Measuring the Social-Care Service Needs of Impaired Elderly People in Japan

1996 ◽  
Vol 16 (3) ◽  
pp. 315-332 ◽  
Author(s):  
Ikuko Nakano ◽  
Y. Shimizu ◽  
K. Hiraoka ◽  
Y. Nakatani ◽  
J. Wake ◽  
...  
Keyword(s):  
Home Care ◽  
Elderly People ◽  
Social Care ◽  
Care Service ◽  
Nursing Home Care ◽  
Medium Size ◽  
Elderly Persons ◽  
Social Care Service ◽  
Care Services ◽  
Mentally Impaired

ABSTRACTThis study aims to measure objectively and/or estimate the needs of impaired elderly persons and their families for social care services. The research was carried out in Maebashi, a medium size Japanese city. In our study, ‘impaired elderly persons’ included both physically and/or mentally impaired persons. In total, 693 impaired elderly persons and their families were classified according to 20 specific types of need: these ‘need types’ were cross-tabulated with two sets of factors: (1) Severity of impairments and (2) Difficulty of caregivers in providing the required care. A standard model of the service provision necessary for each ‘need type’ was established through group consultation with social care service professionals. Finally, the total amount of each service required in the city was calculated. Major findings are: (1) Our estimates indicate that 7.1 per cent of all persons 65 and over residing in Maebashi City were physically and/or mentally impaired to a certain degree. (2) Forty per cent of these elderly people were being cared for by caregivers who themselves had serious difficulties. (3) The demand for social care services in local Japanese cities is high. In order for this demand to be met a substantial expansion of both nursing home care and in-home care services is required.

Literature on health and social care

2019 ◽  
pp. 103-122
Author(s):  
Sandra Torres
Keyword(s):  
Ethnic Minorities ◽  
Social Care ◽  
Care Service ◽  
Care Staff ◽  
Service Utilisation ◽  
Social Care Service ◽  
Care Services ◽  
The North ◽  
Behavioural Patterns ◽  
Health And Social Care

This chapter focuses on the literature on ethnicity/ race and ageing/ old age that brings attention to issues related to health and social care. Just as it was the case in the previous chapter, this chapter exposes the main trends observed as far as what characterises the literature in focus. Besides being research on the North American context and focusing on very few ethnic minorities, this chapter discusses the fact that this literature takes for granted that ethnicity and race matter for older people’s health and social care service utilisation but does not, in fact, answers why this is the case. In addition, this chapter problematizes the fact that by focusing almost exclusively on older ethnic minorities’ experiences, the literature fails to bring attention to the views of those whose practices are important to the issues being discussed (i.e. health and social care staff). Noted is also that few of the studies reviewed take into account the attitudinal and/or behavioural patterns that are implicitly conveyed to pose a challenge to older ethnic minorities’ access and usage of health and social care services. Thus, by bringing attention to the areas that have received attention (i.e. access and usage/ attitudes, preferences and experiences/ the suitability of different programs, interventions and services and self-care practices), this chapter identifies the array of areas that remain unexplored.

scholarly journals PATIENT AND PUBLIC INVOLVEMENT IN HEALTH AND SOCIAL CARE IN ENGLAND

2014 ◽  
Vol 8 (4) ◽  
pp. 39-41
Author(s):  
Jane Randall-Smith ◽  
Catherine Pritchard
Keyword(s):  
Public Involvement ◽  
Social Care ◽  
Care Service ◽  
Local Area ◽  
Patient And Public Involvement ◽  
Consumer Participation ◽  
Social Care Service ◽  
Care Services ◽  
Statutory Authority ◽  
Health And Social Care

Signifcant changes were brought about in health and social care in England in 2013, as a result of the Health and Social Care Act 2012. As part of the changes in 2013, a network of local Healthwatch organisations was set up to act as the people’s champion for health and social care in their local area. Healthwatch Shropshire is one of these local Healthwatch. It gathers experiences and opinions from patients, carers, service users and the wider public about publicly funded health and social care services and uses this information to infuence health and social care service delivery. Healthwatch Shropshire also recruits and trains volunteers to support its work, in particular, specially trained volunteers visit locations where health and social care services are provided and report on their fndings. Healthwatch Shropshire also has information and signposting services, provides volunteering opportunities, and has a statutory authority to visit locations where health and social care services are being delivered.Keywords: patient participation, consumer participation, public opinion

scholarly journals Beyond Modernisation? Social Care and the Transformation of Welfare Governance

2008 ◽  
Vol 37 (4) ◽  
pp. 531-557 ◽  
Author(s):  
JANET NEWMAN ◽  
CAROLINE GLENDINNING ◽  
MICHAEL HUGHES
Keyword(s):  
Social Care ◽  
Care Service ◽  
Research Programme ◽  
Service Users ◽  
Social Care Service ◽  
England And Wales ◽  
Distinctive Features ◽  
Care Services ◽  
Department Of Health ◽  
The Future

AbstractThis article reflects on the process and outcomes of modernisation in adult social care in England and Wales, drawing particularly on the recently completed Modernising Adult Social Care (MASC) research programme commissioned by the Department of Health. We begin by exploring the contested status of ‘modernisation’ as a descriptor of reform. We then outline some of the distinctive features of adult social care services and suggest that these features introduce dynamics likely to shape both the experiences and outcomes of policy ambitions for modernisation. We then reflect on the evidence emerging from the MASC studies and develop a model for illuminating some of the dynamics of welfare governance. Finally, we highlight the emerging focus on individualisation and on user-directed and controlled services. We argue that the current focus of modernisation involves a reduced emphasis on structural and institutional approaches to change and an increased emphasis on changes in the behaviours and roles of adult social care service users. This focus has implications for both the future dynamics of welfare governance and for conceptions of citizenship.

Health and social care services for older people: achievements, challenges, and future directions

2015 ◽  
Author(s):  
Roger Beech
Keyword(s):  
Social Care ◽  
Care Service ◽  
Improve Patient Care ◽  
Evidence Base ◽  
Acute Hospital ◽  
Social Care Service ◽  
Care Services ◽  
Health And Social Care ◽  
Hospital Beds ◽  
Timely Access

Key points• The ageing of the population will increase patient demands for acute hospital beds, a scarce and expensive resource.• Health and social care service options delivered ‘closer to home’ can improve patient care and reduce older people’s demands for acute hospital beds by preventing acute events and providing an alternative.• The growth of such service options has created a more complex health and social care landscape.• Therefore, to improve the patient experience and to ensure their timely access to appropriate care, innovations for improving the integration of services for health and social care need to be developed and evaluated.• Further increasing the evidence base about care closer-to-home service options and ways of improving their integration represents a shared agenda for service commissioners, providers, and academics.

scholarly journals ‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Heidi Snoen Glomsås ◽  
Ingrid Ruud Knutsen ◽  
Mariann Fossum ◽  
Kristin Halvorsen
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
Health Care Quality ◽  
Care Service ◽  
User Involvement ◽  
Home Care Services ◽  
Care Quality ◽  
Service Users ◽  
Care Services ◽  
Welfare Technology

Abstract Background Public home care for the elderly is a key area in relation to improving health care quality. It is an important political goal to increase elderly people’s involvement in their care and in the use of welfare technology. The aim of this study was to explore elderly service users’ experience of user involvement in the implementation and everyday use of welfare technology in public home care services. Method This qualitative study has an explorative and descriptive design. Sixteen interviews of service users were conducted in five different municipalities over a period of six months. The data were analysed using reflexive thematic analysis. Results Service users receiving public home care service are not a homogenous group, and the participants had different wishes and needs as regards user involvement and the use of welfare technology. The analysis led to four main themes: 1) diverse preferences as regards user involvement, 2) individual differences as regards information, knowledge and training, 3) feeling safe and getting help, and 4) a wish to stay at home for as long as possible. Conclusion The results indicated that user involvement was only to a limited extent an integral part of public home care services. Participants had varying insight into and interest in welfare technology, which was a challenge for user involvement. User involvement must be facilitated and implemented in a gentle way, highlighting autonomy and collaboration, and with the focus on respect, reciprocity and dialogue.

scholarly journals Person-centered dementia care in home care services – highly recommended but still challenging to obtain: a qualitative interview study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kari-Anne Hoel ◽  
Anne Marie Mork Rokstad ◽  
Ingvild Hjorth Feiring ◽  
Bjørn Lichtwarck ◽  
Geir Selbæk ◽  
...  
Keyword(s):  
Decision Making ◽  
Home Care ◽  
Shared Decision Making ◽  
Care Service ◽  
Home Care Services ◽  
Shared Decision ◽  
Care Services ◽  
Person Centered Care ◽  
People With Dementia ◽  
Centered Care

Abstract Background Dementia is one of the main causes of disability and dependence in older people, and people with dementia need comprehensive healthcare services, preferably in their own homes. A well-organized home care service designed for people with dementia is necessary to meet their needs for health- and social care. Therefore, it is important to gain knowledge about how people with dementia experience the home care service and if the service responds to their wishes and needs. The aim of this study was to explore the experience of home care services among people with dementia, to understand the continuity in services, how the service was adapted to people with dementia, and how the patient experienced person-centered care and shared decision-making. Methods We used a qualitative, exploratory design based on a phenomenological-hermeneutic approach and performed individual in-depth interviews with persons with dementia. A convenience sample of 12 persons with moderate to severe degrees of dementia from four Norwegian municipalities participated in the study. The interviews were conducted in February 2019. Results The findings identified that the participants appreciated the possibility to stay safely in their own homes and mostly experienced good support from staff. They expressed various views and understanding of the service and experienced limited opportunities for user involvement and individualized, tailored service. The overall theme summarizing the findings was: “It is difficult for people with dementia to understand and influence home care services, but the services facilitate the possibility to stay at home and feel safe with support from staff.” Conclusion The participants did not fully understand the organization of the care and support they received from the home care services, but they adapted to the service without asking for changes based on their needs or desires. Although person-centered care is recommended both nationally and internationally, the participants experienced little inclusion in defining the service they received, and it was perceived as unclear how they could participate in shared decision-making.

Facilitators and Barriers to Accepting Long Term Care at Home: An Analysis of Licensed Home Care Service Agency Websites

2021 ◽  
pp. 108482232199477
Author(s):  
Tracy Chippendale ◽  
Patricia Gentile
Keyword(s):  
Home Care ◽  
Care Service ◽  
Home Care Services ◽  
Home Care Service ◽  
Service Agency ◽  
Term Care ◽  
Age In Place ◽  
Care Services ◽  
Facilitators And Barriers ◽  
Website Content

Most people prefer to age in place. However, there is a growing body of literature to suggest a reluctance to accept supportive services in the home due to concerns about trust, privacy, cost, and fear of being a burden. The purpose of this study was to examine potential facilitators and barriers to accepting home care services in the website content of Licensed Home Care Service Agencies (LHSCA). In this linguistic analysis study, the written content from 88 randomly selected LHCSA websites was examined. We used LIWC2015 and Microsoft® Word software to analyze websites for relevant word categories that reflect older adult identified facilitators and barriers to the acceptance of home care services. Results revealed that the summary score for clout (i.e., confidence and leadership reflected in the writing) was high. Some of the most commonly used word categories were positive emotions, present focused, and affiliation. The word category money was included, but to a lesser degree. However, Burden and related words were highly prevalent in the writing sample. In summary, LHCSA website content contains both facilitators and barriers to the acceptance of home care services. Given the importance of home care services in promoting the ability of older adults to age in place, greater attention may be needed regarding the way services are presented and advertised to consumers.

scholarly journals Social care, service users and user involvement

2016 ◽  
Vol 28 (2) ◽  
pp. 95 ◽  
Author(s):  
Peter Beresford ◽  
Sarah Carr
Keyword(s):  
New Zealand ◽  
Social Care ◽  
Care Service ◽  
User Involvement ◽  
Service Users ◽  
Social Care Service

Reviewed by Jude Douglas, Open Polytechnic of New Zealand.

Impact of occupational therapy in an integrated adult social care service: Audit of Therapy Outcome Measure Findings

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sharon J. Davenport
Keyword(s):  
Occupational Therapy ◽  
Social Care ◽  
Outcome Measure ◽  
Care Service ◽  
Data Gathering ◽  
Sampling Bias ◽  
Therapy Outcome ◽  
Social Care Service ◽  
Content Type ◽  
Health And Social Care

PurposeHealth and social care services should demonstrate the quality of their interventions for commissioners, patients and carers, plus it is a requirement for occupational therapists to measure and record outcomes. Use of the “Therapy Outcome Measure” (TOMs) standardised tool was implemented by an occupational therapy adult social care service to demonstrate outcomes from April 2020, following integration to a community NHS Trust.Design/methodology/approachThe aim was to demonstrate occupational therapy outcomes in adult social care through a local audit of the TOMs. The objective was to determine if clients improved following occupational therapy intervention in the four domains of impairment, activity, participation and wellbeing/carer wellbeing. 70 cases were purposively sampled over a 2-month timeframe, extracting data from the local electronic recording system.FindingsOccupational therapy in adult social care clearly makes an impact with their client group and carers. Evidence from the dataset demonstrates clinically significant change, as 93% of clients seen by adult social care occupational therapy staff showed an improvement in at least one TOMs domain during their whole episode of care. 79% of activity scores, 20% of participation scores and 50% of wellbeing scores improved following intervention. 79% of carer wellbeing scores improved following occupational therapy.Research limitations/implicationsThe audit did not collect data on uptake from the separate teams (equipment, housing, STAR and adult social care work) in occupational therapy adult social care. Potential sampling bias occurred as cases with completed scores only were purposively sampled. Sampling was not random which prevented data gathering on uptake of TOMs across the separate teams. Additionally, the audit results can only be applied to the setting from which the data was collected, so has limited external validity.Originality/valueThese novel findings illustrate the valuable and unique impact of occupational therapy in this adult social care setting. The integration of adult social care into an NHS Community Trust has supported the service to measure outcomes, by utilising the same standardised tool in use by allied health professions across the Trust.

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