scholarly journals Margaret McCartney: The social care system has become inherently unsafe

BMJ ◽  
2017 ◽  
pp. j2329
Author(s):  
Margaret McCartney
Keyword(s):  
Author(s):  
Cheng-Chang Liu ◽  
Chang-Franw Lee ◽  
Tung Chang ◽  
Jing-Jing Liao

The aim of this study was to explore the relationship between caregivers’ stress loads and dementia patient behavior, including the correlation of “patient behavior” (severity and frequency), “social care system”, and “stress levels of caregivers”. The research method was based on the analysis of survey data collected at a dementia specialist outpatient clinic of a medical center in southern Taiwan from November 2013 to May 2015. Those surveyed by the center included patients who visited the hospital, and their caregivers completed a questionnaire survey. During the study period, a total of 558 questionnaires for 279 pairs were distributed, and all questionnaires were recovered. According to the survey statistics, the average age of the caregivers interviewed was 53.1 years; women accounted for 61.3% of respondents, and the duration of care exceeded three years. In terms of education, most respondents were college/university graduates. The most common surveyed relationship was that of children acting as the caregiver to a parent, and the average age of the patients was 77.73 years. Most caregivers were found to live with the patients (75.3%). In terms of severity and frequency, the surveyed items with the highest average scores were both the “delusion” item of the “patient behavior” facet, the “mental support”(mean = 1.97; standard deviation, SD = 0.869) item of the “social care system” facet, and the “social life stress” (mean = 2.26, SD = 1.510) item of the “Stress levels of caregivers” facet. The research results show that the “patient behavior” and “Stress levels of caregivers” facets have a significant positive correlation, and the “social care system” and “Stress levels of caregivers” facets have a significant negative correlation. In the future, priority of service planning and implementation of long–term policy should be given to home care, since this is a cultural characteristic of Taiwan. In circumstances where a primary caregiver takes care of family members, the patient’s behavior, length of care, mental support, and social life issues are key items that should be considered in the social welfare control service to alleviate the load of dementia patients on family caregivers.


2019 ◽  
Vol 21 (7) ◽  
pp. 366-366
Author(s):  
Melissa McAlees

It has been clear for some time now that the social care system is failing. A recent report by Age UK sheds more light on this and points out regional differences in care provision.


2017 ◽  
Vol 17 (6) ◽  
pp. 832-848 ◽  
Author(s):  
Kylie Meyer

Cities across England will see a growing number of informal carers as the population ages, many of whom do not begin this role equipped with the knowledge they need to access social care services and supports. One of the more significant changes brought by passage of the Care Act of 2014 is local governments’ increased responsibility to improve the provision of information and advice on social care to informal carers, long recognized as a policy priority. To better understand where improvements can be made on a local level in order to achieve the goals laid out in the Care Act, this study considers carers’ experiences accessing information and advice on social care services and supports in a city with a population of over 250,000 in the south of England. This was done through the collection of semi-structure qualitative interviews with 11 carers to people aged 65 and older from April 2015 to July 2015. Thematic analysis of interviews revealed a tension between carers’ varying levels of knowledge and experience with the social care system and information services’ one-size-fits-all approach to providing information. Findings suggest local governments should focus on creating information services that more actively reach out to carers, provide greater guidance to those carers who need it, and work to flexibly meet informal carers information needs, acknowledging that some carers will be less familiar than others with aspects of the social care system.


2018 ◽  
Vol 20 (11) ◽  
pp. 564-567
Author(s):  
Helen Dempster
Keyword(s):  

2018 ◽  
Vol 16 (1) ◽  
pp. 155-168
Author(s):  
Jane Harris

Jane Gary Harris – Professor emerita, Department of Slavic Languages, Literatures and Cultures, and MSW in Gerontology, University of Pittsburgh, USA. Email: [email protected] enced significant challenges and changes. This paper explores the rationale behind those challenges and the agency behind the changes. In doing so it raises several questions: it asks what role NGOs, and more specifically, Gerontological NGOs, played in advocating for and bringing about change, where and how they may or should be credited with helping to re-imagine a modern aging policy for the Russian Federation, and what implications this may have for aging policy priorities in the present and imminent future? It proposes that the incipient Gerontological NGO sector was instrumental in re-imagining a modern social care system for older persons – the basis for a modern comprehensive aging policy: by, among other things, utilizing the internet in the social sphere to advocate for the principles and recommendations of the United Nations model Madrid Plan; by advocating for the rights of the elderly; by calling for integrated social and medical care; and by linking gerontological research and aging policy. An inquiry into the nature of the influence of these NGOs on aging policy priorities required a micro-level examination of the particularly influential Gerontological NGO Dobroe Delo, suggesting its seminal role in unifying an inchoate Gerontological NGO sector, while simultaneously transforming the basic paradigm of aging policy to focus on the 'Rights of the Elderly.' In addition, this paper proposes that such research is critical to understanding how Russia’s aging policy has been re-imagined over the past decade and a half while asking what policy issues yet remain to confront future demographic demands.


2012 ◽  
Vol 1 (4) ◽  
pp. 1-20 ◽  
Author(s):  
Stephan Onggo

Changes in demographic and regulations in social care in England are expected to alter the social care landscape and increase pressure on people working in the adult social care sector, especially those who deliver direct care services. While significant work has been done to understand the demand side of the adult social care system, work on the supply side is considerably limited and analysis has been dominated by methods such as macro- and micro-simulation. This paper demonstrates that system dynamics modelling can be used to understand the dynamics of the social care workforce who deliver direct care services in the formal sector, specifically, to identify the main feedback loops that govern the dynamics of the system, to identify sensitive and influential factors, and to show non-linearity in the system. Therefore, system dynamics should play a more important role in the analysis of adult social care system.


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