scholarly journals Models of healthcare for older people

2017 ◽  
pp. 143-152
Author(s):  
Kaisu Pitkala ◽  
John Gladman ◽  
Martin Connolly
Keyword(s):  
Older People ◽  
Social Care ◽  
Developed Countries ◽  
Health Problems ◽  
Health And Social Care ◽  
Wide Range ◽  
Older Users ◽  
Care Systems ◽  
Chronic Health Problems

Older people are major users of health and social care in many developed countries, and so all health and social care systems in such countries need to be fit for older users such as those with deafness, blindness, or dementia. Despite this, specific services for older people with the most complex or challenging problems have developed. These models of healthcare for older people are diverse. They can deal with both acute and chronic health problems including rehabilitation. They can be provided in or across community, long-stay, and hospital settings, and often involve a wide range of professionals. They have developed in different ways in different countries. This chapter describes specific models of older people’s care, and outlines the role of geriatricians and other professionals in the models.

Role of the Single Assessment Process in the Care of Older People. How Will Primary Dental Care Practitioners be Involved?

2006 ◽  
Vol os13 (4) ◽  
pp. 130-134 ◽  
Author(s):  
Elizabeth A Lane ◽  
Jennifer E Gallagher
Keyword(s):  
Older People ◽  
Dental Care ◽  
Social Care ◽  
Assessment Process ◽  
Care Needs ◽  
National Service Framework ◽  
Health And Social Care ◽  
Dental Practitioners ◽  
One Stop

Following the publication of the National Service Framework for Older People, there have been developments across health and social care to facilitate holistic assessment of older people's needs, through what is called a ‘single assessment process’ or ‘SAP’. In this paper, readers are introduced to the SAP. The process can be seen as a ‘one-stop’ approach to the assessment of vulnerable older people that facilitates cross-referral between the agencies involved and triggers access to dental care. The paper explores the benefits of this new way of working in support of older people and how it will provide an opportunity for innovative dental practitioners to integrate oral healthcare for people with complex health and social care needs into the SAP. In concludes that as local commissioning evolves, opportunities for practitioners to develop targeted services for this important patient group should be expanded to improve the uptake of healthcare and oral healthcare.

scholarly journals Modernising social care services for older people: scoping the United Kingdom evidence base

2009 ◽  
Vol 29 (4) ◽  
pp. 497-538 ◽  
Author(s):  
SALLY JACOBS ◽  
CHENGQIU XIE ◽  
SIOBHAN REILLY ◽  
JANE HUGHES ◽  
DAVID CHALLIS
Keyword(s):  
United Kingdom ◽  
Older People ◽  
Social Care ◽  
Developed Countries ◽  
Evidence Base ◽  
Research Literature ◽  
Care Services ◽  
The United Kingdom ◽  
Health And Social Care ◽  
Care For Older People

ABSTRACTIn common with other developed countries at the end of the 20th century, modernising public services was a priority of the United Kingdom (UK) Labour administration after its election in 1997. The modernisation reforms in health and social care exemplified their approach to public policy. The authors were commissioned to examine the evidence base for the modernisation of social care services for older people, and for this purpose conducted a systematic review of the relevant peer-reviewed UK research literature published from 1990 to 2001. Publications that reported descriptive, analytical, evaluative, quantitative and qualitative studies were identified and critically appraised under six key themes of modernisation: integration, independence, consistency, support for carers, meeting individuals' needs, and the workforce. This paper lists the principal features of each study, provides an overview of the literature, and presents substantive findings relating to three of the modernisation themes (integration, independence and individuals' needs). The account provides a systematic portrayal both of the state of social care for older people prior to the modernisation process and of the relative strengths and weaknesses of the evidence base. It suggests that, for evidence-based practice and policy to become a reality in social care for older people, there is a general need for higher quality studies in this area.

scholarly journals International experiments with different models of allocating funds to facilitate integrated care: a scoping review protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021374
Author(s):  
Akram Khayatzadeh-Mahani ◽  
Ellen Nolte ◽  
Jason Sutherland ◽  
Pierre-Gerlier Forest
Keyword(s):  
Integrated Care ◽  
Scoping Review ◽  
Care Coordination ◽  
Social Care ◽  
Service Providers ◽  
Research Question ◽  
Major Barrier ◽  
Health And Social Care ◽  
Wide Range ◽  
Care Systems

IntroductionIntegrated care is viewed widely as a potential solution to some of the major challenges faced by health and social care systems, such as those posed by service duplication, fragmentation and poor care coordination, and associated impacts on the quality and cost of services. Fragmented models of allocating funds to and across sectors, programmes and providers are frequently cited as a major barrier to integration and countries have experimented with different models of allocating funds to enhance care coordination among service providers and to reduce ineffective care and avoid costly adverse events. This scoping review aims to assess published international experiences of different models of allocating funds to facilitate integration and the evidence on their impacts.Methods and analysisWe will adopt a scoping review methodology due to the potentially vast and multidisciplinary nature of the literature on different models of allocating funds in health and social care systems, as well as the scarcity of existing knowledge syntheses. The framework developed by Arksey and O’Malley will be followed that entails six steps: (1) identifying the research question(s), (2) searching for relevant studies, (3) selecting studies, (4) charting the data, (5) collating, summarising and reporting the results and (6) and conducting consultation exercises. These steps will be conducted iteratively and reflexively, making adjustments and repetitions when appropriate to make sure the literature has been covered as comprehensively as possible. To ensure comprehensiveness of our literature review, we also search a wide range of sources.Ethics and disseminationAn integrated knowledge translation strategy will be pursued by engaging our knowledge users through all stages of the review. We will organise two workshops or policy roundtables/policy dialogues in Alberta and British Columbia with participation of diverse knowledge users to discuss and interpret the findings of our review and to draw out policy opportunities and lessons that can be applied to the context of these two provinces.

“Scallywag battalions”: reflective practice groups with multidisciplinary teams in mental health and social care systems

2019 ◽  
Vol 19 (2) ◽  
pp. 168-185
Author(s):  
John Adlam
Keyword(s):  
Mental Health ◽  
Reflective Practice ◽  
Social Care ◽  
Multidisciplinary Teams ◽  
Practice Group ◽  
Wilfred Bion ◽  
Health And Social Care ◽  
Wide Range ◽  
Care Systems ◽  
The Individual

“Reflective practice” is a term imprecisely understood and used to describe a wide range of different activities or interventions. In this article I examine the Reflective Practice Group (RPG) as an intervention offered to multidisciplinary teams (MDTs) in mental health and social care settings. Drawing extensively upon the work of Wilfred Bion and on the “Northfield I” experiment which he led in 1942, I formulate the existential, conceptual, and functional challenges of the MDT in terms of the problematic interplay between the drive towards autonomy and the exigencies of interdependence. I take this interplay as the figure, with the ground being the baseline disarray of traumatised systems that both defines and contextualises the individual worker’s predicament within the team. Analysing the nature of the MDT sheds new light on longstanding controversies about what ailment the RPG is there to address; what skill set is needed to facilitate it; and what methodology may be most appropriately used for its delivery.

scholarly journals Dynamic of HIV-testing after arrival in France for migrants from sub-Saharan Africa: The role of both health and social care systems

PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0188751 ◽  
Author(s):  
Frédérike Limousi ◽  
France Lert ◽  
Annabel Desgrées du Loû ◽  
Rosemary Dray-Spira ◽  
Nathalie Lydié ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Social Care ◽  
Sub Saharan Africa ◽  
Health And Social Care ◽  
Care Systems ◽  
Sub Saharan

scholarly journals Supporting ex-service personnel moving to social care work with older people: a systematic rapid review of the role of education

2019 ◽  
Vol 23 (3) ◽  
pp. 127-141 ◽  
Author(s):  
Jill Manthorpe ◽  
Stephanie Bramley
Keyword(s):  
Older People ◽  
Social Care ◽  
Grey Literature ◽  
Care Work ◽  
Care Staff ◽  
Rapid Review ◽  
Content Type ◽  
Service Personnel ◽  
Health And Social Care

Purpose The purpose of this paper is to review evidence about the role of education in supporting ex-service personnel to move to social care work with older people. Social care has long-standing, well-recognised problems of staff recruitment and retention in many jurisdictions. Within ageing societies, the need for more social care staff is predicted to rise. Therefore, policy makers and employers are exploring if there are untapped sources of potential employees. Some ex-service personnel may be interested in exploring a move to social care work with older people but may need to gain additional qualifications. Design/methodology/approach Databases and grey literature were searched systematically to provide an overview of the evidence on this topic. Six articles were included in the review. Findings A narrative analysis revealed two themes: preparing ex-service personnel for enrolment onto health and social care programmes, and supporting ex-service personnel during health and social care programmes. Research limitations/implications This review was confined to English language studies published between 2008 and 2018. Few mentioned specific user or client groups. Originality/value This review identified evidence gaps relating to whether the skills, education, training and experience gained in the armed services are transferable to civilian social care work with older people; the types of support which are offered to ex-service personnel who are interested in completing qualifications necessary for social care roles and the views of ex-service personnel about their experiences of completing educational courses to facilitate a transition into social care work with older people.

scholarly journals Multi-Morbidity and Polypharmacy in Older People: Challenges and Opportunities for Clinical Practice

2020 ◽  
Author(s):  
Pritti Aggarwal ◽  
Stephen Woolford ◽  
Harnish Patel
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Older People ◽  
Social Care ◽  
Population Ageing ◽  
Care Plans ◽  
Health And Social Care ◽  
Challenges And Opportunities ◽  
Care Systems ◽  
Global Population

Multi-morbidity and polypharmacy are common in older people and pose a challenge for health and social care systems especially in context of global population ageing. They are complex and interrelated concepts in the care of older people that require early detection and patient centred decision making that are underpinned by the principles of multidisciplinary led comprehensive geriatric assessment (CGA). Personalised care plans need to remain responsive and adaptable to the needs of a patient, enabling an individual to maintain their independence.

scholarly journals Multi-Morbidity and Polypharmacy in Older People: Challenges and Opportunities for Clinical Practice

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 85
Author(s):  
Pritti Aggarwal ◽  
Stephen J. Woolford ◽  
Harnish P. Patel
Keyword(s):  
Older People ◽  
Social Care ◽  
Older Person ◽  
Care Plans ◽  
Health And Social Care ◽  
Challenges And Opportunities ◽  
Care Systems ◽  
The Individual ◽  
Global Population ◽  
Multi Disciplinary Team

Multi-morbidity and polypharmacy are common in older people and pose a challenge for health and social care systems, especially in the context of global population ageing. They are complex and interrelated concepts in the care of older people that require early detection and patient-centred shared decision making underpinned by multi-disciplinary team-led comprehensive geriatric assessment (CGA) across all health and social care settings. Personalised care plans need to remain responsive and adaptable to the needs and wishes of the patient, enabling the individual to maintain their independence. In this review, we aim to give an up-to-date account of the recognition and management of multi-morbidity and polypharmacy in the older person.

Action research for multi-level facilitation of improvement in health and social care: Development of a change facilitation approach for a local R&D unit

2016 ◽  
Vol 15 (4) ◽  
pp. 339-356 ◽  
Author(s):  
Johan Hansson ◽  
Elisabet Höög ◽  
Monica Nyström
Keyword(s):  
Action Research ◽  
Social Care ◽  
Change Facilitation ◽  
Health And Social Care ◽  
Care Systems ◽  
Research Plan ◽  
Multi Level ◽  
Intervention Planning ◽  
Care Development

This paper reports an action research program designed to develop new approaches for a locally based Swedish R&D unit’s task to facilitate improvement in partner organizations, and to provide guidance on how to manage challenges in action research programs focusing on development in health and social care. Data were gathered from interviews with R&D members’, managers representing the two embedded pilot cases, as well as from the lead action researchers. Key findings were the need to continually monitor and revise the action research plan and that each step should be given specific weights based on the conditions at hand. As the action program evolved the participants were given autonomy to take action in the partner organizations and the role of the action researchers became advisory and consultative. These findings accentuate the emergent nature of action research and the need for flexible and dynamic intervention planning, especially when multiple level actors and several organizations are involved. Based on these findings we discuss some implications for the action researcher’s role and how similar programs can be designed to manage change in complex health and social care systems reaching various stakeholders at many levels.

Health of older people

2021 ◽  
pp. 507-522
Author(s):  
Samir K. Sinha ◽  
Brittany Ellis
Keyword(s):  
Older People ◽  
Chronic Diseases ◽  
Social Care ◽  
Population Ageing ◽  
Care Needs ◽  
Delivery Of Care ◽  
Socioeconomic Groups ◽  
Increased Risk ◽  
Health And Social Care ◽  
Wide Range

Declines in mortality and fertility have largely contributed to population ageing and an accompanying epidemiological transition from infectious to chronic diseases. Significant improvements in life expectancy have occurred overall, although these have not been equally distributed between socioeconomic groups or across countries. Ageing is associated with increased health and social care needs due to the increased risk and prevalence of chronic diseases, dementia, multimorbidity, and disability that demand different types of and approaches to care. Older people benefit from a wide range of preventive interventions that reduce morbidity earlier in life, and prevent disability later on, as well as gerontological and geriatric expertise related to the delivery of care, support, and services to meet their unique needs. This chapter considers the phenomenon of population ageing, the unique health needs of older people, and specific approaches to providing health and social care to them.

Sign in / Sign up

Export Citation Format

Share Document