2018 ◽  
Vol 39 (9) ◽  
pp. 2018-2041 ◽  
Author(s):  
MALENE NØRSKOV BØDKER

ABSTRACTIn the face of population ageing, Western health-care systems are currently demonstrating an immense interest in mobilising older people's potentials. With this agenda in mind, several countries have introduced reablement: a type of home care aimed at mobilising older people's potentials for independence by means of short-term training programmes. Based on extensive ethnographic fieldwork conducted in Denmark's home care sector, this paper explores how elder-care professionals translate the abstract notion of ‘potentiality’ into practice. Theoretically, the paper draws on Annemarie Mol's term ‘logic of care’. I demonstrate that professionals draw on two co-existing logics of care: a logic of reablement encapsulating ideals of successful ageing and life-long development; and a logic of retirement, which in contrast allows people at the end of life to retreat and engage in enjoyable activities. Professionals manage to balance these logics in order to live up to policy obligations while at the same time complying with moral standards of good care. However, very little is achieved in terms of increased independence. I argue that by narrowly focusing on bodily and quantifiable potentials, the ‘potentiality paradigm’ holds the risk of deeming older people to lack potential. In conclusion, I therefore encourage a more inclusive approach to elder-care and ageing that recognises the complexities of ageing, including older people's potentials for retreat and leisure.


2003 ◽  
Vol 28 (2) ◽  
pp. 45-47 ◽  
Author(s):  
Helen Johnstone

This paper outlines the parameters of the national out-of-home care data collection managed by the Australian Institute of Health and Welfare. The paper discusses the need for national data, what is included in the national data collection and the current data collection process. In addition possible developments to the national collection are outlined, in particular the proposal to collect the data electronically in unit record format. The benefits of this would include greater flexibility of the data and the ability to analyse how children move through the child protection and out-of-home care systems.


Author(s):  
G. Caniatsas ◽  
K. Starida ◽  
Dimitrios I. Fotiadis

A revolution is taking place in the healthcare field with information technology (IT) playing an increasingly important role in its delivery. Healthcare providers are exploring IT opportunities in reducing the overall costs of healthcare delivery while improving the quality of its provision to citizens. Healthcare services have accumulated great benefits from the application of information technologies, telecommunications and management tools. Internet, wireless, and handheld technologies have the capability to affect healthcare by improving quality, efficiency, and cost-effectiveness of work. Healthcare information systems include a wide range of applications ranging from diagnostic tools to health management applications and from inpatient to outpatient monitoring services. Home-care systems address patients and their families and provide the means to manage their health status related to a specific health problem. Home-care systems include a wide variety of offered services such as: (a) directory services (hospital location, doctor specialties), (b) computer patient records (CPR) along with interfaces for interoperability, (c) certified medical information provision, (d) interfacing to specialized medical monitoring devices, and (e) synchronous and asynchronous collaboration services. All these services are offered, most of the time, through secure and seamless networks.


2019 ◽  
pp. 72-101
Author(s):  
Maria Haritou ◽  
Dimitris Koutsouris

This chapter provides an overview of the various aspects involved in the development of a home care system for the management of dementia, based on the experience of ALADDIN implementation. The ALADDIN platform aims to provide a trustworthy and reliable solution supporting patients and their informal carers in the management of the disease from home. Based on a set of monitoring parameters and measuring scales feeding a reconfigurable Event Detection mechanism used for Risk Assessment and Analysis, the system aims to early detect symptoms predicting decline, avoid emergencies and secondary effects and thus prolong the period that patients can remain safely cared at home. Informal carers are also monitored by the system whereas additional features supporting networking, education and cognitive stimulation are also integrated along with decision support tools for the clinicians. It is an open, secure, interoperable, integrated IT-solution designed according to Service Oriented Architecture principles and credible methodologies for patient follow-up, risk detection and adaptive care.


2013 ◽  
Vol 12 (6) ◽  
pp. 821-850 ◽  
Author(s):  
Ingo Bode ◽  
Ingo Bode ◽  
Brice Champetier ◽  
Ingo Bode ◽  
Brice Champetier ◽  
...  

Abstract Drawing on a distinctive model for qualitative comparison, this article assesses four different home care systems with an eye on the nature of change affecting these systems over the last three decades. Developments of national configurations are labeled in the light of situations found in other countries. It is argued that there is embedded convergence: Internationally, the multi-dimensional reorganization of home care systems takes shape with an encompassing ‘marketisation of care’ while, at national level, the factual adoption of characteristics typical of foreign home care systems proceeds within pre-existing traditions that are not completely ruled out by this process of mutual adjustment.


Author(s):  
Alencar Machado ◽  
Leandro Krug Wives ◽  
José Palazzo Moreira de Oliveira

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