scholarly journals TENAGA KERJA INDONESIA DALAM KONTEKS MASYARAKAT TAIWAN YANG MENUA

2016 ◽  
Vol 7 (2) ◽  
pp. 113
Author(s):  
Rita Pawestri Setyaningsih
Keyword(s):  
Migrant Workers ◽  
Long Term Care ◽  
The Philippines ◽  
Southeast Asian ◽  
High Rate ◽  
Ageing Population ◽  
Literature Study ◽  
Term Care ◽  
Ageing Society

Taiwan’s ageing population has boosted the high rate of demand for caretakers. Many caretakers came from Southeast Asian countries such as the Philippines, Vietnam, Thailand, and Indonesia. Since 2005 Indonesian Workers have dominated the market share of the welfare sector. However in 2015 the Indonesian government launched a zero-maid policy, in order to terminate the sending of unskilled workers. The other goal is to provide better protection for migrant workers abroad. Taiwan becomes one of the targets of this policy. In fact, this policy will certainly create great impact on the supply of labor in the welfare sector in the future. Moreover, Taiwan has launched a national ten-year long-term care. So, how the Taiwanese government respond to this policy? Will the Indonesian workers’ shalt position be replaced by other Southeast Asian workers? This article aims firstly, to understand the position of migrant workers among other foreign workers working in the welfare sector in Taiwan. Secondly, to understand the Taiwan government’s efforts in response to the Indonesian government’s plan. This study uses literature study and interviews. This issue will be analyzed using economic and social approaches. The data used are from the range of 1992 to 2015.Keywords: ageing society, Taiwan, Indonesian workers, employment policyAbstrakPenuaan penduduk Taiwan mendorong tingginya laju permintaan akan tenaga perawat. Selama ini tenaga perawat didatangkan dari negara-negara Asia Tenggara, seperti Filipina, Vietnam, Thailand, dan Indonesia. Sejak 2005 Tenaga Kerja Indonesia (TKI) mendominasi pangsa pasar sektor kesejahteraan sosial. Namun di tahun 2015, Pemerintah Indonesia mencanangkan zero-maid policy, yaitu penghentian pengiriman TKI tidak terampil. Tujuannya tidak lain adalah untuk memberikan perlindungan yang lebih besar bagi TKI di luar negeri. Taiwan menjadi salah satu target dari kebijakan ini. Kebijakan ini tentu akan berdampak pada ketersediaan tenaga kerja pada sektor kesejahteraan sosial di Taiwan di masa depan. Apalagi Taiwan sudah mencanangkan national ten-year long-term care. Lantas, bagaimana respon pemerintah Taiwan terhadap kebijakan ini? akanlah TKI digantikan posisinya oleh TKA lainnya? Artikel ini bertujuan untuk pertama, memahami posisi TKI di antara tenaga kerja asing lainnya yang bekerja di sektor informal di Taiwan. Kedua, memahami upaya pemerintah Taiwan dalam menanggapi rencana pemerintah Indonesia tersebut. Studi ini menggunakan studi literatur dan wawancara. Persoalan ini akan dianalisis dengan menggunakan pendekatan ekonomi dan sosial. Data yang digunakan adalah data sekunder dari tahun 1992 hingga 2015.Kata kunci: ageing society, Taiwan, TKI, kebijakan ketenagakerjaan

scholarly journals Do long-term care services meet the minimal requirements for the elderly?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F A Gomes ◽  
D G Lopes ◽  
I Cunha ◽  
S Duarte ◽  
M B Pereira ◽  
...  
Keyword(s):  
Public Health ◽  
Long Term Care ◽  
Geographical Area ◽  
The Elderly ◽  
Ageing Population ◽  
Term Care ◽  
Ageing Society ◽  
Care Services ◽  
Corrective Measures

Abstract Background As the percentage of elderly people (aged over 65) is expected to rise, from 16.0% of the population in 2010 to 29.3% in 2060 in Europe, a quality long-term care system is of increasing priority for governments. The aim of this study is to analyse long-term care services (LTCS) in the geographical area of the group of primary healthcare centres of Loures-Odivelas. Methods A retrospective, observational, descriptive study comprising data from public health inspections to LTCS between 2015 and 2019. Variables included were the number of residents, nurses, orderly, cooks, kitchen helpers and medical doctors; licensing status, public health inspection results and the presence of air conditioning. Descriptive analysis was performed for all variables. Results Between 2015 and 2019, a total of 200 public health inspections were carried out in 106 LTCS. Only 41 (38.7%) LTCS were licensed. The total number of residents was 2,803, 168 (6.0%) of which were bedridden. Concerning the staff ratio, 79 (74.5%) LTCS fulfilled the ratio of nurse to resident of 1:40 and 67 (63.2%) the ratio of orderly to resident of 1:8. On the first inspection, 11 LTCS (10.4%) complied with the minimal requirements for health care, hygiene, food preparation and facilities conditions. After the implementation of corrective measures proposed by the Public Health Unit, the number of LTCS which had complied for the same criteria was 64 (60.4%). Conclusions Society needs to adapt to a growing ageing population. LCTS, while part of the solution, still have deficiencies. In this sample, the majority were illegal and lacked the appropriate conditions. Public Health interventions can contribute to improving these services. Key messages In an ageing society, long-term care services are essential but the majority lack the appropriate conditions. Public Health intervention is crucial in implementing corrective measures that will result in better conditions for the elderly.

The Impacts of Long-Term Care Insurance on Health Care Utilization and Expenditure: Evidence From China

2022 ◽  
Author(s):  
He Chen ◽  
Jing Ning
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Treatment Effect ◽  
Health Expenditure ◽  
Long Term Care ◽  
Care Utilization ◽  
Ageing Population ◽  
Term Care ◽  
Long Term Care Insurance

Abstract Long-term care insurance (LTCI) is one of the important institutional responses to the growing care needs of the ageing population. Although previous studies have evaluated the impacts of LTCI on health care utilization and expenditure in developed countries, whether such impacts exist in developing countries is unknown. The Chinese government has initiated policy experimentation on LTCI to cope with the growing and unmet need for aged care. Employing a quasi-experiment design, this study aims to examine the policy treatment effect of LTCI on health care utilization and out-of-pocket health expenditure in China. The Propensity Score Matching with Difference-in-difference approach was used to analyse the data obtained from four waves of China Health and Retirement Longitudinal Study (CHARLS). Our findings indicated that, in the aspect of health care utilization, the introduction of LTCI significantly reduced the number of outpatient visits by 0.322 times (p<0.05), the number of hospitalizations by 0.158 times (p<0.01), and the length of inpatient stay during last year by 1.441 days (p<0.01). In the aspect of out-of-pocket health expenditure, we found that LTCI significantly reduced the inpatient out-of-pocket health expenditure during last year by 533.47 yuan (p<0.01), but it did not exhibit an impact on the outpatient out-of-pocket health expenditure during last year. LTCI also had a significantly negative impact on the total out-of-pocket health expenditure by 512.56 yuan. These results are stable in the robustness tests. Considering the evident policy treatment effect of LTCI on health care utilization and out-of-pocket health expenditure, the expansion of LTCI could help reduce the needs for health care services and contain the increases in out-of-pocket health care expenditure in China.

The Economics of Long-Term Care

2013 ◽  
Vol 14 (2) ◽  
pp. 343-375 ◽  
Author(s):  
Luigi Siciliani
Keyword(s):  
Long Term Care ◽  
Private Insurance ◽  
Care Home ◽  
Significant Proportion ◽  
Empirical Work ◽  
The United States ◽  
Ageing Population ◽  
Public Insurance ◽  
Term Care

Abstract Long-term care expenditure is expected to rise, driven by an ageing population. Given that public long-term care expenditure is high in many OECD countries, governments are increasingly concerned about its future growth. This study focuses on three relevant issues. First, we discuss factors that affect the growth of long-term expenditure and its projections. These include demographics, the balance in provision between informal and formal care, whether higher life expectancy translates into higher disability, the interrelation between health and long-term care, and whether long-term care suffers from Baumol’s disease. Second, given that a significant proportion of long-term care expenditure is nursing- and care-home expenditure, we discuss the role of government regulation aimed at ensuring that individuals receive appropriate quality of care in such institutions. We focus in particular on price regulation, competition, and the non-profit sector; these have been the subject of considerable empirical work (mainly in the United States). Third, we discuss the relative merits of public and private insurance. Countries differ greatly in their approach. Some countries have nearly exclusively public insurance but in others this is small. We consider the conditions under which public insurance can overcome the limitations of a private insurance market.

scholarly journals SYSTEMATIC REVIEW OF THE EFFECTS OF NON-VR EXERGAMING ON MOBILITY OUTCOMES OF OLDER ADULTS LIVING IN LONG-TERM CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S473-S474
Author(s):  
Charlene H Chu ◽  
Renee Biss ◽  
Afroza Sultana ◽  
Amelie Gauthier-Beaupré ◽  
Arezoo Talebzadeh
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Meta Analysis ◽  
Berg Balance Scale ◽  
Poor Quality ◽  
Ageing Population ◽  
Timed Up And Go ◽  
Term Care ◽  
Complex Needs

Abstract Introduction: Institutionalized older adults have high-rates of mobility decline resulting in reduced quality of life and increased dependency. Given the ageing population, there has been a proliferation of exergaming technology targeting older adults to maintain their physical activity (PA) levels and prevent decline. However, it is unclear if exergaming is effective to maintain or improve the PA of institutionalized older adults. Method: Four databases (MEDLINE/CINAHL/PsycINFO/Compendex) were systematically searched (key terms like “nursing homes”, exergaming”). Quantitative manuscripts examining the effects of exergaming on PA measures of institutionalized older adults published in English between 2006-present were eligible. Virtual reality was excluded from the search. No meta-analysis was conducted due to hetereogeneity of the results. Results: 11 studies were included from a search that yielded 208 results. The exergaming platforms that were used the most were the Kinect and Wii. The most commonly used PA measures were the Berg Balance Scale and the Timed-up-and-Go (n=4 studies) with no other measures being used in more than one study. Interventions ranged in exercise (e.g. cognitive-motor training, strength training, balance, etc), frequency, duration, and modality. Study designs were also heterogeneous. Articles were of very poor to poor quality. There was minimal reporting on adverse events. Older adults with cognitive impairment were commonly excluded. Challenges in current technology and studying this group are highlighted. Conclusion: Exergaming may be promising to maintain PA but more robust research is needed. More exergaming technology designed for long-term care to meet the specific complex needs of this population is warranted.

scholarly journals The Employment of Migrant Workers in Long-Term Care: Dynamics of Choice and Control – ERRATUM

2011 ◽  
Vol 41 (1) ◽  
pp. 231-231
Author(s):  
Isabel Shutes
Keyword(s):  
Social Policy ◽  
Migrant Workers ◽  
Long Term Care ◽  
Migration Policy ◽  
London School ◽  
Term Care ◽  
University Of Oxford ◽  
London School Of Economics ◽  
And Control

Within the article by Shutes (first published online, 15 September 2011) the Author's affiliation was incorrectly inserted during the production process. The correct affiliation is the ESRC Centre on Migration, Policy and Society, University of Oxford, and the Department of Social Policy, London School of Economics and Political Science. The publisher apologises for any inconvenience this has caused.

scholarly journals Ethnicity at work: the case of British minority workers in the long-term care sector

2014 ◽  
Vol 33 (2) ◽  
pp. 177-192 ◽  
Author(s):  
Shereen Hussein ◽  
Jill Manthorpe ◽  
Mohamed Ismail
Keyword(s):  
Migrant Workers ◽  
Long Term Care ◽  
Social Care ◽  
Local Area ◽  
Care Work ◽  
European Economic Area ◽  
Term Care ◽  
Data Set ◽  
Content Type

Purpose – The aim of this paper is to explore the effect of ethnicity and separate this from the other dynamics associated with migration among members of the long-term care workforce in England focusing on the nature and structure of their jobs. The analysis examines interactions between ethnicity, gender, and age, and their relations with “meso” factors related to job and organizational characteristics and “macro” level factors related to local area characteristics. Design/methodology/approach – The paper analyses new national workforce data, the National Minimum Data Set for Social Care (NMDS-SC), n=357,869. The paper employs descriptive statistical analysis and a set of logistic regression models. Findings – The results indicate that labour participation of British black and minority ethnic (BME) groups in long-term care work is much lower than previously believed. There are variations in nature of work and possibly job security by ethnicity. Research limitations/implications – While the national sample is large, the data were not purposively collected to examine differentials in reasons to work in the care sector by different ethnicity. Practical implications – The analysis highlights the potential to actively promote social care work among British BME groups to meet workforce shortages, especially at a time where immigration policies are restricting the recruitment of non-European Economic Area nationals. Originality/value – The analysis provides a unique insight into the participation of British BME workers in the long-term care sector, separate from that of migrant workers.

The Employment of Migrant Workers in Long-Term Care: Dynamics of Choice and Control

2011 ◽  
Vol 41 (1) ◽  
pp. 43-59 ◽  
Author(s):  
ISABEL SHUTES
Keyword(s):  
Migrant Workers ◽  
Long Term Care ◽  
Welfare States ◽  
Care Providers ◽  
Term Care ◽  
Care Workers ◽  
The Uk ◽  
Home Care Providers ◽  
And Control

AbstractThe employment of migrant workers in long-term care is increasingly evident across western welfare states. This article examines the ways in which immigration controls shape the exercising of choice and control by migrant care workers over their labour. It draws on the findings of in-depth interviews with migrant care workers employed by residential and home care providers and by older people and their families in the UK. It is argued that the differential rights accorded to migrants on the basis of citizenship and immigration status shape, first, entry into particular types of care work, second, powers of ‘exit’ within work, and, third, ‘voice’ regarding the conditions under which care labour is provided.

A two-echelon responsive health analytic model for triggering care plan revision in geriatric care management

2022 ◽  
Vol 34 (4) ◽  
pp. 0-0
Keyword(s):  
Nursing Homes ◽  
Long Term Care ◽  
Healthcare Services ◽  
Care Plan ◽  
The Internet ◽  
Ageing Population ◽  
Analytic Model ◽  
Term Care ◽  
Plan Modification

Due to the increasing ageing population, how can caregivers effectively provide long-term care services to meet the older adults’ needs with finite resources is emerging. In addressing this issue, nursing homes are striving to adopt smart health with the internet of things and artificial intelligence to improve the efficiency and sustainability of healthcare. This study proposed a two-echelon responsive health analytic model (EHAM) to deliver appropriate healthcare services in nursing homes under the Internet of Medical Things environment. A novel care plan revision index is developed using a dual fuzzy logic approach for multidimensional health assessments, followed by care plan modification using case-based reasoning. The findings reveal that EHAM can generate patient-centred long-term care solutions of high quality to maximise the satisfaction of nursing home residents and their families. Ultimately, sustainable healthcare services can be within the communities.

Elimination of Position-Change Alarms in an Alzheimer’s and Dementia Long-Term Care Facility

2011 ◽  
Vol 26 (8) ◽  
pp. 599-605 ◽  
Author(s):  
Katrina Bressler ◽  
Roberta E.Redfern ◽  
Megan Brown
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Care Facility ◽  
High Rate ◽  
False Alarms ◽  
Position Change ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

In a long-term care facility, whose residents have been diagnosed with Alzheimer’s disease or dementia, falls are a particularly prominent issue. Technology in health care has continued to evolve and play a larger role in how we care for our patients, even in preventing falls. However, overreliance on these types of technologies may have detrimental effects. In our facility, it was felt that staff reliance on position-change alarms was inappropriate due to the high rate of false alarms associated with these devices. We took a tiered approach to removing position-change alarms from our facility, monitoring the fall incidence rate for a period before, during, and after the elimination of these alarms. After discontinuing their use, we found a decrease in the rate of falls, and a decrease in the percentage of our residents who fell. Staff has easily adapted and reports a calmer, more pleasant environment.

scholarly journals Long-Term Care Preferences and Sexual Orientation: Protocol for a Systematic Review

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 572
Author(s):  
Elżbieta Buczak-Stec ◽  
Hans-Helmut König ◽  
Lukas Feddern ◽  
André Hajek
Keyword(s):  
Systematic Review ◽  
Sexual Orientation ◽  
Long Term Care ◽  
Bibliographic Databases ◽  
Ageing Population ◽  
Older Individuals ◽  
Inclusion Criteria ◽  
Care Needs ◽  
Term Care

Background: With increasing age, the health status of older individuals commonly deteriorates and their care needs greatly increase. Therefore, many individuals are in need for formal or informal long-term care. In order to plan suitable long-term care settings, it is important to know the long-term care preferences of an ageing population (both heterosexuals and sexual minorities). The aim of this study is to systematically review the literature for evidence on preferences regarding long-term care and the potential differences with regard to sexual orientation. Methods and analysis: This study protocol for a systematic review is reported according to the PRISMA-P guidelines. A comprehensive search of published studies will be conducted using PubMed, Web of Science and PsycINFO bibliographic databases. Following predefined inclusion criteria, two authors will screen the titles and abstracts of the studies independently. Afterwards, we will obtain and screen full-text articles of eligible studies using the predefined inclusion criteria. Discrepancies will be resolved by consensus or consultation with a third researcher. Data will be extracted and synthesised. Extracted data will be categorised based on study design, type of long-term care preferences and the group (sexual orientation) which is addressed. The quality of reporting of the studies included will be assessed.

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