are the reason why the EU countries are looking for the ways to make the provision of social services most effective and best fitted to the customer’s needs. In 1960s, deinstitutionalization processes started to take place in many developed countries with the aim to reduce the inpatient care and to develop the community-based services. Deinstitutionalization is replacement of inpatient care with the services that are more in line with the individual interests of each customer. Currently, it is essential in Lithuania, where institutional care is widespread, and the services, provided in the institutions, are ineffective due to their depersonalization, strict procedure, and work with a group of the customers. They are not adapted to individual needs of a person, however, the main services that have no alternatives and are required for long-term care of the persons with intellectual disabilities, mental disorders, and for children, left without parental care, remain. The following research methods were applied: analysis of scientific literature and documents, expert interview, analysis and interpretation of the research results. The review of literature and the research data, presented in the article, reveal the issues of deinstitutionalization process of the organizations, providing social services, as well as the challenges faced in reorganization of children’s care homes.

Sign in / Sign up

Export Citation Format

Share Document