THE INDOOR HOME ENVIRONMENT AND SELF-RATED HEALTH AMONG OLDER PEOPLE USING LONG-TERM CARE SERVICES

The life of people living with HIV has been prolonged with HAART, and since 1997 the introduction of antiretroviral HAART in Taiwan has increased the survival rate of infected people to 85.9%. Therefore, with the extension of the life of people living with HIV and the entry into the old age, how to provide suitable long-term care services is an issue that Taiwan policy needs to face and think. This research through surveys and interviews to find Taiwan elderly people living with HIV in Taiwan needs and plight of the contains (1) diseases and health care issues, (2) social prejudice and discrimination (3) psychology and adjustment of the identity and reflection (4) adjustment of interpersonal relationships. According to the empirical data shows Taiwan's long-term care measures in difficulties arising in the care for older people living with HIV (1) non-suitable for elderly people living with HI community long-term care services; (2) long-term care institution the exclusion of people living with HIV (3) lack of financial resources of older living with HIV with using institutional long term care. (4) the incoherence of HIV medical and long-term care measures. (5) course focuses on long-term care health care, neglect the psychosocial dimensions of older people living with HIV. This study attempts to present long-term care of the elderly people living with HIV needs and challenges and dilemmas facing in Taiwan.

Download Full-text

Place of death associated with types of long-term care services near the end-of-life for home-dwelling older people in Japan: a pooled cross-sectional study

BMC Palliative Care ◽

10.1186/s12904-020-00622-0 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Kazuhiro Abe ◽

Atsushi Miyawaki ◽

Yasuki Kobayashi ◽

Taeko Watanabe ◽

Nanako Tamiya

Keyword(s):

Older People ◽

End Of Life ◽

Long Term Care ◽

Cross Sectional Study ◽

Place Of Death ◽

Sectional Study ◽

Cross Sectional ◽

Term Care ◽

Care Services

Download Full-text

Modelling ageing populations to 2030: financing long-term care in England

The New Dynamics of Ageing Volume 1 ◽

10.1332/policypress/9781447314721.003.0002 ◽

2018 ◽

Author(s):

Michael Murphy ◽

Ruth Hancock ◽

Raphael Wittenberg ◽

Bo Hu ◽

Marcello Morciano ◽

...

Keyword(s):

Older People ◽

Long Term Care ◽

Care Needs ◽

Term Care ◽

Public And Private ◽

Care Services ◽

Private Expenditure ◽

The Impact ◽

Care Costs

This chapter presents some findings from the research project ‘Modelling Needs and Resources of Older People to 2030’ (MAP2030). The project developed a set of projection models to estimate future family circumstances, incomes, pensions, savings, disability and care needs of older people in England. These projections included public and private expenditure on pensions, disability benefits and care services under different scenarios for reform of pensions and long-term care funding under a range of alternative population futures. The chapter focuses on the projected future costs and impacts for the different income quintiles of the older population of proposed reforms to the system of funding adult social care, in particular the impact of a cap on individual liability to meet care costs.

Download Full-text

Does Long-Term Care Substitute for Hospital Care? Evidence From the China Health and Retirement Longitudinal Survey

Innovation in Aging ◽

10.1093/geroni/igaa057.275 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 84-84

Author(s):

Wei Yang

Keyword(s):

Older People ◽

Inpatient Care ◽

Long Term Care ◽

Longitudinal Survey ◽

Substitution Effects ◽

Term Care ◽

Care Services ◽

The Poor ◽

The Rich

Abstract Publicly funded long-term care (LTC) support is shrinking in many countries despite continuing increases in the number of older people who need care. Evidence has shown that the LTC services have an impact on the efficient use of the resources in the health care sector by reducing rates of admission and associated costs through assisting older people with daily living. This paper seeks to examine whether and to what extent these services are substitutes. We use a fixed-effect instrumental variable GMM model to predict the effect of long-term care services on the utilisation of outpatient and inpatient care services. Data are drawn from China Health and Retirement Longitudinal Survey 2011, 2013 and 2015. Our findings suggest that LTC significantly reduces the use of outpatient care but not inpatient care. We have also found LTC use is concentrated among the rich, but the substitution effects are stronger among the poor compared to the rich. This indicates that the poor would benefit more from subsided LTC services. We urge the Chinese government to take action to develop its formal LTC system and to channel more resources to its LTC system, which will benefit the older population in general, and the poor in particular.

Download Full-text

Access to long-term care: perceptions and experiences of older Dutch people

Quality in Ageing and Older Adults ◽

10.1108/qaoa-12-2014-0046 ◽

2015 ◽

Vol 16 (2) ◽

pp. 83-93 ◽

Cited By ~ 1

Author(s):

Lisette Schipper ◽

Katrien G. Luijkx ◽

Bert R. Meijboom ◽

René Schalk ◽

Jos M.G.A. Schols

Keyword(s):

Older People ◽

Long Term Care ◽

Term Care ◽

Content Type ◽

Care Access ◽

Care Services ◽

Significant Difference ◽

Access Service ◽

The Difference

Purpose – Despite the current focus on demand-based care, little is known about what clients consider important when they have a request for formal long-term care services. The paper aims to discuss this issue. Design/methodology/approach – Questions about the access process to care services were added to the “Senior Barometer”, a Dutch web-based questionnaire that assesses the opinion of older people about different aspects in life. The questionnaire surveyed both people who already requested care services (“users”), and people that did not (“future clients”). Findings – The results show a significant difference in what people expect to be the first step from what users actually did, when requesting formal care services. In addition, there was a significant difference on how “users” and “future clients” rated several access service aspects. Research limitations/implications – The results give valuable information on how both “users” and “future clients” value the access process. The findings also provide valuable input for organizations providing long-term care for older clients about the important issues that have to be considered when organizing the access process. Originality/value – This study shows what older people in the Netherlands find important during the access process to care and this has not been explored before. The difference between what “users” and “future clients” find of importance in the care access process suggests that it is difficult for people to foresee what will be important once the need for care arrives, or where they will turn to with a request for care services.

Download Full-text

The Association between Continuation of Home Medical Care and Utilization of Other Home Care Services for Older People with Long-term Care Insurance in Japan

An Official Journal of the Japan Primary Care Association ◽

10.14442/generalist.41.2 ◽

2018 ◽

Vol 41 (1) ◽

pp. 2-7

Author(s):

Kazuhiro Abe ◽

Yasuki Kobayashi ◽

Akira Kawamura ◽

Haruko Noguchi ◽

Hideto Takahashi ◽

...

Keyword(s):

Home Care ◽

Older People ◽

Medical Care ◽

Long Term Care ◽

Home Care Services ◽

Term Care ◽

Care Services ◽

Long Term Care Insurance ◽

Home Medical Care

Download Full-text

Changes in older people’s care profiles during the last 2 years of life, 1996–1998 and 2011–2013: a retrospective nationwide study in Finland

BMJ Open ◽

10.1136/bmjopen-2016-015130 ◽

2017 ◽

Vol 7 (11) ◽

pp. e015130 ◽

Cited By ~ 14

Author(s):

Mari Aaltonen ◽

Leena Forma ◽

Jutta Pulkki ◽

Jani Raitanen ◽

Pekka Rissanen ◽

...

Keyword(s):

Older People ◽

End Of Life ◽

Long Term Care ◽

Oldest Old ◽

Care Transitions ◽

Life Care ◽

Term Care ◽

Care Services ◽

At Home

ObjectivesThe time of death is increasingly postponed to a very high age. How this change affects the use of care services at the population level is unknown. This study analyses the care profiles of older people during their last 2 years of life, and investigates how these profiles differ for the study years 1996–1998 and 2011–2013.DesignRetrospective cross-sectional nationwide data drawn from the Care Register for Health Care, the Care Register for Social Care and the Causes of Death Register. The data included the use of hospital and long-term care services during the last 2 years of life for all those who died in 1998 and in 2013 at the age of ≥70 years in Finland.MethodsWe constructed four care profiles using two criteria: (1) number of days in round-the-clock care (vs at home) in the last 2 years of life and (2) care transitions during the last 6 months of life (ie, end-of-life care transitions).ResultsBetween the study periods, the average age at death and the number of diagnoses increased. Most older people (1998: 64.3%, 2013: 59.3%) lived at home until their last months of life (profile 2) after which they moved into hospital or long-term care facilities. This profile became less common and the profiles with a high use of care services became more common (profiles 3 and 4 together in 1998: 25.0%, in 2013: 30.9%). People with dementia, women and the oldest old were over-represented in the latter profiles. In both study periods, fewer than one in ten stayed at home for the whole last 6 months (profile 1).ConclusionsPostponement of death to a very old age may translate into more severe disability in the last months or years of life. Care systems must be prepared for longer periods of long-term care services needed at the end of life.

Download Full-text