Public Funding for Long-Term Care Services for Older People in Residential Care Settings

2005 ◽  
Vol 18 (3-4) ◽  
pp. 51-79 ◽  
Author(s):  
Janet O'keeffe ◽  
Joshua Wiener
Keyword(s):  
Older People ◽  
Residential Care ◽  
Long Term Care ◽  
Public Funding ◽  
Term Care ◽  
Care Services

Disability-based classification system for older people in integrated long-term care services: The Iso-SMAF profiles

2006 ◽  
Vol 42 (2) ◽  
pp. 191-206 ◽  
Author(s):  
Nicole Dubuc ◽  
Réjean Hébert ◽  
Johanne Desrosiers ◽  
Martin Buteau ◽  
Lise Trottier
Keyword(s):  
Older People ◽  
Classification System ◽  
Long Term Care ◽  
Term Care ◽  
Care Services

scholarly journals Should dehydration in older people be a marker of lack of quality in long term care provision?

2014 ◽  
Vol 15 (4) ◽  
pp. 232-236 ◽  
Author(s):  
Lee Hooper ◽  
Diane K Bunn
Keyword(s):  
Older People ◽  
Residential Care ◽  
Design Methodology ◽  
Long Term Care ◽  
Care Provision ◽  
Good Care ◽  
Term Care ◽  
Content Type

Purpose – The purpose of this paper is to consider whether dehydration in older people should be used as a marker of lack of quality in long-term care provision. Design/methodology/approach – The piece examines the assumed relationship between dehydration and the quality of care, and then considers the factors that can lead to dehydration in older people. Findings – Even with the best care, older people, in the absence of a sense of thirst, and for fear of urinary accidents, difficulties getting to the toilet or choking, may choose to drink less than would be ideal for their health. While good care supports older people to minimise these problems, it also respects older people making their own decisions around when, what and how much to drink. It appears that dehydration may sometimes be a sign of good care, as well as arising from poor care. Social implications – Residential care homes should not be stigmatised on the basis of their residents being dehydrated, but rather helped to explore whether they are achieving an appropriate balance between care and quality of life for their residents. Originality/value – This discussion may be of use to those living in, working in, managing or assessing residential care.

scholarly journals Cognitive impairment in older people: future demand for long-term care services and the associated costs

2007 ◽  
Vol 22 (10) ◽  
pp. 1037-1045 ◽  
Author(s):  
Adelina Comas-Herrera ◽  
Raphael Wittenberg ◽  
Linda Pickard ◽  
Martin Knapp
Keyword(s):  
Cognitive Impairment ◽  
Older People ◽  
Long Term Care ◽  
Term Care ◽  
Care Services ◽  
Future Demand

A Comparative Analysis of Costs to Government for Home Care and Long-term Residential Care Services, Standardized for Client Care Needs

2007 ◽  
Vol 26 (S1) ◽  
pp. 149-161 ◽  
Author(s):  
Marcus J. Hollander ◽  
Neena L. Chappell
Keyword(s):  
Home Care ◽  
Residential Care ◽  
Long Term Care ◽  
Lower Cost ◽  
Level Of Care ◽  
Care Needs ◽  
Term Care ◽  
Care Services ◽  
Residential Long Term Care

ABSTRACTThis paper reports on the results of analyses using administrative data from British Columbia for 10 years from fiscal 1987/1988 to 1996/1997, inclusive, to examine the comparative costs to government of long-term home care and residential care services. The analyses used administrative data for hospital care, physician care, drugs, and home care and residential long-term care. Direct comparisons for cost and utilization data were possible, as the same care-level classification system is used in BC for home care and residential care clients. Given significant changes in the type and/or level of care of clients over time, a full-time equivalent client strategy was used to maximize the accuracy of comparisons. The findings suggest that, in general, home care can be a lower-cost alternative to residential care for clients with similar care needs. The difference in costs between home care and residential care services narrows considerably for those who change their type and/or level of care, and home care was found to be more costly than long-term institutional care for home care clients who died. The findings from this study indicate that with the appropriate substitution for residential care services, in a planned and targeted manner, home care services can be a lower-cost alternative to residential long-term care in integrated systems of care delivery that include both sets of services.

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.

scholarly journals THE INDOOR HOME ENVIRONMENT AND SELF-RATED HEALTH AMONG OLDER PEOPLE USING LONG-TERM CARE SERVICES

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 577-577
Author(s):  
R Tsuchiya-Ito ◽  
B Slaug ◽  
T Ishibashi
Keyword(s):  
Older People ◽  
Home Environment ◽  
Long Term Care ◽  
Term Care ◽  
Self Rated Health ◽  
Care Services

Modelling ageing populations to 2030: financing long-term care in England

2018 ◽  
Author(s):  
Michael Murphy ◽  
Ruth Hancock ◽  
Raphael Wittenberg ◽  
Bo Hu ◽  
Marcello Morciano ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Care Needs ◽  
Term Care ◽  
Public And Private ◽  
Care Services ◽  
Private Expenditure ◽  
The Impact ◽  
Care Costs

This chapter presents some findings from the research project ‘Modelling Needs and Resources of Older People to 2030’ (MAP2030). The project developed a set of projection models to estimate future family circumstances, incomes, pensions, savings, disability and care needs of older people in England. These projections included public and private expenditure on pensions, disability benefits and care services under different scenarios for reform of pensions and long-term care funding under a range of alternative population futures. The chapter focuses on the projected future costs and impacts for the different income quintiles of the older population of proposed reforms to the system of funding adult social care, in particular the impact of a cap on individual liability to meet care costs.

scholarly journals Does Long-Term Care Substitute for Hospital Care? Evidence From the China Health and Retirement Longitudinal Survey

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 84-84
Author(s):  
Wei Yang
Keyword(s):  
Older People ◽  
Inpatient Care ◽  
Long Term Care ◽  
Longitudinal Survey ◽  
Substitution Effects ◽  
Term Care ◽  
Care Services ◽  
The Poor ◽  
The Rich

Abstract Publicly funded long-term care (LTC) support is shrinking in many countries despite continuing increases in the number of older people who need care. Evidence has shown that the LTC services have an impact on the efficient use of the resources in the health care sector by reducing rates of admission and associated costs through assisting older people with daily living. This paper seeks to examine whether and to what extent these services are substitutes. We use a fixed-effect instrumental variable GMM model to predict the effect of long-term care services on the utilisation of outpatient and inpatient care services. Data are drawn from China Health and Retirement Longitudinal Survey 2011, 2013 and 2015. Our findings suggest that LTC significantly reduces the use of outpatient care but not inpatient care. We have also found LTC use is concentrated among the rich, but the substitution effects are stronger among the poor compared to the rich. This indicates that the poor would benefit more from subsided LTC services. We urge the Chinese government to take action to develop its formal LTC system and to channel more resources to its LTC system, which will benefit the older population in general, and the poor in particular.

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