Factors related to complex care needs of older adults in community‐based integrated care centers in Japan: A cross‐sectional study

2021 ◽  
Author(s):  
Kyoko Yoshioka‐Maeda ◽  
Ayumi Kono
Keyword(s):  
Older Adults ◽  
Integrated Care ◽  
Cross Sectional Study ◽  
Complex Care ◽  
Sectional Study ◽  
Care Needs ◽  
Community Based ◽  
Cross Sectional ◽  
Complex Care Needs

scholarly journals Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Tzu-Ya Huang ◽  
Chih-Kuang Liang ◽  
Hsiu-Chu Shen ◽  
Hon-I Chen ◽  
Mei-Chen Liao ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Minimum Data Set ◽  
Complex Care ◽  
Sectional Study ◽  
Care Needs ◽  
Cross Sectional ◽  
Data Set ◽  
Minimum Data ◽  
Complex Care Needs ◽  
Simple Indicator

scholarly journals Characteristics of Departments That Provided Primary Support for Households with Complex Care Needs in the Community: A Preliminary Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 403
Author(s):  
Kyoko Yoshioka-Maeda ◽  
Hitoshi Fujii
Keyword(s):  
Cross Sectional Study ◽  
Health Problems ◽  
Complex Care ◽  
Sectional Study ◽  
Care Needs ◽  
Cross Sectional ◽  
Economic Distress ◽  
Primary Health ◽  
Complex Care Needs ◽  
Primary Support

To prevent emergency admissions and save medical costs, support should be provided to households that include people with complex care needs to allow them to continue living in their own homes. This community-based, cross-sectional study was conducted to (1) identify which departments that public health nurses (PHNs) worked have been the primary providers of support for households with complex care needs and (2) clarify the length of time required by each department to resolve primary health problems. We analyzed 148 households with complex care needs that were registered in City A from April 2018 to July 2019. Four types of departments were the primary support providers for complex care households: the department supporting persons with disabilities (n = 54, 36.5%), public/community health centers (n = 47, 31.8%), department of older adults (n = 29, 19.6%), and welfare offices (n = 18, 12.2%). The Mantel–Cox test showed that welfare offices mainly supported households in economic distress and needed significantly less time to resolve their primary health issues than other departments. For early detection and resolution of primary health problems for households with complex care needs, PHNs and healthcare professionals should focus on their economic distress and enhanced multidisciplinary approaches.

scholarly journals Anxiety and depression symptoms in older adults during coronavirus disease 2019 pandemic: A community-based cross-sectional study

2021 ◽  
Vol 9 ◽  
pp. 205031212110400
Author(s):  
Kemal Jemal ◽  
Tinsae Abeya Geleta ◽  
Berhanu Senbeta Deriba ◽  
Mukemil Awol
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
High Morbidity ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Symptoms Of Depression

Objectives: The coronavirus disease 2019 pandemic has caused high morbidity and mortality in older adults over the world. Because the coronavirus disease 2019 pandemic greatly affects older adults who have a preexisting health condition, they are generally susceptible to a high incidence of severe symptoms of anxiety and depression. Therefore, we aimed to assess the prevalence of anxiety and depression symptoms in older adults during the coronavirus disease 2019 pandemic. Methods: Community-based cross-sectional study was completed in August 2020. Standardized and pretested General Anxiety Disorder–7 and Geriatric Depression Scale were used to screen the symptoms of anxiety and depression, respectively. Data were entered into EpiData (version 4.3.2) and transferred to SPSS (version 24) for further analysis. Bivariate and multivariate logistic regression analyses were carried out to determine the significantly associated variables with a 95% confidence interval at p < 0.05. Results: Of the total older adults interviewed, 68.7% had developed symptoms of anxiety and 59.9% had symptoms of depression during the coronavirus disease 2019 pandemic. Female participants, having a chronic disease and poor knowledge of the coronavirus disease 2019 pandemic, were significantly associated with anxiety symptoms. Age category of 81 to 90 and above 90, lack of social support, and having a chronic disease were significantly associated with symptoms of depression. Conclusion: The symptoms of anxiety and depression among older adults in the North Shoa Zone during coronavirus disease 2019 were higher than before the coronavirus disease 2019 happened. The results were evidence points for developing a psychological intervention to tackle the older adults’ mental health needs in the community during and after the coronavirus disease 2019 pandemic.

scholarly journals Self-management in older adults: how to delineate self-management ability, self-management behavior, and self-management support?

2020 ◽  
Author(s):  
Klaske Wynia ◽  
Karin Veldman ◽  
Sophie Spoorenberg ◽  
Maarten Lahr ◽  
Menno Reijneveld
Keyword(s):  
Older Adults ◽  
Integrated Care ◽  
Elderly Care ◽  
Self Management ◽  
Complex Care ◽  
Management Support ◽  
Care Needs ◽  
Risk Profiles ◽  
Management Ability ◽  
Complex Care Needs

Abstract Background: Self-management is a key element in person-centered and integrated care. It involves several related concepts, such as self-management ability, behavior, and support. These concepts are poorly delineated. The aim of this study was to examine hypothesized associations between self-management ability, behavior, and support in older adults (taking their frailty and complexity of care needs into account) and to examine underlying aspects of these concepts, if these hypotheses lacksupport.Methods: Cross-sectional data from the Embrace study, a stratified randomized controlled trial, evaluating person-centered and integrated care in Dutch community-living older adults, were used. Participants (n=537) were aged 75 and older, assigned to health-related risk profiles based on self-reported frailty and complexity of care needs. Ability was assessed with the Self-Management Ability Scale, behavior with the Partner in Health Scale for Older Adults, and support with the Patient Assessment of Integrated Elderly Care.Results: Ability and behavior were positively associated for participants with the risk profiles “Robust” and “Complex care needs” (betas are 0.38 and 0.46). Coping (an aspect of behavior) turned out to be a key element for participants with risk profiles “Robust” and “Complex care needs” (betas ranging from 0.13 to 0.45). Support was associated with aspects of behavior, varying per risk profile.Conclusion: We found no associations for self-management on the conceptual level, but the aspect coping did appear to play a major role. Improving coping strategies of older adults may be a promising way of enhancing self-management ability, and of reducing the need for self-management support.

Understanding Healthcare utilisation and expenditure of South Indian older adults’ – A Community based Cross-sectional study

2021 ◽  
Vol 23 (23) ◽  
Author(s):  
Aparna Ravichandran ◽  
Dr. Nisha B ◽  
Dr. Gomathy Parasuram ◽  
Ruma Dutta ◽  
Dr. Timsi Jain
Keyword(s):  
Older Adults ◽  
Healthcare Utilisation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
South Indian

A community-based cross-sectional study of sleep quality in middle-aged and older adults

2016 ◽  
Vol 26 (4) ◽  
pp. 923-933 ◽  
Author(s):  
Hui-Shan Zhang ◽  
Yuan Li ◽  
Hai-yun Mo ◽  
De-Xing Qiu ◽  
Jing Zhao ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Middle Aged ◽  
Community Based ◽  
Cross Sectional

scholarly journals Functional Limitations Experienced by Older Adults with Complex Care Needs and Its Impact on Access to Community Based Health and Social Care

2017 ◽  
Vol 17 (5) ◽  
pp. 266
Author(s):  
Ashlinder Gill ◽  
Kerry Kuluski ◽  
Allie Peckham ◽  
John Parsons ◽  
Nicolette Sheridan ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Care ◽  
Functional Limitations ◽  
Complex Care ◽  
Care Needs ◽  
Community Based ◽  
Health And Social Care ◽  
Complex Care Needs
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