Innovations and Care of the Elderly: The Cutting-edge of Change for Social Welfare Systems. Examples from Sweden, the Netherlands and the United Kingdom

1992 ◽  
Vol 12 (03) ◽  
pp. 289-312 ◽  
Author(s):  
John baldock ◽  
Adalbert everst
Keyword(s):  
United Kingdom ◽  
The Netherlands ◽  
Social Care ◽  
International Study ◽  
The Elderly ◽  
Industrial Countries ◽  
Care For The Elderly ◽  
The United Kingdom ◽  
Welfare Systems ◽  
Post War

ABSTRACTThis article is based on an international study which investigated innovations in home care for the elderly in three European countries:Sweden, the Netherlands and the United Kingdom. It is argued that the particular changes taking place in services for the elderly may be indicative of what will happen more generally throughout welfare systems. This is because patterns observed in an area of acute pressure are often precursors of further developments. Welfare systems change first at points of pressure where established policies and solutions are no longer working or cannot be sustained. Innovation and reform become necessary. This is certainly true of social care policies for the elderly in industrial countries. It is no coincidence that in each of the three countries we studied government has commissioned major inquiries into the operation of the care system and that the early 39905 will see the introduction of substantial reforms. We argue that the changes that are taking place, although mediated by particular national traditions and politics, have much in common. They are part of a shift away from the state-dominated post-war welfare settlements towards more diffuse and pturalist forms of social care. The frail elderly, for demographic and etonomic reasons, are in tne front line of this shift to new patterns.

A Multi-State Model of Disability for the United Kingdom: Implications for Future Need for Long-Term Care for the Elderly

2002 ◽  
Vol 8 (2) ◽  
pp. 341-393 ◽  
Author(s):  
B.D. Rickayzen ◽  
D.E.P. Walsh
Keyword(s):  
United Kingdom ◽  
Elderly People ◽  
Long Term Care ◽  
The Elderly ◽  
State Model ◽  
Rate Data ◽  
Term Care ◽  
Care For The Elderly ◽  
The United Kingdom

ABSTRACTThis paper develops a multiple state model to project the number of people with disabilities in the United Kingdom over the next 35 years, thereby identifying implications for demand for long-term care for the elderly in the future.The model requires three types of data: prevalence rate data, transition rate data and trends data. Recent trends in healthy life expectancy data are used to frame the assumptions made regarding changes in the disability rates of the U.K. population in the future.Although there will be a large increase in the number of elderly people in the U.K. over the next 35 years, the projections suggest that the implications for the number of elderly people requiring long-term care could be ameliorated by a reduction in the proportion of older people who are severely disabled.

scholarly journals Replacement migration, or why everyone is going to have to live in Korea: a fable for our times from the United Nations

2002 ◽  
Vol 357 (1420) ◽  
pp. 583-598 ◽  
Author(s):  
D. A. Coleman
Keyword(s):  
United Kingdom ◽  
International Migration ◽  
Population Decline ◽  
The Elderly ◽  
Population Ageing ◽  
Care For The Elderly ◽  
The United Kingdom ◽  
Mild Reduction ◽  
Workforce Productivity ◽  
Future Population

This paper considers international migration in the context of population ageing. In many Western countries, the search for appropriate responses to manage future population ageing and population decline has directed attention to international migration. It seems reasonable to believe that international migrants, mostly of young working age, can supply population deficits created by low birth rates, protect European society and economy from the economic costs of elderly dependency, and provide a workforce to care for the elderly. Particular prominence has been given to this option through the publicity attendant on a report from the UN Population Division in 2000 on ‘replacement migration’, which has been widely reported and widely misunderstood. Although immigration can prevent population decline, it is already well known that it can only prevent population ageing at unprecedented, unsustainable and increasing levels of inflow, which would generate rapid population growth and eventually displace the original population from its majority position. This paper reviews these arguments in the context of the causes and inevitability of population ageing, with examples mostly based on UK data. It discusses various options available in response to population ageing through workforce, productivity, pensions reform and other means. It concludes that there can be no ‘solution’ to population ageing, which is to a considerable degree unavoidable. However, if the demographic regime of the United Kingdom continues to be relatively benign, future population ageing can be managed with tolerable inconvenience without recourse to increased immigration for ‘demographic’ purposes. At present (2001), net immigration to the United Kingdom is already running at record levels and is now the main engine behind UK population and household growth. By itself, population stabilization, or even mild reduction, is probably to be welcomed in the United Kingdom, although the issue has attracted little attention since the 1970s.

scholarly journals Bas Jan Ader’s Ludic Conceptualism: Performing a transnational identity

Revista Farol ◽  
2021 ◽  
Vol 17 (24) ◽  
pp. 10-21
Author(s):  
Janna Schoenberger
Keyword(s):  
New York ◽  
United Kingdom ◽  
The Netherlands ◽  
Conceptual Art ◽  
Social Contexts ◽  
Central Feature ◽  
The United Kingdom ◽  
Post War ◽  
National Stereotypes

Following Huizinga’s ideas in his Homo Ludens (1938), I propose the term Ludic Conceptualism to describe the art that flourished in the Netherlands from 1959 to 1975. Unlike the more severe strands of conceptualism developed in New York and the United Kingdom, play was central to its Dutch incarnation. In this chapter I will show how Dutch conceptual artist Bas Jan Ader’s fixation on his identity, as staged through satirical jokes based on national stereotypes, is key in understanding his art. While a great deal of the humor is obvious in Ader’s work, there has been no serious inquiry into his comedic practice. I will position Ader within the framework of post-war humorous conceptual art prevalente both in the Netherlands and California, locales in which Ader had lived and studied. Using theories of humor and identity I will demonstrate how Ader’s jokes are closely tied to social contexts on both sides of the Atlantic, environments relevant to the artist’s development in the course of his short career. A close examination of Ader’s work will reveal that the artist’s blurred identity as seen in his use of humor is, in fact, a central feature of his art.

scholarly journals Test–retest reliability of the EQ-5D-5L and the reworded QOLIBRI-OS in the general population of Italy, the Netherlands, and the United Kingdom

2021 ◽  
Author(s):  
Di Long ◽  
Suzanne Polinder ◽  
Gouke J. Bonsel ◽  
Juanita A. Haagsma
Keyword(s):  
United Kingdom ◽  
General Population ◽  
The Netherlands ◽  
Web Based ◽  
Retest Reliability ◽  
The United Kingdom ◽  
Sum Score ◽  
Summary Index ◽  
Test Retest Reliability ◽  
Eq Vas

Abstract Purpose To assess the test–retest reliability of the EQ-5D-5L and the reworded Quality of Life After Traumatic Brain Injury Overall Scale (QOLIBRI-OS) for the general population of Italy, the Netherlands, and the United Kingdom (UK). Methods The sample contains 1864 members of the general population (aged 18–75 years) of Italy, the Netherlands, and the UK who completed a web-based questionnaire at two consecutive time points. The survey included items on gender, age, level of education, occupational status, household annual income, chronic health status, and the EQ-5D-5L and reworded QOLIBRI-OS instrument. Test–retest reliability of the EQ-5D-5L dimensions, EQ-5D-5L summary index, EQ VAS, reworded QOLIBRI-OS dimensions and reworded QOLIBRI-OS level sum score was examined by Gwet’s Agreement Coefficient (Gwet’s AC) and Intraclass Correlation Coefficient (ICC). Results Gwet’s AC ranged from 0.64 to 0.97 for EQ-5D-5L dimensions. The ICC ranged from 0.73 to 0.84 for the EQ-5D-5L summary index and 0.61 to 0.68 for EQ VAS in the three countries. Gwet’s AC ranged from 0.35 to 0.55 for reworded QOLIBRI-OS dimensions in the three countries. The ICC ranged from 0.69 to 0.77 for reworded QOLIBRI-OS level sum score. Conclusion Test–retest reliability of the EQ-5D-5L administered via a web-based questionnaire was substantial to almost perfect for the EQ-5D-5L dimensions, good for EQ-5D-5L summary index, and moderate for the EQ VAS. However, test–retest reliability was less satisfactory for the reworded QOLIBRI-OS. This indicates that the web-based EQ-5D-5L is a reliable instrument for the general population, but further research of the reworded QOLIBRI-OS is required.

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