scholarly journals Caring for Thai Older Persons With Long-Term Care Needs

2018 ◽  
Vol 30 (10) ◽  
pp. 1516-1535 ◽  
Author(s):  
John Knodel ◽  
Bussarawan Teerawichitchainan ◽  
Wiraporn Pothisiri
Keyword(s):  
Family Member ◽  
Older Persons ◽  
Long Term Care ◽  
Population Aging ◽  
Well Being ◽  
Care Providers ◽  
Situation Analysis ◽  
Care Needs ◽  
Term Care

Objective: To provide a situation analysis of recent long-term care (LTC) needs among older persons in Thailand. Method: The 2014 Survey of Older Persons in Thailand (SOPT) provides data to assess patterns of caregiving, whether care needs are met, and who are main caregivers for older Thais. We examine how types of familial and nonfamilial caregivers are associated with the well-being of older persons. Results: The need for LTC increases sharply with age and is more common among women than men. Spouses and children constitute approximately 90% of main caregivers. The association of a family member as the main caregiver and education or value of assets is quite weak underscoring the general normative prescription for family members to serve as care providers. Discussion: Thailand is experiencing acute population aging but empirical evidence to support LTC needs remains lacking. This analysis helps close the gap.

Population Aging and Long-Term Care Needs

2018 ◽  
pp. 79-99 ◽  
Author(s):  
John Giles ◽  
Elena Glinskaya ◽  
Yaohui Zhao ◽  
Xinxin Chen ◽  
Yuqing Hu
Keyword(s):  
Long Term Care ◽  
Population Aging ◽  
Care Needs ◽  
Term Care

Informal caregivers in Chile: the equity dimension of an invisible burden

2019 ◽  
Vol 34 (10) ◽  
pp. 792-799 ◽  
Author(s):  
Pablo Villalobos Dintrans
Keyword(s):  
Long Term Care ◽  
Population Aging ◽  
Large Fraction ◽  
Informal Caregivers ◽  
Developed Countries ◽  
Lower Income ◽  
Vicious Cycle ◽  
Care Needs ◽  
Term Care

Abstract Population aging is driving a process of increase in long-term care needs in Chile and many countries around the world. In this context, this article asks about the consequences of this increase in informal caregivers, emphasizing the inequity issues arising from these changes. Using the CASEN 2017 survey, caregivers are identified and matched to people with long-term care needs. Results show that most caregivers are women, and a large fraction of them are also elderly; this is similar to what has been found previously in developed countries. Caregivers have fewer opportunities than non-caregivers, which translates into lower income-generating ability and higher poverty. The nature of these tasks creates a vicious cycle in which people get trapped with increasing needs and fewer resources to meet them. Important differences arise between caregivers and the rest of the population. Even more concerning is that these disparities are avoidable to some extent, adding an equity dimension to the problem. This emphasizes the need for the generation of policies that will support caregivers and meet their needs.

scholarly journals EVENT-SPECIFIC EMOTIONAL EXPRESSION OF PERSONS WITH DEMENTIA IN LONG-TERM CARE: PRELIMINARY RESULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S420-S420
Author(s):  
Kyung Hee Lee ◽  
Ji Yeon Lee ◽  
Bora Kim ◽  
Marie Boltz
Keyword(s):  
Health Care Providers ◽  
Emotional Expression ◽  
Long Term Care ◽  
Well Being ◽  
Emotional Expressions ◽  
Care Providers ◽  
Personal Care ◽  
Term Care ◽  
Meal Time

Abstract Although dementia-related language, comprehension, and memory deficits occur fairly early stage in dementia, persons with dementia retain the ability to express their emotion even in the late stage of disease. However, health care providers do not know how to interpret emotional expressions that could be utilized as important signals of underlying needs and care preferences in persons with dementia. The purpose of this study was to explore the event-specific emotional expressions of persons with dementia in long-term care over a 6-month period. This was a longitudinal study using repeated observations. Emotional expressions were videotaped when three specific events (personal care, meal time, and activity) occurred at baseline, month 3 and month 6. A total of nine observations was made for each participant. We enrolled 13 participants so far; ten participants were completed 6 month follow up. The mean score of MMSE at baseline was 4.38; that of ADL was 16.62. On average, persons with dementia showed 9.93 episodes of positive emotional expression (PEE) per minute and 1.81 episodes of negative emotional expression (NEE) per minute. We found between person variations for both PEE and NEE. PEE and NEE were different by three types of events. Specifically, persons with dementia showed more PEE with activity than personal care and meal time and more NEE with personal care than the other two events. This study will provide better understanding of event-specific emotional expressions, and inform the development of emotion-oriented interventions programs to improve the psychological well-being of persons with dementia.

scholarly journals Application of Smart Healthcare in LTCI, Outpatient Mutual-Aid Guarantee Mechanism, and Sustainability of Medical Insurance Fund for Urban Employees

2022 ◽  
Vol 2022 ◽  
pp. 1-10
Author(s):  
Yating Ren ◽  
Zhe Yang
Keyword(s):  
Long Term Care ◽  
Population Aging ◽  
Medical Insurance ◽  
Insurance Fund ◽  
Mutual Aid ◽  
Care Needs ◽  
Term Care ◽  
Smart Healthcare ◽  
Long Run

With the aggravation of population aging and the increase of life expectancy, long-term care insurance (LTCI) system has been established to meet the medical and long-term care needs of the increasing elderly population. In China, LTCI system is currently not a stand-alone insurance, but it is attached to the national basic medical insurance fund for urban employees (MIUE). As a result, the expenditure of LTCI is a part of the expenditure of the MIUE, which has an impact on the sustainability of the MIUE. By modeling the income and expenditure of MIUE, especially including the expenditure of LTCI, this study optimized an LTCI system with a higher individual out-of-pocket payment ratio of LTCI and implementation of the outpatient mutual-aid guarantee mechanism (OMAGM), which could improve the sustainability of the MIUE. The study also reveals the following: (i) solely increasing individual out-of-pocket payment ratio of LTCI to 20%–50% can only postpone the deficit on Social Pooling Accounts (SPAs) by 1 or 2 years, and the effect is very limited. (ii) Besides a higher individual out-of-pocket payment ratio, further implementation of a partial OMAGM from 2022 will postpone the deficit on SPAs by 7–9 years, and the implementation of a complete OMAGM from 2022 will postpone the deficit by 14–18 years. Accordingly, China should implement OMAGM as soon as possible to enhance the solvency of MIUE fund, and, in the long run, an independent LTCI scheme should be established to ensure the stability and sustainability of the LTCI fund and the MIUE fund.

scholarly journals Disability and Long-Term Care in Singapore

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 705-705
Author(s):  
Cynthia Chen Huijun ◽  
Ngee Choon Chia
Keyword(s):  
Older Adults ◽  
Older Persons ◽  
Healthy Aging ◽  
Long Term Care ◽  
Population Aging ◽  
International Comparisons ◽  
Term Care ◽  
Life Lessons ◽  
The Impact

Abstract Public systems for long term care (LTC) redistribute resources between generations. Population aging is one of the most significant transformations in the 21st century, where the number of older persons aged 60 years and above is expected to double by 2050, rising to 2.1 billion. We used the Future Elderly Model (FEM) to project the impact of population aging in Singapore up to the year 2050. The FEM is a dynamic economic and demographic microsimulation model. By 2050, the total number of older adults with potential limitation in activities of daily living (ADL) was projected to increase to 275 thousand (18.9%). With the increasing prevalence of disability and chronic diseases, older adults might not have sufficient savings to meet future needs sustainably, despite the expansion of disability insurance from ElderShield to CareShield Life. Lessons and best practices for LTC could be transferred from our experiences to other aging cities globally. Part of a symposium sponsored by International Comparisons of Healthy Aging Interest Group.

Predictors of Effort–Reward Imbalance Among Employees Providing Three Types of Long-Term Care Services in Japan: Implications for Employee Well-Being

2021 ◽  
pp. 073346482199721
Author(s):  
Ayumi Honda ◽  
Elizabeth B. Fauth ◽  
Yin Liu ◽  
Sumihisa Honda
Keyword(s):  
Long Term Care ◽  
Multiple Logistic Regression Analysis ◽  
Well Being ◽  
Family Needs ◽  
Care Providers ◽  
Term Care ◽  
Factors Associated ◽  
Effort Reward Imbalance ◽  
Reward Imbalance

The purpose of this study was to identify predictive factors of effort–reward imbalance (ERI) among employees in multiple long-term care settings in Japan. This cross-sectional study by convenience sampling included 944 participants providing three types of long-term care: home-based ( n = 201), community-based ( n = 128), and institutional ( n = 615). Multiple logistic regression analysis was used to identify factors associated with self-reported ERI. Low job satisfaction, being a care manager, holding a position of department head, working long hours, and having family-related stress were the common factors associated with ERI in employees across all three types of long-term care setting. Long-term care providers should consider the needs of care recipients and their family, as well as the needs of care employees, maximizing rewards so that turnover can be reduced and the diversity of individual work–family needs can be accommodated across multiple forms of long-term care settings.

Improving Quality of Work life for Care Providers by Fostering the Emotional well-being of Persons with Dementia: A Cluster-randomized Trial of a Nursing Intervention in German long-term Care Settings

Dementia ◽  
2017 ◽  
Vol 18 (4) ◽  
pp. 1286-1309 ◽  
Author(s):  
Charlotte Berendonk ◽  
Roman Kaspar ◽  
Marion Bär ◽  
Matthias Hoben
Keyword(s):  
Long Term Care ◽  
Intervention Group ◽  
Cluster Randomized Trial ◽  
Well Being ◽  
Nursing Intervention ◽  
Control Group ◽  
Care Providers ◽  
Term Care ◽  
Cluster Randomized

We tested the feasibility of a nursing intervention (DEMIAN) in routine care and its effects on care providers’ job satisfaction, motivation, and work strain. This cluster-randomized trial was conducted in 20 German long-term care facilities. We randomly assigned 20 facilities to an intervention group (84 care providers, 42 residents with dementia) or a control group (96 care providers, 42 residents with dementia). Intervention group providers received two training days on the intervention; 68 providers attended both training days. Sixty two providers completed both baseline and follow-up questionnaires. Trained providers created individualized mini-intervention plans for participating residents. Control group residents received ‘usual care’. Intervention group providers stated that the intervention was feasible and helped them improve emotional well-being of residents with dementia. We found significantly decreased time pressure and decreased job dissatisfaction for intervention group providers. DEMIAN is an effective and pragmatic contribution to implementing person-centred care in long-term care, with positive effects on providers’ working conditions.

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