Older people in receipt of home help: a group with high levels of unmet health needs

2007 ◽  
Vol 4 (6) ◽  
pp. 347-352
Author(s):  
Esther Redmond ◽  
A. G. Rudd ◽  
F.C Martin
Keyword(s):  
Older People ◽  
Health Needs ◽  
Home Help ◽  
Unmet Health Needs

scholarly journals Transitions between levels of dependency among older people receiving social care – a retrospective longitudinal cohort study in a Swedish municipality

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Magnus Zingmark ◽  
Fredrik Norström
Keyword(s):  
Cohort Study ◽  
Older People ◽  
Social Care ◽  
Early Stage ◽  
Cox Proportional Hazards Model ◽  
Longitudinal Cohort Study ◽  
Longitudinal Cohort ◽  
Home Help ◽  
Over Time

Abstract Background Knowledge is scarce on how needs for home help and special housing evolve among older people who begin to receive support from municipal social care. The purpose of this study was to describe baseline distributions and transitions over time between levels of dependency among older persons after being granted social care in a Swedish municipality. Methods Based on a longitudinal cohort study in a Swedish municipality, data was collected retrospectively from municipal records. All persons 65 years or older who received their first decision on social care during 2010 (n = 415) were categorized as being in mild, moderate, severe, or total dependency, and were observed until the end of 2013. Baseline distributions and transitions over time were described descriptively and analysed with survival analysis, with the Kaplan-Meier estimator, over the entire follow-up period. To test potential differences in relation to gender, we used the Cox-Proportional hazards model. Results Baseline distributions between mild, moderate, severe, and total dependency were 53, 16, 24, and 7.7%. During the first year, between 40 and 63% remained at their initial level of dependency. Among those with mild and moderate levels of dependency at baseline, a large proportion declined towards increasing levels of dependency over time; around 40% had increased their dependency level 1 year from baseline and at the end of the follow-up, 75% had increased their dependency level or died. Conclusions Older people in Sweden being allocated home help are at high risk for decline towards higher levels of dependency, especially those at mild or moderate dependency levels at baseline. Taken together, it is important that municipalities make use of existing knowledge so that they implement cost-effective preventative interventions for older people at an early stage before a decline toward increasing levels of dependency.

Unmet Health Needs in Early Childhood in South Korea

2020 ◽  
Vol 37 (2) ◽  
pp. 103-111
Author(s):  
Hyunsook Shin ◽  
Kaka Shim ◽  
Wonju Hwang
Keyword(s):  
Early Childhood ◽  
South Korea ◽  
Health Needs ◽  
Unmet Health Needs

The experience of older people of entering into the phase of asking for public home help - a qualitative study

2005 ◽  
Vol 14 (4) ◽  
pp. 326-336 ◽  
Author(s):  
Ann-Christin Janlöv ◽  
Ingalill Rahm Hallberg ◽  
Kerstin Petersson
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Home Help

Providing Comprehensive Health Care to Children With Chronic Illness

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 602-607
Author(s):  
Dorothy Jones Jessop ◽  
Ruth E. K. Stein
Keyword(s):  
Health Care ◽  
Inner City ◽  
Chronic Conditions ◽  
Health Needs ◽  
Comprehensive Care ◽  
Outreach Program ◽  
Comprehensive Health Care ◽  
Unmet Health Needs ◽  
Comprehensive Health ◽  
Randomized Control

Objectives. To test whether a program of outreach and comprehensive health care for children with chronic disorders provides more complete care and reduces unmet health needs compared with traditional care. Design. A pretest-posttest randomized control trial. Setting. An inner-city municipal teaching hospital. Sample. Two hundred nineteen systematically enrolled mothers of children with diverse chronic physical health conditions. Interventions. A comprehensive outreach program, Pediatric Home Care (PHC), contrasted with Standard Care. Measurements and Results. Nine elements of comprehensive care established in the literature as components of a basic package of care for those with chronic conditions. The PHC intervention addressed gaps in services and improved both the acquisition and maintenance of elements of comprehensive care. Conclusions. These data suggest mechanisms through which comprehensive care programs may contribute to the improvement in psychological and social outcomes previously reported for those in the PHC intervention.

School Absence: A Problem for the Pediatrician

PEDIATRICS ◽  
1982 ◽  
Vol 69 (6) ◽  
pp. 739-746
Author(s):  
Michael Weitzman ◽  
Lorraine V. Klerman ◽  
George Lamb ◽  
Jean Menary ◽  
Joel J. Alpert
Keyword(s):  
Teenage Pregnancy ◽  
Mental Health Problems ◽  
Health Problems ◽  
Maladaptive Behavior ◽  
Drop Out ◽  
Health Needs ◽  
Physical And Mental Health ◽  
School Absence ◽  
Large Numbers ◽  
Unmet Health Needs

Children who are frequently or persistently absent from school tend to perform poorly in school and are likely to drop out before graduation from high school. Excessive school absence has significant implications in terms of maladaptive behavior, wasted opportunities, and future unemployment and welfare costs. Epidemiologic information about this problem suggests that physical and mental health problems of students or their families are the sole or contributing cause of this behavior in more than 50% of cases. Excessive school absence may signal such health problems as poor coping with or management of chronic illness, masked depression, teenage pregnancy, substance abuse, inappropriate responses to minor illnesses, or severe family dysfunction. School absence patterns appear to be a readily available, easy-to-use marker of childhood dysfunction which lends itself to screening large numbers of children for unmet health needs. Attention to this area of child behavior as part of routine health care will frequently uncover previously unrecognized health problems in children and their families.

Institute proposes programme to meet the health needs of older people

BMJ ◽  
2008 ◽  
Vol 337 (jul25 2) ◽  
pp. a1042-a1042
Author(s):  
M. Gould
Keyword(s):  
Older People ◽  
Health Needs

scholarly journals A Qualitative View of Homecare Support Workers on Unmet Health Needs of People with Dependency

2020 ◽  
Vol 17 (9) ◽  
pp. 3166
Author(s):  
Jose Manuel Martínez-Linares ◽  
Francisco Antonio Andújar-Afán ◽  
Rocío Martínez-Yébenes ◽  
Olga María López-Entrambasaguas
Keyword(s):  
Technical Assistance ◽  
Point Of View ◽  
Health Needs ◽  
Psychosocial Needs ◽  
Continuous Training ◽  
Disability Status ◽  
Unmet Health Needs ◽  
Psychological Assistance ◽  
Spanish Province

Background: Longevity and population growth generate an increase in the number of people with dependency, who require homecare assistance to meet their health needs. Homecare support workers provide this care in Spain, and they may have unique insights into the unmet health needs of those receiving homecare assistance. The aim of this study was to determine the unmet health needs of people with dependency based on the perspective of homecare support workers. Methods: Qualitative exploratory-descriptive study. Through convenience sampling, homecare support workers from a Spanish province were selected, following inclusion and exclusion criteria. Four focus groups, transcription and thematic analyses were performed using Atlas.ti. Coding triangulation was carried out, applying criteria for scientific rigour. Results: The six themes obtained were classified into the material, psychoemotional, socioeconomical and psychosocial needs of people with dependency from the point of view of homecare support workers, along with the contributions of improvements and the need of these professionals for continuous training. Conclusions: People with dependency need complex technical assistance, materials, psychological attention due to their situation, and more effective assessments of their health and disability status. Homecare support workers perceive themselves to be essential in these assessments. They ask for psychological assistance, due to the emotional burden of their work, and believe this help would contribute to improving the quality of their service. Homecare support workers perceive that they are capable of performing their job, although they believe that some delegated activities are beyond their levels of competency.

scholarly journals Making health care responsive to the needs of older people

2019 ◽  
Vol 48 (6) ◽  
pp. 785-788 ◽  
Author(s):  
Jackie Bridges ◽  
Catherine Pope ◽  
Jeffrey Braithwaite
Keyword(s):  
Health Care ◽  
Older People ◽  
Health System ◽  
Health Needs ◽  
Age Related ◽  
System Responsiveness ◽  
Inpatient Nursing ◽  
Health System Responsiveness ◽  
The Individual ◽  
Individual Clinician

Abstract This commentary highlights the importance of health system responsiveness to older people living with complex health needs. Age-related changes and associated morbidity can present barriers to identifying an individual’s health needs, expectations, values and preferences, and so sufficient time, skill and resource is required to inform the development of a tailored plan for each individual. A focus on responsiveness moves thinking beyond the responsibilities of the individual clinician in the single encounter, and allows us to identify elements of the wider system that may constrain how well the clinician is able to respond. Setting the goal of responsive health care requires us to assess the suitability of wider health system features and processes for meeting the diverse needs of individual people throughout their journey, and the extent to which the system can adapt dynamically as needs change. Standardised approaches to care prescribed across organisations (such as time-based targets or routinised approaches to inpatient nursing care) are likely to result in low responsiveness as individual complexity grows, disadvantaging patients with needs that do not fit the prescribed approach. Responsiveness is high when individual practitioners and clinical teams have the resources, decentralised authority, flexibility and autonomy to provide the care required. Building a more responsive health system requires a greater understanding of how these conditions can be achieved.

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