scholarly journals WHOM DO WE SERVE? DIVERSITY OF OLDER COMMUNITY CARE RECIPIENTS’ FUNCTIONING ACROSS EUROPE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S36-S36
Author(s):  
Annerieke Stoop ◽  
Manon Lette ◽  
Simone de Bruin ◽  
Giel Nijpels ◽  
Hein van Hout
Keyword(s):  
The Netherlands ◽  
Community Care ◽  
National Policy ◽  
Community Services ◽  
Population Characteristics ◽  
European Countries ◽  
Care Needs ◽  
Care Recipients ◽  
Health And Social Care ◽  
Health Domains

Abstract Across Europe, an increasing number of older people with multiple health and social care needs stay in their own homes until old age. Community care aims to support them to live at home for as long as possible. Comparative studies showed that population characteristics of older community care recipients differ between European countries. This is due to differences in financing, delivery and governance of community care. However, little is known about differences in health, including physical, cognitive, mental and social functioning, of older community care recipients served across European countries. The aim of this study was to provide insight into these differences. We used data of the IBenC study, which was collected using the interRAI HC-Assessment among 2884 older community care recipients from six European countries: Belgium, Finland, Germany, Iceland, Italy and the Netherlands. We found that prevalences of impairments in different health domains were highest among Italian community care recipients followed by the Belgian population, and lowest among community care recipients from the Netherlands. Feelings of loneliness were lowest among the Italian and highest among the Dutch population. This variation between European countries may be explained by differences in eligibility for and access to formal community services and informal care provision as well as cultural diversity. Insight in these differences supports understanding of community care across Europe among European and national policy-makers and researchers.

scholarly journals Disabled older people's use of health and social care services and their unmet care needs in six European countries

2013 ◽  
Vol 23 (6) ◽  
pp. 1032-1038 ◽  
Author(s):  
B. Bien ◽  
K. J. McKee ◽  
H. Dohner ◽  
J. Triantafillou ◽  
G. Lamura ◽  
...  
Keyword(s):  
Social Care ◽  
European Countries ◽  
Care Needs ◽  
Care Services ◽  
Health And Social Care

scholarly journals Housing Design and Community Care: How Home Modifications Reduce Care Needs of Older People and People with Disability

2019 ◽  
Vol 16 (11) ◽  
pp. 1951 ◽  
Author(s):  
Phillippa Carnemolla ◽  
Catherine Bridge
Keyword(s):  
Older People ◽  
Community Care ◽  
Community Setting ◽  
Positive Association ◽  
Care Needs ◽  
Housing Design ◽  
Care Recipients ◽  
Home Modifications ◽  
Australian Community

The extent to which housing design can minimise levels of community caregiving has remained largely unmeasured. This paper reports the potential for home modifications to reduce caregiving in the peoples’ homes, particularly older people and people with a disability. It contributes to new knowledge in understanding how housing can play a role in community caregiving and acknowledges the role of the built environment in managing care levels in ageing societies. This paper analyses self-reported care data from 157 Australian community care recipients (average age: 72 years) who had received home modifications within the past 6 months. A before/after comparison of care provided revealed that home modifications reduced hours of care provided by 42% per week. More detailed analysis revealed that the positive association of home modifications with care reduction is stronger with informal care (46% reduction) followed by formal care (16% reduction). These results suggest the role that home modifications, and housing design in general, play in reducing care needs in a community setting.

Development and validation of a prediction model for six-month societal costs in older community care-recipients in multiple countries; the IBenC study

2019 ◽  
Author(s):  
Lisanne van Lier ◽  
Judith E Bosmans ◽  
Henriette G van der Roest ◽  
Martyn W Heymans ◽  
Vjenka Garms-Homolová ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Prediction Model ◽  
Community Care ◽  
European Countries ◽  
Living Alone ◽  
Level Of Care ◽  
Caregiver Distress ◽  
Societal Costs ◽  
Care Recipients ◽  
Care Support

Abstract Objectives To develop and validate a prediction model of societal costs during a period of six-month in older community care-recipients across multiple European countries. Methods Data from the IBenC study were used. Participants were older community care-recipients from five European countries. The outcome measure was mean six-months total societal costs of resource utilisation (healthcare and informal care). Potential predictors were assessed at baseline and included sociodemographic characteristics, functional limitations, clinical conditions, and diseases/disorders. The model was developed by performing Linear Mixed Models with a random intercept for the effect of country and validated by an internal-external validation procedure. Calibration curves and expected-to-observed (E/O) ratios were calculated. Results Living alone, caregiver distress, ADL and iADL impairment, required level of care support, health instability, presence of pain, behavioural problems, urinary incontinence, and multimorbidity significantly predicted societal costs during six months. The model explained 32% of the variation within societal costs and showed good calibration in Iceland, Finland and Germany. Minor model adaptations improved model performance in The Netherland and Italy. Conclusion The results can provide a valuable orientation for policymakers to better understand cost development among older community care-recipients. Of the predictors that were identified, caregiver distress, ADL and IADL impairment, health instability, presence of pain, behavioural problems, and urinary incontinence may be modifiable to some extent and could be targeted by interventions with the aim to reduce costs. The other, non-modifiable predictors, including living alone, required level of care support, and multimorbidity may be used by policy makers for optimal resource allocation.

scholarly journals Care needs of elderly people with schizophrenia

2003 ◽  
Vol 182 (3) ◽  
pp. 241-247 ◽  
Author(s):  
Seamus V. Mcnulty ◽  
Laing Duncan ◽  
Margaret Semple ◽  
Graham A. Jackson ◽  
Anthony J. Pelosi
Keyword(s):  
Elderly Patients ◽  
Social Care ◽  
Community Care ◽  
Unmet Need ◽  
Continuing Care ◽  
Local Health ◽  
Psychotic Illness ◽  
Care Needs ◽  
Health And Social Care ◽  
The Uk

BackgroundLittle is known of the needs of elderly patients with psychotic illnesses.AimsTo measure the care needs of an epidemiologically based group of patients over the age of 65 years suffering from psychotic illness, using a standardised assessment.MethodAll patients aged 65 years and over with a diagnosis of schizophrenia and related disorders from a defined catchment area were identified. Their health and social care needs were investigated using the Cardinal Needs Schedule.ResultsThe 1-year prevalence of schizophrenia and related disorders was 4.44 per 1000 of the population at risk. There were high levels of unmet need for many patients, including those in National Health Service (NHS) continuing-care beds.ConclusionsMany needs were identified, all of which could be addressed using the existing skills of local health and social care professionals. The investigation raises serious concerns about standards of hospital and community care for elderly patients with schizophrenia. The findings may be unique, reflecting long-standing problems within a particularly hard-pressed part of the NHS. However, it is not known whether a similar situation exists in other parts of the UK.

scholarly journals ‘Emergency’ referrals to a South London community mental handicap team (CMHT)

1992 ◽  
Vol 16 (8) ◽  
pp. 475-477 ◽  
Author(s):  
S. Gravestock ◽  
J. Bicknell
Keyword(s):  
Social Care ◽  
Community Care ◽  
Care Needs ◽  
Community Based ◽  
Mental Handicap ◽  
Department Of Health ◽  
Health And Social Care ◽  
Care Policies ◽  
Mental Handicaps ◽  
Community Based Services

As more people with mental handicaps∗ (MH) live in the community, in line with government community care policies (Department of Health, 1989), referrals to CMHTs∗ and other community based services will increase. Such referrals may be routine, urgent or emergency, come from various sources, and concern health and social care needs.

scholarly journals Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study

2020 ◽  
Vol 13 ◽  
pp. 117863292098046
Author(s):  
Lisanne I van Lier ◽  
Judith E Bosmans ◽  
Henriëtte G van der Roest ◽  
Martijn W Heymans ◽  
Vjenka Garms-Homolová ◽  
...  
Keyword(s):  
Prediction Model ◽  
Community Care ◽  
Functional Limitations ◽  
External Validation ◽  
Model Performance ◽  
European Countries ◽  
Resource Utilisation ◽  
Societal Costs ◽  
Care Recipients ◽  
Improved Model

This study aims to develop and validate a prediction model of societal costs during a period of 6-months in older community care-recipients across multiple European countries. Participants were older community care-recipients from 5 European countries. The outcome measure was mean 6-months total societal costs of resource utilisation (healthcare and informal care). Potential predictors included sociodemographic characteristics, functional limitations, clinical conditions, and diseases/disorders. The model was developed by performing Linear Mixed Models with a random intercept for the effect of country and validated by an internal-external validation procedure. Living alone, caregiver distress, (I)ADL impairment, required level of care support, health instability, presence of pain, behavioural problems, urinary incontinence and multimorbidity significantly predicted societal costs during 6 months. The model explained 32% of the variation within societal costs and showed good calibration in Iceland, Finland and Germany. Minor model adaptations improved model performance in The Netherland and Italy. The results can provide a valuable orientation for policymakers to better understand cost development among older community care-recipients. Despite substantial differences of countries’ care systems, a validated cross-national set of key predictors could be identified.

scholarly journals The patient at the centre: evidence from 17 European integrated care programmes for persons with complex needs

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Thomas Czypionka ◽  
Markus Kraus ◽  
Miriam Reiss ◽  
Erik Baltaxe ◽  
Josep Roca ◽  
...  
Keyword(s):  
Integrated Care ◽  
Care Delivery ◽  
European Countries ◽  
Care Process ◽  
Care Needs ◽  
Thick Description ◽  
Holistic View ◽  
Complex Needs ◽  
Contact Points ◽  
Health And Social Care

Abstract Background As the prevalence of multi-morbidity increases in ageing societies, health and social care systems face the challenge of providing adequate care to persons with complex needs. Approaches that integrate care across sectors and disciplines have been increasingly developed and implemented in European countries in order to tackle this challenge. The aim of the article is to identify success factors and crucial elements in the process of integrated care delivery for persons with complex needs as seen from the practical perspective of the involved stakeholders (patients, professionals, informal caregivers, managers, initiators, payers). Methods Seventeen integrated care programmes for persons with complex needs in 8 European countries were investigated using a qualitative approach, namely thick description, based on semi-structured interviews and document analysis. In total, 233 face-to-face interviews were conducted with stakeholders of the programmes between March and September 2016. Meta-analysis of the individual thick description reports was performed with a focus on the process of care delivery. Results Four categories that emerged from the overarching analysis are discussed in the article: (1) a holistic view of the patient, considering both mental health and the social situation in addition to physical health, (2) continuity of care in the form of single contact points, alignment of services and good relationships between patients and professionals, (3) relationships between professionals built on trust and facilitated by continuous communication, and (4) patient involvement in goal-setting and decision-making, allowing patients to adapt to reorganised service delivery. Conclusions We were able to identify several key aspects for a well-functioning integrated care process for complex patients and how these are put into actual practice. The article sets itself apart from the existing literature by specifically focussing on the growing share of the population with complex care needs and by providing an analysis of actual processes and interpersonal relationships that shape integrated care in practice, incorporating evidence from a variety of programmes in several countries.

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