scholarly journals Does long-term care use within primary health care reduce hospital use among older people in Norway? A national five-year population-based observational study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Trygve S Deraas ◽  
Gro R Berntsen ◽  
Toralf Hasvold ◽  
Olav H Førde
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Observational Study ◽  
Older People ◽  
Long Term Care ◽  
Population Based ◽  
Term Care ◽  
Primary Health ◽  
Hospital Use

scholarly journals Community and health staff perceptions on non-communicable disease management in primary care in El Salvador: a qualitative study

2019 ◽  
Author(s):  
Nicole Vidal ◽  
Montserrat León ◽  
Marta Jiménez ◽  
Keven Bermúdez ◽  
Pol De Vos
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
El Salvador ◽  
Public Health System ◽  
Term Care ◽  
Primary Health ◽  
Patient Resources

Abstract Non-communicable Diseases (NCDs) are the leading cause of global mortality and disability, with a rising burdenin low- and middle-income countries. Their multifactorial aetiology, and their requirement of long-term care, imply the need for comprehensive approaches. From 2009, the Ministry of Health (MoH) in El Salvador has developed a national public health system based on comprehensive primary health care. This analysis explores community perceptions related to the management of NCDs in this health system. During three fieldwork periods in 2018, three complementary qualitative data collection methods were deployed. First, we used illness narrative methodology to document the life histories of people living with a chronic disease and being treated in second and third level health facilities. Second, through social mapping, we analysed support-resources that NCD patients used throughout the process of their illness. Third, semi-structured interviews were conducted with both chronic patients and health personnel working at different levels of the primary health care setting. Participants were recruited through purposive sampling, and a deductive approach was implemented for coding during the analysis phase. After grouping codes into potential themes, a thematic framework was elaborated for each method through a reflexive approach and triangulation of the data. This innovative approach of combining three well-defined qualitative analysis frameworks identified key implications for the implementation of a comprehensive first line approach to NCDs management in resource-poor settings. Following dimensionsare identified: social risk factors, barriers to care, patient resources and pathways to care, trust in community social connections, and strategies for community health promotion and prevention of NCDs. The Salvadoran public health system has been able to strengthen its comprehensive approach to NCDs, combining a clinical approach – including long term follow-up – with a preventive community-based strategy. The structural collaboration between the health system and the (self)organized community has been key to identify failings, discuss tensions and work out adapted solutions.

scholarly journals From Needs and Dilemmas Facing View of Elderly People Living with HIV/AIDS Long-Term Care Measures in Taiwan

2017 ◽  
Vol 13 (10) ◽  
pp. 18
Author(s):  
Ching-Teng Yao ◽  
Chien-Hsing Tseng ◽  
Yu-Ming Chen
Keyword(s):  
Health Care ◽  
Older People ◽  
Elderly People ◽  
Long Term Care ◽  
People Living With Hiv ◽  
Term Care ◽  
Infected People ◽  
Care Services ◽  
Living With Hiv

The life of people living with HIV has been prolonged with HAART, and since 1997 the introduction of antiretroviral HAART in Taiwan has increased the survival rate of infected people to 85.9%. Therefore, with the extension of the life of people living with HIV and the entry into the old age, how to provide suitable long-term care services is an issue that Taiwan policy needs to face and think. This research through surveys and interviews to find Taiwan elderly people living with HIV in Taiwan needs and plight of the contains (1) diseases and health care issues, (2) social prejudice and discrimination (3) psychology and adjustment of the identity and reflection (4) adjustment of interpersonal relationships. According to the empirical data shows Taiwan's long-term care measures in difficulties arising in the care for older people living with HIV (1) non-suitable for elderly people living with HI community long-term care services; (2) long-term care institution the exclusion of people living with HIV (3) lack of financial resources of older living with HIV with using institutional long term care. (4) the incoherence of HIV medical and long-term care measures. (5) course focuses on long-term care health care, neglect the psychosocial dimensions of older people living with HIV. This study attempts to present long-term care of the elderly people living with HIV needs and challenges and dilemmas facing in Taiwan.

Telephone communication between practice nurses and older patients with long term conditions – a systematic review

2016 ◽  
Vol 23 (1) ◽  
pp. 142-148 ◽  
Author(s):  
Deborah Raphael ◽  
Susan Waterworth ◽  
Merryn Gott
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Older People ◽  
Older Patients ◽  
Health Indicators ◽  
Long Term Conditions ◽  
Telephone Communication ◽  
Practice Nurses ◽  
Primary Health

Background and aims Long term conditions are a significant health problem faced by older people worldwide. Telephone communication is often used to deliver health care to patients and is an important tool in improving access to care. Previous research has shown that primary health care nurses communicate with patients by telephone, but little is known about the way in which telephone communication can be used to benefit older patients with long term conditions. The aims of this review were to identify the range and scope of telephone use between practice nurses working in primary health care and older people with long term conditions, explore which elements of this communication has been successful, and determine whether older people see telephone communication as useful for their needs. Methods A systematic search of the literature was conducted through CINAHL, Medline, Web of Science and EMBASE between July and August 2015. Included were English language articles containing older adults, primary care nurses and both qualitative and quantitative designs. Results Five studies met the inclusion criteria. All were intervention studies, and none looked at routine telephone communication between nurse and patient. Most studies showed that telephone based interventions were successful in improving pre-determined disease-specific health indicators. Conclusions All telephone communication interventions in this review focused on a specific long term condition, which they aimed to help patients self-manage. While all studies' samples included older patients, they did not consider them separately in relation to the effectiveness of the intervention. What was also lacking was the patient perspective regarding effectiveness in all but one study.

scholarly journals Older People Receiving Public Long-Term Care in Relation to Consumption of Medical Health Care and Informal Care

2008 ◽  
Vol 1 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Staffan Karlsson ◽  
Anna-Karin Edberg ◽  
Albert Westergren ◽  
Ingalill Rahm Hallberg
Keyword(s):  
Health Care ◽  
Older People ◽  
Informal Care ◽  
Long Term Care ◽  
Term Care ◽  
Medical Health Care ◽  
Medical Health

scholarly journals (In)visibility of children with special health needs and their families in primary care

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Sonia Silva Marcon ◽  
Beatriz Caroline Dias ◽  
Eliane Tatsch Neves ◽  
Maria Angelica Marcheti ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Term Care ◽  
Healthcare Needs ◽  
Primary Health ◽  
Public Rehabilitation ◽  
Care Demands ◽  
Special Health

ABSTRACT Objectives: to discuss the (in)visibility of children with special healthcare needs and their families in the Primary Health Care scenario. Methods: experience report about the difficulties faced by researchers from different regions of Brazil to locate children with special healthcare needs in the scope of primary care. Results: the main reason for these children and their families to be “unknown” and, therefore, not assisted in PHC, is the fact that they are followed-up by institutions/outpatient clinics and specialized and/or public rehabilitation clinics, or even because they have private health insurance. Final Considerations: transferring care responsibility to the Primary Health Care teams to specialized and rehabilitation institutions may be related to the lack of knowledge of the care demands of this group, as well as to the relevance of care centered on rehabilitation and the specialty instead of the long-term care, one of the features of primary health care.

Health and Care of an Ageing Population: Alignment of Health and Social Systems to Address the Need

2021 ◽  
pp. 097206342199499
Author(s):  
Sangay Thinley
Keyword(s):  
Health Care ◽  
Older People ◽  
Long Term Care ◽  
Health Care Systems ◽  
Population Ageing ◽  
Demographic Shift ◽  
Term Care ◽  
The Social ◽  
Care Systems

Population ageing is both an achievement and challenge, an achievement as longevity is the result of successful prevention and control of diseases, decreasing fertility rates and overall socio-economic development. It is at the same time a challenge as the increasing number of older people and the resultant demographic shift are accompanied by the need to adjust and scale up the social and health care systems. The challenges are of particular relevance to the developing world where the demographic shift is occurring much faster. Comprehensive efforts based on country contexts are required in the following areas: (a) older persons and development, (b) health and well-being and (c) enabling and supportive environments to address population ageing needs. This article, however, focuses only on three most crucial issues, that is, livelihood, health care systems and care of the older dependent people. Measures to sustain the livelihood of older people, to align the health systems to provide care and to develop long-term care systems are highlighted. Person-centred care, integration and functional capacity are advocated. Further, ageing in place or living in one’s own home, community or a place with the closest fit with the person’s needs and preferences is considered very important for healthy ageing. In terms of enhancing livelihood, major policy changes and reforms to improve the social security systems and expanding coverage as well as increasing the amounts to minimum subsistence levels are highlighted. Another area which needs to be strengthened is the tradition of existing family support systems. The health systems alignment required are reflected for each health system building block, and focuses mainly on (a) developing and ensuring access to services that provide older-person-centred care; (b) shifting the clinical focus from disease to intrinsic capacity; and (c) developing or reorienting the health workforce to provide care as per alignment. Long-term care systems would best meet the needs of dependent older people if families, communities, civil society organisations and private sector are equally involved while governments play leadership roles in setting up and monitoring quality.

Sign in / Sign up

Export Citation Format

Share Document