scholarly journals Nationwide data on home care and care home residence: presentation of the Swedish Social Service Register, its content and coverage

2021 ◽  
pp. 140349482110610
Author(s):  
Anna C. Meyer ◽  
Glenn Sandström ◽  
Karin Modig
Keyword(s):  
Home Care ◽  
Social Service ◽  
Elder Care ◽  
Care Home ◽  
Publicly Funded ◽  
Care Utilisation ◽  
The Social ◽  
Geographical Regions ◽  
Home Residency ◽  
Reported Data

Aims: All Swedish municipalities are legally obliged to provide publicly funded elder care to individuals in need. The Swedish Social Service Register collects data on such care. It is the only nationwide source of information on care home residency and use of home care but has rarely been used for research. This study aims to present the content and coverage of the Social Service Register and to provide guidance for researchers planning to use these data. Methods: For each month between 2013 and 2020, we examined which of Sweden’s 290 municipalities reported data to the Social Service Register. We calculated proportions of the population (restricted to ages 80–89 years to enable comparison) that were reported to the Social Service Register in each municipality and presented the types and amount of care recorded in the register. Results: The proportion of municipalities reporting to the Social Service Register increased from 82% to 98% during the study period but several municipalities reported fragmentarily and inconsistently, particularly during earlier years. Among municipalities reporting to the Social Service Register, 9% of the population aged 80–89 years resided in care homes and 19% received home care, but the registered amount and types of care varied substantially between municipalities and over time. Conclusions: The Swedish Social Service Register provides valuable data for research on aging and elder care utilisation, but data should be selected and vetted carefully, especially for earlier years. The amount and types of care may not always be comparable between geographical regions and different time periods. In recent years, however, the coverage of the Social Service Register is good.

Making Care Work

2018 ◽  
pp. 88-125
Author(s):  
Elana D. Buch
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Care Home ◽  
Economic Value ◽  
The United States ◽  
Publicly Funded ◽  
Funding Sources ◽  
Experience Of Care ◽  
Democratic State ◽  
Management Staff

In making care into work, agencies justify their existence in the market as managing the predictable tensions that regularly arise in home care. Home care agencies build upon women’s familial experience of care while seeking to transform them into workers whose labor conforms to the ethical and temporal norms of American workplaces. Conflicts regularly arise between people’s moral ideologies about care, the economic pressures of capitalist markets, and the laws that govern labor and elder care in the United States. This chapter traces the transformation of moral values into economic value by focusing on the everyday ethics practiced by home care agency training and management staff as they mediate between national moralities, the needs of their agencies, the needs of clients, and their own ethics. Agencies’ different funding sources affect how they imagine and generate their clients’ independence. Publicly funded care policies view older adults as liberal persons in a democratic state in which rights and services are the result of citizenship and need rather than social position. In privately funded care, older adults’ independence was authorized by their privileged position as consumers whose subjective tastes and preferences determined the kinds and quantity of care they received. Their independence was not the result of fair treatment by an equitable state, but rather determined by their ability to wield economic power.

Long-Term Costs for Foot Ulcers in Diabetic Patients in a Multidisciplinary Setting

1995 ◽  
Vol 16 (7) ◽  
pp. 388-394 ◽  
Author(s):  
Jan Apelqvist ◽  
Gunnel Ragnarson-Tennvall ◽  
Jan Larsson ◽  
Ulf Persson
Keyword(s):  
Home Care ◽  
Social Service ◽  
Care Home ◽  
Foot Ulcer ◽  
Major Amputation ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Foot Care ◽  
Critical Ischemia

The purpose of this study was to analyze long-term costs for foot ulcers in diabetic patients. Patients were treated and followed prospectively by a foot care team. A retrospective economic analysis was performed of costs for 274 patients during 3 years from healing of an initial foot ulcer, with or without amputation. Costs were estimated for inpatient care, outpatient care, home care, and social service. The cost calculations include costs due to complications and disability related to the initial ulcer, costs related to recurrence of ulcer, and costs for prevention of new ulcers. Expected total present value cost per patient during 3 years of observation was $26,700 (U.S. dollars) for primary healed patients with critical ischemia and $16,100 for primary healed patients without critical ischemia. For patients who healed with an amputation, the corresponding costs were $43,100 after a minor amputation and $63,100 after a major amputation. When estimating the costs for diabetic foot ulcers, it is not sufficient to calculate short-term costs. Long-term costs are high, mainly due to the need for increased home care and social service, but also due to costs for recurrent ulcers and new amputations.

scholarly journals Social workers’ perspectives on a medical home model for children and adolescents in out of home care – an interview study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Johansson ◽  
Karin Fängström ◽  
Georgina Warner
Keyword(s):  
Health Care ◽  
Home Care ◽  
Children And Adolescents ◽  
Social Workers ◽  
Social Service ◽  
Medical Home ◽  
Health Care Sector ◽  
Out Of Home Care ◽  
The Social ◽  
Medical Home Model

Abstract Background This study seeks to explore how social workers have perceived and experienced a medical home model for children and adolescents in out-of-home care in Uppsala County, Sweden. Method A qualitative explorative study was conducted, which involved ten semi-structured individual telephone interviews with social workers. The study sample included employees within the social service, working in a specialised case unit who had experience of referring children and/or adolescents to the medical home model called Hälsofam. Data were analysed inductively using thematic analysis. Results The findings of the current study indicated that working with Hälsofam has offered social workers a way into the health care sector and an active collaborative working situation, with focus on organised work across the ‘silos’ of care services. However, the findings raised the question of whether or not all children and adolescents have the same possibility to receive care from Hälsofam. Conclusion The findings indicated that the Hälsofam model had a positive impact on the interrelations between the social service and the health care sector. Yet, findings showed that personal views of the social worker and the societal situation in which they operate create limitations for providing care for every child and adolescent. This study adds to the extant literature for it addresses the limitations within the work of children and adolescents in out-of-home care.

The Social, Cultural and Behavioral Components of Information and Knowledge-Seeking Among Home Care Nurses

2013 ◽  
Author(s):  
Edmund J.Y. Pajarillo
Keyword(s):  
Home Care ◽  
Study Methods ◽  
Soins À Domicile ◽  
The Social ◽  
Knowledge Seeking ◽  
Case Study Methods ◽  
Home Care Nurses

Information and knowledge-seeking vary among users, including home care nurses. This research describes the social, cultural and behavioral dimensions of information and knowledge-seeking among home care nurses, using both survey and case study methods. Results provide better understanding and appreciation of nurses’ information behavior.La recherche d’information et de connaissances varie selon les usagers, y compris parmi les infirmiers et infirmières des soins à domicile. Cette recherche décrit les dimensions sociales, culturelles et comportementales de la recherche d’information et de connaissances parmi les infirmiers et infirmières des soins à domicile, en utilisant les méthodes de sondage et de l’étude de cas. Les résultats offrent une meilleure compréhension et connaissance du comportement informationnel des infirmiers et infirmières. 

Dissemination and Implementation in Social Service Settings

2017 ◽  
Author(s):  
J. Curtis McMillen ◽  
Danielle R. Adams
Keyword(s):  
Health Disparities ◽  
Social Services ◽  
Social Service ◽  
Careful Consideration ◽  
Lessons Learned ◽  
Health Interventions ◽  
Dissemination And Implementation ◽  
The Social ◽  
Implementation Models ◽  
Complex Settings

Social service settings offer numerous complexities in their staffing, consumers, and payer mix that require careful consideration in designing dissemination and implementation efforts. However, social services’ unique access to vulnerable populations with health problems may prove vital in efforts to improve the health status of many of our citizens and reduce health disparities. While a number of well-developed, blended dissemination and implementation models are being used in social service settings, they all require additional documentation, research, and field experience. Nonetheless, the lessons learned in the social services may help organizations in other sectors better implement health interventions with complex consumers in complex settings.

The unique role of the social worker within the Hospital at Home care delivery team

2021 ◽  
pp. 1-15
Author(s):  
Helena Ross ◽  
Ryan Dritz ◽  
Barbara Morano ◽  
Sara Lubetsky ◽  
Pamela Saenger ◽  
...  
Keyword(s):  
Home Care ◽  
Social Worker ◽  
Care Delivery ◽  
Unique Role ◽  
The Social ◽  
Hospital At Home ◽  
At Home

The social service Reconceptualisation Movement in Brazil from 1960 to 1970

2021 ◽  
Vol 9 (1) ◽  
pp. 15-30
Author(s):  
Isaura Gomes de Carvalho Aquino ◽  
Maria Rosângela Batistoni ◽  
Graziela Scheffer Machado
Keyword(s):  
Social Service ◽  
Renewal Process ◽  
Historical Background ◽  
Social Significance ◽  
Military Dictatorship ◽  
Brazilian Society ◽  
The Social ◽  
Service Professional ◽  
Current Article ◽  
The Military

The aim of the current article is to present results of three studies about the so-called Reconceptualisation Movement in Brazil, based on the historical rescue of significant and exemplifying expressions used in the country from 1960 to 1970. The analysed studies have focused on investigating the economic and social significance of the military dictatorship to Brazilian society. They aimed at unveiling the historical background, sociopolitical bases and theoretical-methodological references guiding social service professional projects in the country at that time. The herein conducted analysis was based on documentary and bibliographic sources, collections, and testimonials to identify the strengths of projects that were in compliance with, and in opposition to, each other due to the tense theoretical and ideological dispute for hegemony in the Brazilian social service renewal process.

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