scholarly journals ‘The right man in the right place’ – the consequences of gender-coding of place and occupation in collaboration processes

2021 ◽  
pp. 135050682110427
Author(s):  
Lena Grip ◽  
Ulrika Jansson
Keyword(s):  
Home Care ◽  
Care Service ◽  
Home Care Service ◽  
Municipal Services ◽  
Rescue Service ◽  
Work Tasks ◽  
And Gender ◽  
Gender Coding ◽  
The Right

Society needs to find new ways to utilise its resources in the best possible way in order to enable satisfactory services for its citizens in the long term. This is particularly important in sparsely populated areas, and in cities and municipalities with a declining population. This study contributes to this field by analysing a project for collaboration between the rescue service and the home-care service that has been introduced in a number of Swedish municipalities. The collaboration is intended to ensure welfare and safety for citizens, to guarantee a more efficient use of municipal resources, and to contribute to improved emergency management and civil protection. The rescue service and the home-care service are two clearly gender-coded occupations that also operate on gender-coded work places and places of work. An overarching aim has therefore been to study gendered obstacles and possibilities of the collaboration. In our analysis of the empirical data – interviews with persons involved in the collaboration – place emerged as an important aspect of the collaboration processes, and is therefore elaborated in this article to contribute with knowledge of how conceptions and gender-coding of places and occupations affect sustainable and well-functioning collaboration processes. The results show that collaboration processes between municipal services are complex and challenge ideals of the organisation, content and responsibility of work and who should perform certain work tasks. Notions of gender and gender differences are reproduced through the collaboration, which affect the efforts of municipalities to ensure welfare and safety for citizens.

scholarly journals Association of household income with home-based rehabilitation and home help service utilization among long-term home care service users

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rumiko Tsuchiya-Ito ◽  
Tatsuro Ishizaki ◽  
Seigo Mitsutake ◽  
Shota Hamada ◽  
Satoru Yoshie ◽  
...  
Keyword(s):  
Home Care ◽  
Service Utilization ◽  
Household Income ◽  
Care Service ◽  
Home Care Service ◽  
Service Users ◽  
Home Help ◽  
Home Based

scholarly journals Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis

2021 ◽  
pp. 095892872097418
Author(s):  
Birgit Trukeschitz ◽  
Assma Hajji ◽  
Judith Kieninger ◽  
Juliette Malley ◽  
Ismo Linnosmaa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Home Care ◽  
Service Provision ◽  
Care Service ◽  
Home Care Services ◽  
Home Care Service ◽  
Term Care ◽  
Care Services

European countries have developed a range of long-term care (LTC) policy responses to support the increasing share of older people. However, little is known about the effectiveness of LTC services and benefits, particularly their impact on older peoples’ quality of life (QoL). This paper investigates the role of personal, care service and environmental characteristics on the effects of home care services on QoL across England, Finland and Austria. We used data from surveys conducted in England, Finland and Austria. In total, 811 older adults were included in the analysis. OLS regression including main effects and country-specific interactions was used to explore variation in gains in long-term care service-related quality-of-life (LTC-QoL). Explanatory variables were derived from the production of welfare framework and comprised home care service user socio-demographics, needs indicators, social support and environmental variables and characteristics of home care service provision. In all three countries, LTC-QoL gains increased with needs, indicating that home care services perform well, with additional gains declining the higher the needs. Also, better process quality contributed to LTC-QoL improvements in all three countries. In addition, the availability of informal care, social contact, financial household situation and living alone, were associated with changes in LTC-QoL only in one or two of the countries. Home care services increased service users’ QoL in all three European countries. The increase in QoL, however, varied across the countries. The results also provide insights into the benefits and limits of home care service provision and areas for future improvements. JEL: I31, I38, J14

scholarly journals Funding Influencing Practice and Outcomes in Reablement

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 419-419
Author(s):  
Paul Rouse ◽  
Matthew Parsons
Keyword(s):  
New Zealand ◽  
Home Care ◽  
Functional Capacity ◽  
Care Service ◽  
Home Care Service ◽  
Case Mix ◽  
Quality Outcomes ◽  
New Model ◽  
Funding Model ◽  
The Right

Abstract Internationally, Home Care is invariably funded through fee-per-service, e.g., if an hour of care is delivered, the provider receives an associated amount of funding. However, the funding model discourages reductions in packages-of-care when a client’s functional capacity improves, and further disincentivises providers to discharge clients. Similarly, staff income is often directly associated to the delivered hours-of-care and if a client’s hours are reduced, so is their income; again, discouraging the right behaviour, such as reporting improvements in independence levels. In 2008 in New Zealand, we developed a case-mix funding methodology and have been progressively implementing the new model since that time. This presentation highlights the findings in relation to how Home Care service hour allocations titrate against needs following implementation of the model as well as a number of other key quality outcomes that have been observed as a result of the case-mix model.

South Winnipeg Integrated Geriatric Program (SWING): A Rapid Community-Response Program for the Frail Elderly

2003 ◽  
Vol 22 (3) ◽  
pp. 275-281 ◽  
Author(s):  
Patrick R. Montgomery ◽  
Wendy M. Fallis
Keyword(s):  
Case Management ◽  
Home Care ◽  
Frail Elderly ◽  
Long Term Care ◽  
Care Service ◽  
Home Care Service ◽  
Day Hospital ◽  
Hospital Services ◽  
Term Care

ABSTRACTThe objective of this study was to compare enhanced access to geriatric assessment and case management to usual home care service provision for the frail elderly. This was a demonstration project, with randomized allocation to control or intervention groups of frail elderly persons who had been referred to the Home Care service in Winnipeg. Of the 164 persons who were randomized, 78 intervention and 74 control patients were evaluated. Intervention subjects received a multidimensional assessment as soon as possible by a specially trained coordinator, who had enhanced access to geriatric medical and day-hospital services; intervention patients were case managed for a 3-month period. Control cases received usual care from home care coordinators. The intervention group received significantly faster assessment and deployment of home services, as well as greater utilization of the geriatric day-hospital services. Utilization of emergency room and hospital services was similar for both groups. Control subjects experienced more prolonged hospital stays and a significantly higher proportion (23%) were designated for long-term care than of intervention clients (9%). We conclude that the SWING program, which facilitated access to geriatric services and case management, reduced or delayed the need for long-term care.

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