Preventing Institutionalization of Elderly Blind Persons

1979 ◽  
Vol 73 (2) ◽  
pp. 49-53
Author(s):  
Arnold M. Gross
Keyword(s):  
Nursing Home ◽  
Community Setting ◽  
Community Services ◽  
Nursing Home Care ◽  
Service Delivery Model ◽  
Volunteer Program ◽  
Blind Persons ◽  
The Cost ◽  
The Impact ◽  
Insight Into

Describes the Virginia Commission's Project on Aging approach to serving elderly blind persons on the verge of entering a nursing home. Using empirical observations of the Project's participants, provides insight into the characteristics and needs of this population, examines the impact of a service delivery model that imphasized linkages to existing community services, and discusses the development of a structured volunteer program that enabled elderly blind persons to remain in a community setting. A longitudinal cost analysis of 42 olients whose imminent institutionalization was prepented by the Project's intervention, suggests that the dollar cost of maintaining elderly blind persons in the community is considerably less than the cost of nursing home care.

scholarly journals How Costly Are Smokers to Other People? Longitudinal Evidence on the Near Elderly

2001 ◽  
Vol 4 (1) ◽  
Author(s):  
Gabriel Picone ◽  
Frank Sloan
Keyword(s):  
Nursing Home ◽  
Life Cycle ◽  
Nursing Home Care ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Longitudinal Approach ◽  
The One ◽  
The Cost ◽  
The Impact ◽  
Retirement Study

Many studies have estimated the cost of smoking. In recent years, such estimates have been widely used in litigation against the tobacco companies. Both longitudinal and cross-sectional methods have been used. On balance, the longitudinal approach, the one used in this study, is much preferable since one can account for the effects of smoking on the pool of eligibles rather than just conditioning expenditures on being eligible. We used data from four waves of the Health and Retirement Study to assess the impact of smoking on use of hospital and physicians’ services and nursing home care. The analysis was limited to utilization among persons aged 51 to 67 (“near elderly” ). During this phase of the life cycle, many adverse effects of smoking, measured in terms of mortality and morbidity,

scholarly journals Does Informal Care from Adult Children Reduce Nursing Home Admissions for the Elderly?

2002 ◽  
Vol 39 (3) ◽  
pp. 279-297 ◽  
Author(s):  
Anthony T. Lo Sasso ◽  
Richard W. Johnson
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Informal Care ◽  
Adult Children ◽  
Oldest Old ◽  
The Elderly ◽  
Nursing Home Care ◽  
Health Dynamics ◽  
Using Data ◽  
The Impact

Despite the policy importance, particularly as society ages, little is known about the impact of informal care on nursing home admissions. This paper jointly models the receipt of regular help from adult children and subsequent nursing home care, using data from the Study of Asset and Health Dynamics Among the Oldest Old (AHEAD). Results indicate that frequent help from children with basic personal care reduces the likelihood of nursing home use over a subsequent two-year period by about 60% for disabled Americans age 70 and older. However, we found no significant reduction in nursing home admissions when help was measured more broadly to include assistance with chores and errands.

scholarly journals Cost-Utility Analysis of Malaysian Elderlies Living in Public Long-Term Care Institutions

2021 ◽  
Vol 29 (4) ◽  
pp. 2389-2400
Author(s):  
Syazreen Niza Shair ◽  
Thomas Sachi Purcal
Keyword(s):  
Nursing Home ◽  
Residential Care ◽  
Long Term Care ◽  
Cost Utility ◽  
Cost Utility Analysis ◽  
Nursing Home Care ◽  
Utility Analysis ◽  
Term Care ◽  
The Cost

This research compares the quality of life of Malaysian elderlies living in public formal long-term care institutions, including residential care and nursing home care. It provides evidence of the cost-effectiveness of both programs. The sample of Malaysian elderlies aged 60 years and above was collected from the World Health Survey, including five dimensions of health status: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression. Each of the dimensions has three levels, including 1 (“no problems”), 2 (“some problems”) and 3 (“major problem”). The quality-adjusted life-years (QALYs) of elderlies living in both institutions are estimated using a generic health-related measurement method, EQ-5D. In addition, cost-utility analysis is adopted to compare the effectiveness of programs in allocating resources. The QALY of those living in nursing home care is reasonably lower than those in residential care due to their worse chronic health conditions. The majority are categorised as severely disabled. The cost-effectiveness evaluation of each public long-term care model suggests that the residential care program is cost-effective, with the cost per QALY being MYR22 945. At the same time, a nursing home for disabled people is not effective as the cost per QALY is MYR57 822, falls outside the willingness to pay (WTP) range between (MYR 19,929–MYR 28,470).

scholarly journals Small is beautiful? Explaining resident satisfaction in Swedish nursing home care

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Douglas Spangler ◽  
Paula Blomqvist ◽  
Ylva Lindberg ◽  
Ulrika Winblad
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Nursing Home Care ◽  
Resident Satisfaction ◽  
Cross Sectional ◽  
Staffing Ratios ◽  
Individualized Care ◽  
Structural Variables ◽  
Nationally Representative ◽  
The Impact

Abstract Background Resident satisfaction is an important aspect of nursing home quality. Despite this, few studies have systematically investigated what aspects of nursing home care are most strongly associated with satisfaction. In Sweden, a large number of processual and structural measures are collected to describe the quality of nursing home care, though the impact of these measures on outcomes including resident satisfaction is poorly understood. Methods A cross-sectional analysis of data collected in two nationally representative surveys of Swedish eldercare quality using multi-level models to account for geographic differences. Results Of the factors examined, nursing home size was found to be the most important predictor of resident satisfaction, followed by the amount of exercise and activities offered by the nursing home. Measures of individualized care processes, ownership status, staffing ratios, and staff education levels were also weakly associated with resident satisfaction. Contrary to previous research, we found no clear differences between processual and structural variables in terms of their association with resident satisfaction. Conclusions The results suggest that of the investigated aspects of nursing home care, the size of the nursing home and the amount activities offered to residents were the strongest predictors of satisfaction. Investigation of the mechanisms behind the higher levels of satisfaction found at smaller nursing homes may be a fruitful avenue for further research.

An Estimation of the Impact of OBRA-87 on Nursing Home Care in the United States

1992 ◽  
Vol 43 (8) ◽  
pp. 781-789 ◽  
Author(s):  
Mary Avellone Eichmann ◽  
Brian P. Griffin ◽  
John S. Lyons ◽  
Sanford Finkel ◽  
David B. Larson
Keyword(s):  
United States ◽  
Nursing Home ◽  
Home Care ◽  
The United States ◽  
Nursing Home Care ◽  
The Impact

scholarly journals Caring for nursing home residents with COVID-19: a “hospital-at-nursing home” intermediate care intervention

2021 ◽  
Author(s):  
Enrico Benvenuti ◽  
Giulia Rivasi ◽  
Matteo Bulgaresi ◽  
Riccardo Barucci ◽  
Chiara Lorini ◽  
...  
Keyword(s):  
Nursing Home ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Hospital Admissions ◽  
Nursing Home Residents ◽  
Nursing Home Care ◽  
Intermediate Care ◽  
Healthcare Model ◽  
Set Up ◽  
The Impact

Abstract Background Nursing home (NH) residents have been dramatically affected by COVID-19, with extremely high rates of hospitalization and mortality. Aims To describe the features and impact of an assistance model involving an intermediate care mobile medical specialist team (GIROT, Gruppo Intervento Rapido Ospedale Territorio) aimed at delivering “hospital-at-nursing home” care to NH residents with COVID-19 in Florence, Italy. Methods The GIROT activity was set-up during the first wave of the pandemic (W1, March–April 2020) and became a structured healthcare model during the second (W2, October 2020–January 2021). The activity involved (1) infection transmission control among NHs residents and staff, (2) comprehensive geriatric assessment including prognostication and geriatric syndromes management, (3) on-site diagnostic assessment and protocol-based treatment of COVID-19, (4) supply of nursing personnel to understaffed NHs. To estimate the impact of the GIROT intervention, we reported hospitalization and infection lethality rates recorded in SARS-CoV-2-positive NH residents during W1 and W2. Results The GIROT activity involved 21 NHs (1159 residents) and 43 NHs (2448 residents) during W1 and W2, respectively. The percentage of infected residents was higher in W2 than in W1 (64.5% vs. 38.8%), while both hospitalization and lethality rates significantly decreased in W2 compared to W1 (10.1% vs 58.2% and 23.4% vs 31.1%, respectively). Discussion Potentiating on-site care in the NHs paralleled a decrease of hospital admissions with no increase of lethality. Conclusions An innovative “hospital-at-nursing home” patient-centred care model based on comprehensive geriatric assessment may provide a valuable contribution in fighting COVID-19 in NH residents.

scholarly journals Purchase intention in an electronic commerce environment

2019 ◽  
Vol 32 (6) ◽  
pp. 1345-1375 ◽  
Author(s):  
Mahmud Akhter Shareef ◽  
Yogesh K. Dwivedi ◽  
Vinod Kumar ◽  
Gareth Davies ◽  
Nripendra Rana ◽  
...  
Keyword(s):  
Purchase Intention ◽  
Identity Theft ◽  
Protection Measures ◽  
Student Sample ◽  
Content Type ◽  
Potential Impact ◽  
Controlling Measures ◽  
The Cost ◽  
The Impact ◽  
Insight Into

Purpose The purpose of this paper is to understand the integrated impact of the application of protection measures against identity theft on consumers’ synergistic perception of trust, the cost of products/services and operational performance (OP) – all of which in turn is postulated to contribute to purchase intention (PI) when shopping online. Design/methodology/approach In order to accomplish the specified aim, this study first conducted an experiment by involving the students from a university in Bangladesh. Then a survey was conducted to capture their opinion based on the previous experiment. Findings The study identified that in e-commerce, OP and trust have potential impact on pursuing consumers’ PI. Traditionally, price is always an issue in marketing; however, for e-commerce, this issue does not have direct impact on PI. Research limitations/implications The main limitation of this study is that a less established e-commerce example was utilized to conduct the experiment and survey for validating the model. Also, the study was conducted only in the context of Bangladesh and a student sample was utilized. Future studies can test the model in different contexts (particularly to verify the impact of privacy) by utilizing data from consumers. Practical implications This study has resolved a controversial issue by generating clear guidelines that the overall conjoint effect of OP, trust, and price on PI is neither negative nor neutral. Synergistically, the application of these controlling tools of identity theft can substantially enhance consumers’ trust, which is the single most predictor to pursue consumer PI. Originality/value This study has provided in-depth insight into the impact of different controlling measures in e-commerce PI. Practitioners have potential learning from this study that if consumers find the application of different controlling mechanisms against cybercrimes, particularly identity theft, enhancing the reliability, authenticity and security of transactions in this virtual medium, they do not mind paying a higher price. Such insights have not been provided by existing studies on this topic. Developing trust on e-commerce purchase is the driving force, not the price.

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