scholarly journals Long-term care coverage and its relationship with hospital care: Lessons from Italy on coordination among care-settings

2020 ◽  
Vol 33 (4) ◽  
pp. 186-199
Author(s):  
Elisabetta Notarnicola ◽  
Alessandro Furnari ◽  
Francesco Longo ◽  
Giovanni Fosti
Keyword(s):  
Health Care ◽  
Hospital Care ◽  
Long Term Care ◽  
Substitution Effect ◽  
Care Providers ◽  
Care Needs ◽  
Term Care ◽  
Policy Makers ◽  
Care System

Long-term care for the elderly is one among the most important challenges for welfare and health care system across the world. Demographic and epidemiological trends are signalling that demand for long-term care will continue increasing in the next future, while public systems investments and efforts to cope with this issue are not enough. One possible strategy could be to reinforce integration between different care settings so to have positive spill over effects. The paper is focussed on Italian long-term care system analysing and assessing its performance at the regional level both in terms of answering citizens’ long-term care needs and integrating with hospital care. The study is based on National health care records and regional data concerning long-term care to assess the state of the arts of in-kind services, and on qualitative focus groups with care providers and policy makers to provide interpretation about the Italian long-term care system performance and weaknesses. Results show that, due to a widespread and important lack of supply and inability to answer to citizens’ needs, integration between long-term care and hospitals is not working, and substitution effect following investment in long-term care settings is not present. The paper introduces different interpretations of the causes of this phenomenon, suggesting to policy makers and managers the possible solutions to be implemented.

scholarly journals DO THE PRESENCE OF ADULT CHILDREN AND THEIR MARITAL STATUS MATTER FOR ACCESS TO THE PUBLIC LONG-TERM CARE SYSTEM?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S941-S941
Author(s):  
Tomoko Wakui ◽  
Suguru Okubo ◽  
Nanako Tamiya ◽  
Taeko Watanabe ◽  
Tatsuro Ishizaki ◽  
...  
Keyword(s):  
Marital Status ◽  
Adult Children ◽  
Long Term Care ◽  
Care Needs ◽  
Term Care ◽  
The Public ◽  
Married Child ◽  
The Relationship ◽  
Care System

Abstract Knowing how the presence of family affects access to the public long-term care system is important for evaluating the adequacy of the system. This study examined the relationship between the presence of adult children and their marital status, and access to a public system by examining the gap between self-reported care needs and the official certification as needing care under the Japanese public long-term care insurance system. Data from Japan’s 2016 Comprehensive Survey of Living Conditions were used. A total of 23,466 older adult claimants, aged 65 years and older were analyzed. Outcomes were whether or not claimants were officially certified as needing care under the system, and the relationship of the presence of both live-in and live-out children and their marital status were examined controlling for claimants’ age, gender, education, financial status, and physical and cognitive conditions. Females comprised 64.8% of the sample, and the average age was 83 years (SD=7.8). The percentage of claimants living with a single or married child were 25.2% and 26.9%, respectively, and 60.1% were parents of children who lived independently. The percentage who were officially certified as needing care was 68.5%. Logistic regression analysis revealed that claimants with a live-in child were less likely to be officially certified as needing care, and claimants with live-in a single child were less likely to be officially certified compared with those with a married child. Live-in single children may provide long-term care by themselves, and the excess burden on them needs to be further investigated.

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.

scholarly journals Managing the long term care of inflammatory bowel disease patients: The cost to European health care providers

2011 ◽  
Vol 5 (4) ◽  
pp. 301-316 ◽  
Author(s):  
James Buchanan ◽  
Sarah Wordsworth ◽  
Tariq Ahmad ◽  
Angela Perrin ◽  
Severine Vermeire ◽  
...  
Keyword(s):  
Health Care ◽  
Inflammatory Bowel Disease ◽  
Health Care Providers ◽  
Long Term Care ◽  
Care Providers ◽  
Term Care ◽  
European Health ◽  
Inflammatory Bowel ◽  
The Cost

Health Care Use Before and After Entering Long-Term Services and Supports

2016 ◽  
Vol 37 (1) ◽  
pp. 26-40 ◽  
Author(s):  
Robert Newcomer ◽  
Charlene Harrington ◽  
Denis Hulett ◽  
Taewoon Kang ◽  
Michelle Ko ◽  
...  
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Long Term Care ◽  
Health Care Use ◽  
Care Providers ◽  
Term Care ◽  
Before And After ◽  
Ed Visits ◽  
Post Acute Care

Objective: We examined the health care utilization patterns of Medicare and Medicaid enrollees (MMEs) before and after initiating long-term care in the community or after admission to a nursing facility (NF). Method: We used administrative data to compare hospitalizations, emergency department (ED) visits, and post-acute care use of MMEs receiving long-term care in California in 2006-2007. Results: MMEs admitted to a NF for long-term care had much greater use of hospitalizations, ED visits, and post-acute care before initiating long-term care than those entering long-term care in the community. Post-entry, community service users had less than half the average monthly hospital and ED use compared with the NF cohort. Conclusion: Hospital and ED use prior to and following NF and personal care program entry suggest a need for reassessing the monitoring of these high-risk populations and the communication between health and community care providers.

scholarly journals Heaviness, intensity, and intimacy

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Josien de Klerk ◽  
Barbara Da Roit
Keyword(s):  
Health Care ◽  
Moral Obligation ◽  
Long Term Care ◽  
Social Embeddedness ◽  
The Political ◽  
Term Care ◽  
Policy Makers ◽  
Self Sufficiency ◽  
Community Solidarity

In the Netherlands the recent shift to a ‘participation society’ has led to a reconfiguration of health care arrangements for long-term care. The new long-term care act, scheduled to commence January 2015, forms the political realization of the participation society: people are expected to decrease their dependency on state provisions and instead become self-sufficient or dependent on family and community solidarity. In this Think Piece we argue that the implicit references of policy makers to pre-welfare state community solidarity and self-sufficiency do not adequately consider the historical and social embeddedness of care. Referring to Rose’s concept of ‘politics of conduct’ we argue that in framing care as a moral obligation, the current politics of conduct may obscure the physical and psychological heaviness of intimate care between family members, the diversity of care relations, and their sociohistorical embeddedness.

COVID-19 Pandemic Impact on the National Health Care Surveys

2021 ◽  
Vol 111 (12) ◽  
pp. 2141-2148
Author(s):  
Brian W. Ward ◽  
Manisha Sengupta ◽  
Carol J. DeFrances ◽  
Denys T. Lau
Keyword(s):  
Health Care ◽  
Data Collection ◽  
National Health ◽  
Long Term Care ◽  
Health Care Surveys ◽  
Quality Data ◽  
Care Providers ◽  
Term Care ◽  
National Health Care

While underscoring the need for timely, nationally representative data in ambulatory, hospital, and long-term-care settings, the COVID-19 pandemic posed many challenges to traditional methods and mechanisms of data collection. To continue generating data from health care and long-term-care providers and establishments in the midst of the COVID-19 pandemic, the National Center for Health Statistics had to modify survey operations for several of its provider-based National Health Care Surveys, including quickly adding survey questions that captured the experiences of providing care during the pandemic. With the aim of providing information that may be useful to other health care data collection systems, this article presents some key challenges that affected data collection activities for these national provider surveys, as well as the measures taken to minimize the disruption in data collection and to optimize the likelihood of disseminating quality data in a timely manner. (Am J Public Health. 2021;111(12):2141–2148. https://doi.org/10.2105/AJPH.2021.306514 )

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