Long-Term Care for the Elderly

1999 ◽  
Vol 5 (2) ◽  
pp. 279-295

Four papers were available for discussion at the meeting:(1) ‘Continuing Care Retirement Communities — Attractive to Members, but what about Sponsors?’ by R. A. Humble and D. G. Ryan, was previously presented to the Institute of Actuaries on 26 January 1998, and the paper and the discussion of it appear in British Actuarial Journal, 4, 547-614.(2) ‘A Model for Projecting the Number of People who will Require Long-Term Care’, by R. R. Ainslie, C. O. Daly, S. P. Laurie, B. D. Rickhayzen, M. A. E. Thraves and D. E. P. Walsh; and(3) ‘The Actuarial Modelling of NHS Data’, by C. G. Orros, M. Iqbal, I. W. Lane, I. P. McKeever and M. R. Moliver, were both presented at the 1998 Health Care Conference, held at the University of Warwick. These papers are available in the Faculty and the Institute Libraries.(4) ‘The Elderly and Continuing Care’, by Dr R. G. Smith, Chairman of the Geriatricians Committee of the Royal College of Physicians, commences on the next page.

2000 ◽  
Vol 2 (2) ◽  
pp. 116-124 ◽  
Author(s):  
Cynthia M. Mara ◽  
James T. Ziegenfuss

The operating environment in the health care industry is turbulent—organizations are expected to adapt or die. This paper addresses the structure of a strategic planning process for long-term-care organizations. Nursing homes, assisted living (personal care) facilities, continuing care retirement communities, adult day services centers, hospice programs and home-and community-based agencies face both opportunities and threats. The authors recommend an eight-step process for strategy making: plan to plan; external analysis; internal analysis; vision; matching current and future strategies; strategy choice; action and linkage to operations and budget. A case example illustrates the concepts. Long-term-care leaders are encouraged to plan for their future or face a future planned by competitors and regulators.


2017 ◽  
Vol 20 (2) ◽  
pp. 286-299 ◽  
Author(s):  
Fátima Ferreira Roquete ◽  
Carolina Campos Ricci Frá Batista ◽  
Rodrigo Caetano Arantes

Abstract Objective: to analyze the care and management demands of Long-Term Care Facilities for the Elderly (LTCFs) in Brazil. Method: an integrative review of literature was carried out, organized into six stages: a) elaboration of a guiding question; b) online search of LILACS, SciELO, PubMed, the CAPES Portal and the Brazilian Society of Geriatrics and Gerontology databases; c) article selection, following the exclusion and inclusion criteria, with the sample composed of 17 articles; d) commented analysis of the selected articles; e) deliberation on the results obtained, formulated from the synthesis and interpretation of the selected studies; f) presentation of the results of the review. Results: the care demands identified are related to the process of caring and assume a working team with geriatric and gerontological knowledge, while the management demands include the means and resources needed so the care can be provided effectively. However, the LTCFs were found to rely on professionals who are unprepared to provide care or to assume an organizational management role, meaning care for the elderly is restricted to the essentials for their basic needs. Conclusion: the care demands were easily identified in the analyzed publications, however, there is a lack of research that evaluates management demands in a broader and more in-depth manner. It is suggested that studies aiming to broaden theoretical knowledge of the care and management demands of LTCFs are carried out, to stimulate effective and positive actions in the practices of these institutions, seeking to offer top quality care to elderly persons that live in these facilities, that responds to the real needs of their current stage of life.


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