Developing Public‒Cooperative Partnerships

2019 ◽  
pp. 229-244
Author(s):  
Pat Conaty
Keyword(s):  
The Elderly ◽  
Northern Italy ◽  
Service Users ◽  
Land Trusts ◽  
Social Contracts ◽  
Care For The Elderly ◽  
Marginalised Groups ◽  
The Us ◽  
The Disabled ◽  
Multi Stakeholder

Public-cooperative partnerships – cooperative organisations acting in collaboration with government bodies to involve communities and meet their needs – offer many opportunities to strengthen state-citizen cooperation. This chapter reflects on lessons from past examples of associative democracy and reviews the evidence from new innovations from different countries. In Northern Italy, multi-stakeholder co-operatives provide social care for the elderly, the disabled and marginalised groups, with workers, volunteers, and service users all given a real say. New social contracts in support of public-cooperative partnerships have been drawn up and backed with local authority by-laws in cities such as Ghent and Bologna. In the US, community land trusts have flourished in Vermont and other parts of the country. In Wales, politicians and communities have jointly developed new forms of democratic housing. These diverse examples demonstrate how public-cooperative partnerships can be more widely developed to expand the scope and depth of state-citizen cooperation.

scholarly journals The Program of All-Inclusive Care for the Elderly (PACE): The Innovative and Economically Viable Model of American Geriatric Care

2017 ◽  
Vol 16 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Urszula Polska
Keyword(s):  
Medical Care ◽  
Institutional Care ◽  
The Elderly ◽  
Fast Response ◽  
Geriatric Care ◽  
Economic Consequences ◽  
Loved One ◽  
Care For The Elderly ◽  
The Us ◽  
Healthcare Model

AbstractThe aim of this paper is to present a modern model of non-institutional geriatric care which operates in the US, called the Program of All-Inclusive Care for the Elderly (PACE). The economic consequences of an aging population with multiple chronic diseases are creating new solutions in the delivery of medical care. The author of the following article, based on review of PACE literature and her own experience, will focus on the history of the program, its nature, the social and economic advantages, and its efficacy in practice. In addition, the difficulties and limitations of PACE are analyzed, taking into account solutions for increased availability and popularization of the program on an international scale.Author currently works as an ANP at Mercy LIFE (Living Independently For Elders) of Alabama, a PACE organization, delivering primary care. She has identified a need for a model similar to PACE in the context of her own home country of Poland, where cultural and societal norms value caring for a loved one in his or her own household rather than institutional care.The author concludes that the PACE model would be indispensable as a geriatric healthcare model for countries outside the US experiencing a rapid growth in elderly patients resulting from demographic shifts common in the 21st century. Fast response is needed in creation of a similar program to PACE to prevent future economical consequences affecting medical care for the elderly.

scholarly journals Strategies to Support Groups at Risk of Victimization

2021 ◽  
Vol 8 (2) ◽  
pp. 411
Author(s):  
Abolghasem Khodadi
Keyword(s):  
At Risk ◽  
Social Workers ◽  
Support Groups ◽  
Social Worker ◽  
Risk Groups ◽  
The Elderly ◽  
Care For The Elderly ◽  
Vulnerable People ◽  
The Disabled ◽  
Emotional Dependence

At-risk groups are the elderly, the disabled, and women. Some of the reasons for the victimization of at-risk groups are due to their own characteristics. These include financial and emotional dependence, physical, mental and psychological weakness, inability to control and manage property and assets. Other causes of vulnerability and harassment are related to their relatives, social workers and nurses, such as costly care for the elderly and disabled, the inability of their relatives and social worker to care them. This article seeks to provide support for groups at risk of victimization. This article tries to provide health, financial and insurance services to improve the unfavorable situation of these people. With these strategies, the risk of victimization of vulnerable people is reduced.

scholarly journals Suicide among the elderly: The long-term impact of a telephone support and assessment intervention in northern Italy

2002 ◽  
Vol 181 (3) ◽  
pp. 226-229 ◽  
Author(s):  
Diego De Leo ◽  
Marirosa Dello Buono ◽  
Jonathan Dwyer
Keyword(s):  
Population Group ◽  
The Elderly ◽  
Northern Italy ◽  
Service Users ◽  
Long Term Effects ◽  
Apparent Lack ◽  
Increased Risk ◽  
Mortality Ratio ◽  
Long Term Impact

BackgroundPrevious short-term work reported fewer suicides among elderly users of a telephone helpline and emergency response service (the Tele Help–Tele Check Service).AimsTo examine long-term effects of the service on suicide in an elderly population of northern Italy.MethodThe service provided twice-weekly support and needs assessment telephone calls and a 24 h emergency alarm service. Data from 1988 to 1998 allowed comparison of 18 641 service users with a comparable general population group of the Veneto region in Italy.ResultsSignificantly fewer suicide deaths (nOBSERVED=6) occurred among elderly service users (standardised mortality ratio (SMR) 28.8%) than expected (nEXPECTED=20.86; χ2=10.58, d.f.=1, P < 0.001) despite an assumed overrepresentation of persons at increased risk. The service performed well for elderly females (nOBSERVED=2, SMR=16.6%, nEXPECTED=12.03; χ2=8.36, d.f.=1, P < 0.001).ConclusionsThe study confirms the initial promise of the Tele Help–Tele Check service over a much longer time period. Further research will clarify the apparent lack of benefit for elderly males.

scholarly journals The political economy of rationing health care in England and the US: the ‘accidental logics’ of political settlements

2014 ◽  
Vol 9 (3) ◽  
pp. 273-294 ◽  
Author(s):  
Gwyn Bevan ◽  
Lawrence D. Brown
Keyword(s):  
United States ◽  
Health Care ◽  
Chronic Care ◽  
The Elderly ◽  
The United States ◽  
The Political ◽  
Social Contracts ◽  
The Us ◽  
English National Health ◽  
English National Health Service

AbstractThis article considers how the ‘accidental logics’ of political settlements for the English National Health Service (NHS) and the Medicare and Medicaid programmes in the United States have resulted in different institutional arrangements and different implicit social contracts for rationing, which we define to be the denial of health care that is beneficial but is deemed to be too costly. This article argues that rationing is designed into the English NHS and designed out of US Medicare; and compares rationing for the elderly in the United States and in England for acute care, care at the end of life, and chronic care.

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