Bedarfsgerechtigkeit ambulanter Pflege: Stärkung der subjektiven Perspektive durch Reformmaßnahmen der sozialen Pflegeversicherung?

2017 ◽  
Vol 63 (4) ◽  
pp. 517-547 ◽  
Author(s):  
Christine Niens ◽  
Cornelius Hille ◽  
Stefan Schüler ◽  
Friederike Hoffmeister ◽  
Rainer Marggraf
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Welfare Economics ◽  
Perceived Quality ◽  
Law Reform ◽  
Term Care ◽  
Social Law ◽  
The Individual

AbstractThis paper examines the impacts of a German Social Law reform on the perceived quality of long-term home care. Taking a welfare economics perspective, an improved legal performance in addressing the personal needs of people depending on long-term care was found. Finally, recommendations to better adjust home care to the individual needs are given.

Assuring the Quality of In-Home Care: The "Other" Challenge for Long-Term Care

1990 ◽  
Vol 30 (4) ◽  
pp. 444-450 ◽  
Author(s):  
R. Applebaum ◽  
P. Phillips
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
The Other ◽  
Term Care

scholarly journals Medicaid Reimbursement and the Quality of Nursing Home Care: A Case Study of Medi-Cal Long-Term Care Reimbursement Act of 2004 in California

2016 ◽  
Vol 8 (3) ◽  
pp. 329-343
Author(s):  
Jingping Xing ◽  
Dana B. Mukamel ◽  
Laurent G. Glance ◽  
Ning Zhang ◽  
Helena Temkin-Greener
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Medicaid Reimbursement ◽  
Quality Of Nursing

A Comparison between the Veteran Administration's Long-Term Nursing Home Care Program and Three Examples of Similar Care Outside of the V.A.

1981 ◽  
Vol 13 (1) ◽  
pp. 61-69 ◽  
Author(s):  
William M. Epstein
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Nursing Care ◽  
Long Term Care ◽  
Care Program ◽  
Nursing Home Care ◽  
National Academy Of Sciences ◽  
Term Care

In a study mandated by Congress, the National Academy of Sciences reviewed the quality of medical care in the Veteran's Administrations health care system. The study reported here summarizes the findings of the long-term care portion of the NAS' work as it relates to nursing home care. The quality of the long-term care in the VA's nursing home care units was compared to three quality standards of long-term nursing care outside of the VA. Staffing pattern, quality of services, quality of the environment, and patient needs were measured and compared; overall assessments of nursing home quality were made by site visitors. Generally, the results show VA care to be superior to the care provided in the benchmark institutions, suggesting perhaps that the public sector's direct provision of long-term nursing care may be an acceptable alternative to the support of private sector care.

scholarly journals Hearing and Cognitive Impairments Increase the Risk of Long-term Care Admissions

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Nicole Williams ◽  
Natalie A Phillips ◽  
Walter Wittich ◽  
Jennifer L Campos ◽  
Paul Mick ◽  
...  
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Proportional Hazards ◽  
Cox Proportional Hazards ◽  
Assessment Instrument ◽  
Term Care ◽  
Data Set ◽  
Individual Level ◽  
The Individual

Abstract Background and Objectives The objective of the study was to understand how sensory impairments, alone or in combination with cognitive impairment (CI), relate to long-term care (LTC) admissions. Research Design and Methods This retrospective cohort study used existing information from two interRAI assessments; the Resident Assessment Instrument for Home Care (RAI-HC) and the Minimum Data Set 2.0 (MDS 2.0), which were linked at the individual level for 371,696 unique individuals aged 65+ years. The exposure variables of interest included hearing impairment (HI), vision impairment (VI) and dual sensory impairment (DSI) ascertained at participants’ most recent RAI-HC assessment. The main outcome was admission to LTC. Survival analysis, using Cox proportional hazards regression models and Kaplan–Meier curves, was used to identify risk factors associated with LTC admissions. Observations were censored if they remained in home care, died or were discharged somewhere other than to LTC. Results In this sample, 12.7% of clients were admitted to LTC, with a mean time to admission of 49.6 months (SE = 0.20). The main risk factor for LTC admission was a diagnosis of Alzheimer’s dementia (HR = 1.87; CI: 1.83, 1.90). A significant interaction between HI and CI was found, whereby individuals with HI but no CI had a slightly faster time to admission (40.5 months; HR = 1.14) versus clients with both HI and CI (44.9 months; HR = 2.11). Discussion and Implications Although CI increases the risk of LTC admission, HI is also important, making it is imperative to continue to screen for sensory issues among older home care clients.

scholarly journals Perceived quality of life and frailty among older people living in different settings

2020 ◽  
Vol 14 (4) ◽  
pp. 244-251
Author(s):  
Vanessa Clivelaro Bertassi Panes ◽  
Magali de Lourdes Caldana ◽  
Maria José Sanches Marin ◽  
Patricia Ribeiro Mattar Damiance ◽  
Patrick Alexander Wachholz
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Long Term Care ◽  
Perceived Quality ◽  
World Health ◽  
Term Care ◽  
Perceived Quality Of Life ◽  
Care Facilities

OBJECTIVE: To analyze the perceived quality of life of older people living in the community and long-term care facilities, and correlate it with the presence of frailty. METHODS: This is a quantitative, analytical, cross-sectional study in which 136 older people were interviewed, half were living in the community and the other half were living in long-term care facilities. The Edmonton Frail Scale was used to identify frailty, and the World Health Organization Quality of Life – Bref (WHOQOL-BREF) and World Health Organization Quality of Life Assessment for Older Persons (WHOQOL-OLD) questionnaires were used to measure quality of life. Analysis of variance and Pearson correlation coefficients were used for intragroup analyses. RESULTS: A greater proportion of older people living in long-term care facilities were frail. Perceived quality of life was better among people living in the community, according to both questionnaires, particularly in the domains social relations, environment, and death and dying. The worst scores were observed in the autonomy domain, particularly among older people living in long-term care facilities. In the majority of domains, older people with frailty had worse perceived quality of life scores. CONCLUSIONS: The absence of frailty favors a better perception of the quality-of-life domains, as does living in the community.

Quality of in-home care, long-term care placement, and the survival of persons with dementia

2015 ◽  
Vol 19 (12) ◽  
pp. 1093-1102 ◽  
Author(s):  
McKee J. McClendon ◽  
Kathleen A. Smyth
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Term Care

scholarly journals Evaluation of Reablement Home Care: Effects on Care Attendants, Care Recipients, and Family Caregivers

2020 ◽  
Vol 17 (23) ◽  
pp. 8784
Author(s):  
Yu-Hsien Chiang ◽  
Hui-Chuan Hsu ◽  
Chiung-Ling Chen ◽  
Chen-Fen Chen ◽  
Shu-Nu Chang-Lee ◽  
...  
Keyword(s):  
Home Care ◽  
Family Caregivers ◽  
Long Term Care ◽  
The Self ◽  
Care Model ◽  
Term Care ◽  
Care Recipients ◽  
Self Reliance

Background: The traditional home care model entails caring “for” people with disabilities, not “with” them. Reablement care has been applied to long-term care, but the evidence for care attendants, home care recipients, and family caregivers simultaneously is limited. Methods: First, a survey was conducted to explore the needs of home care recipients and family caregivers to achieve independence at home to develop the reablement home care model for home care. Then, an intervention with two groups was implemented. The experimental group included a total of 86 people who participated in the reablement home care model. The control group included 100 people and received usual home care. The self-reliance concept, job satisfaction, and sense of achievement for care attendants; quality of life for home care users; and caregiving burden for family caregivers were assessed. Results: The reablement home care model improved the job satisfaction and achievement of home care attendants, improved mutual support and independence in the self-reliance concept and quality of life among the users, and reduced the stress of the users and family caregivers. Conclusion: The reablement home care model improved the outcomes for providers, care recipients, and family caregivers. Reablement home care is suggested in long-term care policies.

Communication Disordered: Program Implementation in Long-Term Care

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi
Keyword(s):  
Program Implementation ◽  
Long Term Care ◽  
Family Satisfaction ◽  
Regulatory Compliance ◽  
Care Staff ◽  
Term Care ◽  
Staff Members ◽  
Change Policy

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.

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