Reconciling for-profit social service provision with a regulatory framework: Korean long-term care

2022 ◽  
Author(s):  
Chang Lyul Jung ◽  
Alan Walker ◽  
Yongpil Moon
Keyword(s):  
Social Services ◽  
Long Term Care ◽  
Regulatory Framework ◽  
Market Model ◽  
Term Care ◽  
For Profit ◽  
The Government ◽  
Profit Maximisation

Korean long-term care was introduced as a national system aimed at a rapid transformation from informal care to universal formal care based on choice and competition. However, it failed to satisfy the prerequisites for such a market model, which resulted in various equity problems. In order to tackle these problems, the government superimposed a regulatory framework on to the market. However, in a situation where providers concentrate on profit maximisation, the enhancement of regulations may partially tackle some problems but new ones are created, such as resistance from providers. This article is a Korean case study which shows that, in a context of low trust, it is difficult to enhance regulations governing the private, for-profit provision of social services to enable the effective operation of choice and competition.

Population ageing in Asia

2017 ◽  
pp. 43-48
Author(s):  
Du Peng ◽  
Cao Ting
Keyword(s):  
Social Services ◽  
Structural Changes ◽  
Long Term Care ◽  
Population Ageing ◽  
First Century ◽  
Term Care ◽  
The World ◽  
The Government

Decline in fertility, mortality, and rapid population migration has contributed to the structural changes of population in Asia. By the mid-twenty-first century, Asia will become the oldest region in the world with more than half (62%) of the world’s older population. While the pace of ageing differs across Asia, all countries/areas will face challenges to sustaining economic growth, while at the same time responding to a rising demand for social welfare and pension, health, and medical care—particularly long-term care and social services. It becomes increasingly recognized that relying on the role of family or the government to provide support for elders is not only unreliable but also costly. Policy and innovative initiatives should be made to emphasize collaboration among individuals, families, communities in enhancing home- and community-based care, creating an enabling environment, as well as supporting older persons’ participation in society.

scholarly journals The price of privilege: helping mom die at home

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 863-863
Author(s):  
Renee Beard
Keyword(s):  
Home Care ◽  
Social Services ◽  
Long Term Care ◽  
Organizational Factors ◽  
Care Organization ◽  
Term Care ◽  
Long Term Care Insurance ◽  
At Home

Abstract Americans overwhelmingly wish to age in place and many explicitly want to die at home. Yet, the anemic welfare state means that only the most fortunate among us are able to achieve that goal. A disproportionate burden of care falls squarely to families, which are smaller and more geographically spread out than ever before. Carers too often wind up in environments that are far from conducive, namely being older and perhaps frail themselves or younger and perhaps with small children of their own. Drawing on an autoethnographic study of my mother’s final years and a case study analysis of one innovative home care agency, this project examines the individual and organizational factors that allow one family to grant their family member’s wish to die at home. Grounded theory methods revealed facilitators including presence of a home-based long term care insurance policy, geographic mobility, and access to a democratically-oriented home care organization. Barriers, of course, include lack of access to long term care insurance and a daughter who lives in a progressive state with a waiver for Home and Community Based Services. While the privilege of access underscores the social determinants of aging, this case study reveals some important features that suggest how senior social services could be. Even for the “ideal type” presented here, the many trials and tribulations of aiding a loved one to die at home relate to the untenable nature of doing it all in a context whereby social services are fragmented and driven by financial incentives.

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

Quality in long-term care homes for people with dementia: an assessment of specialist provision

2006 ◽  
Vol 26 (4) ◽  
pp. 649-668 ◽  
Author(s):  
SIOBHAN REILLY ◽  
MICHELE ABENDSTERN ◽  
JANE HUGHES ◽  
DAVID CHALLIS ◽  
DAN VENABLES ◽  
...  
Keyword(s):  
Social Services ◽  
Research Evidence ◽  
Long Term Care ◽  
Term Care ◽  
North West ◽  
People With Dementia ◽  
National Service Framework ◽  
Specialist Services ◽  
Care Regimes

There has been debate for some years as to whether the best model of care for people with dementia emphasises specialist facilities or integrated service provision. Although the United Kingdom National Service Framework for Older People recommended that local authority social services departments encourage the development of specialist residential care for people with dementia, uncertainty continues as to the benefits of particular care regimes, partly because research evidence is limited. This paper examines a large number of ‘performance measures’ from long-term care facilities in North West England that have residents with dementia. Of the 287 in the survey, 56 per cent described themselves as specialist services for elderly people with mental ill-health problems (known familiarly as ‘EMI homes’). It was envisaged that EMI homes would score higher than non-EMI homes on several measures of service quality for people with dementia that were developed from research evidence and policy documents. The analysis, however, found that EMI homes performed better than non-EMI homes on only a few measures. While both home types achieved good results on some standards, on others both performed poorly. Overall, EMI and non-EMI homes offered a similar service.

Panorama of Aging and Long-Term Care: Summary Ecuador

2021 ◽  
Author(s):  
María Laura Oliveri
Keyword(s):  
Long Term Care ◽  
Term Care

Ecuador case study summary website "Panorama of Aging and Long-term Care".

scholarly journals Is Long-Term Care Person Centred? A Case Study

2021 ◽  
Author(s):  
Katarina Young
Keyword(s):  
Long Term Care ◽  
Direct Care ◽  
Care Providers ◽  
Term Care ◽  
Study Approach ◽  
Key Stakeholders ◽  
Direct Care Providers ◽  
Government Legislation

In Ontario long-term care (LTC) settings, person-centred care (PCC) is promoted by government legislation, accreditation organizations and professional practice guidelines aiming to integrate this approach. However, there is currently no standardized approach to providing PCC in LTC. The purpose of this study was to examine public policies on PCC in Ontario and explore how they are interpreted and translated into practice in LTC. A qualitative case study approach was used to examine the perspectives of key stakeholders at one LTC facility in Ontario. Focus groups were conducted with residents, family members, direct care providers and managers. Through content analysis, findings were organized into four categories showcasing both overlapping and differential understandings of PCC in practice: 1) conceptualization, 2) barriers, 3) facilitators, and 4) evaluation. Identified tensions between policy and the delivery of PCC highlight systemic issues that must be addressed to enable equitable person-centred LTC rooted in resident-identified priorities.

scholarly journals Financing Long-term Care: Lessons From Japan

2019 ◽  
Vol 8 (8) ◽  
pp. 462-466 ◽  
Author(s):  
Naoki Ikegami
Keyword(s):  
Social Services ◽  
Social Insurance ◽  
Ad Hoc ◽  
Long Term Care ◽  
Early Stage ◽  
Functional Decline ◽  
Eligibility Criteria ◽  
Term Care ◽  
Service Levels

Long-term care (LTC) must be carefully delineated when expenditures are compared across countries because how LTC services are defined and delivered differ in each country. LTC’s objectives are to compensate for functional decline and mitigate the care burden of the family. Governments have tended to focus on the poor but Germany opted to make LTC universally available in 1995/1996. The applicant’s level of dependence is assessed by the medical team of the social insurance plan. Japan basically followed this model but, unlike Germany where those eligible may opt for cash benefits, they are limited to services. Benefits are set more generously in Japan because, prior to its implementation in 2000, health insurance had covered long-stays in hospitals and there had been major expansions of social services. These service levels had to be maintained and be made universally available for all those meeting the eligibility criteria. As a result, efforts to contain costs after the implementation of the LTC Insurance have had only marginal effects. This indicates it would be more efficient and equitable to introduce public LTC Insurance at an early stage before benefits have expanded as a result of ad hoc policy decisions.

scholarly journals A cross-sectional survey assessing the preparedness of the long-term care sector to respond to the COVID-19 pandemic in Ontario, Canada

2020 ◽  
Author(s):  
Henry Yu-Hin Siu ◽  
Lorand Kristof ◽  
Dawn Elston ◽  
Abe Hafid ◽  
Fred Mather
Keyword(s):  
Public Health ◽  
Long Term Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Wide Range ◽  
Significant Public Health ◽  
Public Health Officials ◽  
The Government

Abstract Background: The COVID-19 pandemic is a significant public health emergency that impacts all sectors of healthcare. The negative health outcomes for the COVID-19 infection have been most severe in the frail elderly dwelling in Canadian long-term care (LTC) homes.Methods: An online cross-sectional survey of Ontario LTC Clinicians working in LTC homes in Ontario Canada was conducted to provide the LTC clinician perspective on the preparedness and engagement of the LTC sector during the COVID-19 pandemic. The survey questionnaire was developed in collaboration with the Ontario Long-Term Care Clinicians organization (OLTCC) and was distributed between March 30, 2020 to May 25, 2020. All registered members of the OLTCC and Nurse-led LTC Outreach Teams were invited to participate. The primary outcomes were: 1) the descriptive report of the screening measures implemented, communication and information received, and the preparation of the respondent’s LTC home to a potential COVID-19 outbreak; and 2) the level of agreement, as reported using a five-point Likert scale), to COVID-19 preparedness statements for the respondent’s LTC home was also assessed.Results: The overall response rate was 54% (160/294). LTC homes implemented a wide range of important interventions (e.g. instituting established respiratory isolation protocols, active screening of new LTC admissions, increasing education on infection control processes, encouraging sick staff to take time off, etc). Ample communications pertinent to the pandemic were received from provincial LTC organizations, the government and public health officials. However, the feasibility of implementing public health recommendations, as well as the engagement of the LTC sector in pandemic planning were identified as areas of concern. Medical director status was associated with an increased knowledge of local implementation of interventions to mitigate COVID-19, as well as endorsing increased access to reliable COVID-19 information and resources to manage a potential COVID-19 outbreak in their LTC home.Conclusions: This study highlights the communication to and implementation of recommendations in the Ontario LTC sector, despite some concerns regarding feasibility. Importantly, LTC clinician respondents clearly indicated that better engagement with LTC leaders is needed to plan a coordinated pandemic response.

scholarly journals Simulation modelling of patient flow and capacity planning for regional long-term care needs: a case study

2017 ◽  
Vol 8 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Ki-Hwan Bae ◽  
Molly Jones ◽  
Gerald Evans ◽  
Demetra Antimisiaris
Keyword(s):  
Capacity Planning ◽  
Long Term Care ◽  
Patient Flow ◽  
Simulation Modelling ◽  
Care Needs ◽  
Term Care
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