Assessment of Long-Term Care Service Needs in the Baby Boom Generation

ABSTRACTIntroduction: Selected aspects of securing the needs of dependent elderly persons by the social assistance sector from the perspective of law, society and economics, are presented in the article.The purpose of the article is to evaluate the sources of funding full-time long-term care services for the benefit of dependent elderly persons in Szczecin.Materials and methods: The analysis was based on statistical and financial data concerning the costs of maintenance in nursing homes in Szczecin provided for the benefit of dependent persons aged over 65.Results: Currently, the main costs of securing full-time care service needs fulfilled by social assistance institutions are borne by the city, which covers more than half of the expenses connected with care. One third of the cost is covered by the seniors themselves, while the involvement of families in payments does not exceed 5%.Conclusions: A reduction in the number of working age persons, increases in the number of elderly persons, an increasing demand for long-term care facilities, rising average annual costs of maintenance in nursing homes and the very low participation of families in those costs all result in the need to allocate greater amounts of funds in city budgets for providing care for dependent persons aged over 65.

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Autonomy, Personal Empowerment, and Quality of Life in Long-Term Care

Journal of Applied Gerontology ◽

10.1177/073346488800700302 ◽

1988 ◽

Vol 7 (3) ◽

pp. 279-297 ◽

Cited By ~ 30

Author(s):

Phillip G. Clark

Keyword(s):

Quality Of Life ◽

Long Term Care ◽

Personal Autonomy ◽

Care Service ◽

The Elderly ◽

Service Needs ◽

Term Care ◽

Potential Health

The philosophical principle of autonomy provides a conceptual framework within which an understanding of quality of life for the elderly can be developed. This structure provides the basis for designing interventions to enhance the quality of life of older persons by maintaining their autonomy in spite of long-term care service needs. Such programs should encourage proactive strategies to anticipate and plan for potential health crises, promote empowerment of the elderly, expand knowledge, and clarify personal and familial values regarding service options. Examples of the kinds of programs needed to enhance autonomy in community-based and institutional long-term care settings are presented to illustrate how independence can be supported even under conditions of increasing frailty and service needs. These applied approaches to enhancing personal autonomy give explicit recognition to the importance of ethical concepts in developing and implementing long-term care services to improve the elderly's quality of life.

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Factors Influencing Long-Term Care Service Needs among the Elderly Based on the Latest Anderson Model: A Case Study from the Middle and Upper Reaches of the Yangtze River

Healthcare ◽

10.3390/healthcare7040157 ◽

2019 ◽

Vol 7 (4) ◽

pp. 157 ◽

Cited By ~ 7

Author(s):

Liao Zeng ◽

Xiaocang Xu ◽

Chunxun Zhang ◽

Linhong Chen

Keyword(s):

Anderson Model ◽

Yangtze River ◽

Long Term Care ◽

Care Service ◽

The Elderly ◽

Service Needs ◽

The Yangtze River ◽

Enabling Factors ◽

Term Care

The rapid growth of population aging makes providing adequate long-term care (LTC) services for the elderly a serious social dilemma in China. Thus, it is necessary to carry out a theoretical discussion on the LTC service needs of the elderly and find out their influencing factors. With four regions of the middle and upper reaches of the Yangtze River as the sample case, this study aims to explore the factors that affect LTC service needs of the elderly in the frame of the latest Anderson Model, which added psychosocial factors to predisposing characteristics, enabling factors, and need factors in the old version. Some interesting results have been found, for example, self-image evaluation is composed of several factors such as general physical health, attitude towards life, or psychosocial states. Finally, sub-analyses—namely, by age, by gender, and by educational level—were carried out since the choice of different long-term care service patterns is related to different age/gender/education groups.

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