Disposable income before and after care costs for people receiving home care for moderate needs in OECD countries, as a percentage of the relative poverty threshold

2017 ◽  
Keyword(s):  
Home Care ◽  
Oecd Countries ◽  
Disposable Income ◽  
Relative Poverty ◽  
Poverty Threshold ◽  
After Care ◽  
Before And After ◽  
Care Costs

How to Compare the Incomparable: An International Comparison of the Impact of Housing Costs on Levels of Social Assistance

2003 ◽  
Vol 5 (2) ◽  
pp. 128-149 ◽  
Author(s):  
Susan Kuivalainen
Keyword(s):  
Social Assistance ◽  
Disposable Income ◽  
The United Kingdom ◽  
Relative Value ◽  
Housing Costs ◽  
Family Types ◽  
Before And After ◽  
The Impact ◽  
Levels Of Support ◽  
Different Levels

This article analyses the importance of housing costs in cross-national comparisons of social assistance. The article explores the model family technique, the most commonly used method of comparing levels of support, and analyses the impact of housing costs on outcomes. The importance of housing costs is assessed by using different definitions of disposable income, by comparing the level of social assistance without, before and after housing costs. Three different rent levels are specified in order to evaluate the impact of housing costs and seven different family types are considered in the analysis. The countries used for comparison are Denmark, Finland, the Netherlands, Sweden, and the United Kingdom, during the late 1990s. The findings show that housing costs have an impact on outcomes in social assistance: when housing costs are disregarded, the differences between countries are greater. The outcomes vary with different calculations of disposable income: the relative value of assistance between countries and families varies, and the ranking of countries is also altered. Different levels of housing costs have a similar impact, showing changes in the relative position of countries. Overall the findings show that taking housing costs into account makes a difference.

scholarly journals Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysis

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0146
Author(s):  
Chris Sampson ◽  
Eleanor Bell ◽  
Amanda Cole ◽  
Christopher B Miller ◽  
Tracey Marriott ◽  
...  
Keyword(s):  
Primary Care ◽  
Time Series ◽  
Cognitive Behavioural Therapy ◽  
Interrupted Time Series ◽  
Behavioural Therapy ◽  
Interrupted Time Series Analysis ◽  
Cognitive Behavioural ◽  
Before And After ◽  
Quasi Experimental ◽  
Care Costs

BackgroundSleepio is an automated digital programme that delivers cognitive behavioural therapy for insomnia (dCBT-I). Sleepio has been proven effective in improving sleep difficulties. However, evidence for the possible impact of Sleepio use on health care costs in the United Kingdom has not previously been developed.AimWe sought to identify the effect of a population-wide rollout of Sleepio in terms of primary care costs in the National Health Service (NHS) in England.Design & settingThe study was conducted in the Thames Valley region of England, where access to Sleepio was made freely available to all residents between October 2018 and January 2020. The study relies on a quasi-experimental design, using an interrupted time series to compare the trend in primary care costs before and after the rollout of Sleepio.MethodWe use primary care data for people with relevant characteristics from nine general practices in Buckinghamshire. Primary care costs include general practice contacts and prescriptions. Segmented regression analysis was used to estimate primary and secondary outcomes.ResultsFor the 10,704 patients included in our sample, the total saving over the 65-week follow-up period was £71,027. This corresponds to £6.64 per person in our sample or around £70.44 per Sleepio user. Secondary analyses suggest that savings may be driven primarily by reductions in prescribing.ConclusionSleepio rollout reduced primary care costs. National adoption of Sleepio may reduce primary care costs by £20 million in the first year. The expected impact on primary care costs in any particular setting will depend on the uptake of Sleepio.

Home care packages: insights into the experiences of older people leading up to the introduction of consumer directed care in Australia

2017 ◽  
Vol 23 (2) ◽  
pp. 162 ◽  
Author(s):  
Jenny Day ◽  
Ann Clare Thorington Taylor ◽  
Peter Summons ◽  
Pamela Van Der Riet ◽  
Sharyn Hunter ◽  
...  
Keyword(s):  
Home Care ◽  
Older People ◽  
Study Data ◽  
Care Quality ◽  
Two Phase ◽  
Face To Face ◽  
Before And After ◽  
Qualitative Descriptive ◽  
Care Coordinators ◽  
Field Notes

This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-to-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and ‘emotional touchpoints’ relating to home care were used to guide the interview conversation. Line-by-line data analysis, where significant statements were highlighted and clustered to reveal emergent themes, was used. Five older people, aged 81 to 91 years, participated in the study. The four emergent themes were: seeking quality and reciprocity in carer relationships; patchworking services; the waiting game; and technology with utility. Continuity of carers was central to the development of a trusting relationship and perceptions of care quality among older consumers. Care coordinators and workers should play a key role in ensuring older people receive timely information about CDC and their rights and responsibilities. Participants’ use of contemporary technologies suggests opportunities to improve engagement of HCP clients in CDC.

scholarly journals Requirements for promoting the transition of aging patients with cognitive and physical disorders to home care: A new case analysis design

2018 ◽  
Vol 6 (3) ◽  
pp. 79
Author(s):  
Katsutoshi Sasaki ◽  
Chihiro Torigoshi ◽  
Makiko Kondo
Keyword(s):  
Home Care ◽  
Mixed Method ◽  
Care Service ◽  
Cognitive Disorders ◽  
Descriptive Data ◽  
Rate Of Increase ◽  
The Family ◽  
Before And After ◽  
Physical Disorders ◽  
Hospital To Home

Objective: This study clarified requirements for transitioning aging patients with cognitive and physical disorders to home care and developed a new mixed methodology using medical records.Background: Japan has the highest proportion and highest rate of increase of older adults worldwide. Transitioning aging patients from hospital to home care is a key strategy to manage this increase; however, this transition presents challenges.Methods: A mixed method study was conducted, using descriptive data from medical records.Results: Of 41 participants, 61% were amicable settlement cases and 39% were non-amicable. In total, 56.1% went home: 36.6% were amicable and 19.5% were non-amicable. Requirements for transition to home care were [Patient’s mental stability], [Necessary care for the patient within the family’s tolerance level], [Decreasing the family’s burden of care by accessing the public care service], [Preparing the family to bear the heavy burden of caring for multiple family members at home], [Decreasing the risk of worsening condition through patient compliance], and [Setting realistic goals and reconciling them with the family].Conclusions: The transition requirements related to cognitive disorders, gaps in physical functioning before and after hospitalization, and aging society. They were fulfilled through concrete preparation of the family for coping with home care, with the patient’s mental stability as a precondition.Relevance to clinical practice: Fulfillment of these requirements is essential for successful transition to home care for aging persons with multiple disorders. Our original mixed method design promotes a new methodology for qualitative research using descriptive data from medical records.

Nurse and parent perceptions associated with the Parent Education Discharge Instruction Programme in southern India

2015 ◽  
Vol 26 (6) ◽  
pp. 1168-1175 ◽  
Author(s):  
Sandra L. Staveski ◽  
V. P Parveen ◽  
Sai B. Madathil ◽  
Susan Kools ◽  
Linda S. Franck
Keyword(s):  
Home Care ◽  
Hospital Discharge ◽  
Parent Education ◽  
Health And Safety ◽  
Parent Perceptions ◽  
Programme Implementation ◽  
Negative Effects ◽  
Teaching Programme ◽  
Discharge Instruction ◽  
Before And After

AbstractIntroductionParents of children with CHD require home care knowledge in order to ensure their child’s health and safety, but there has been no research on how to achieve this in a resource-constrained environment. The aim of this investigation was to compare parent and nurse perceptions of parent readiness for discharge after a structured nurse-led parent discharge teaching programme in India.Materials and methodsA pre-post design was used to compare parent and nurse perceptions of parental uncertainty and readiness for hospital discharge before and after introduction of the parent education discharge instruction programme in a paediatric cardiac surgery unit.ResultsParents (n=68) and nurses (n=63) participated in this study. After the discharge programme implementation, parents had less uncertainty (M=93.3 SD=10.7 versus M=83.6 SD=4.9, p=0.001) and ambiguity (M=40.8 SD=6.8 versus M=33.4 SD=3.7, p=0.001) about their child’s illness; however, they rated themselves as being less able to cope with the transition to home (M=24.3 SD=4.1 versus 23.1 SD=2.2, p=0.001) and as having less support at home than that required (M=31.5 SD=9.9 versus 30.9 SD=3.2, p=0.001). Parents’ and nurses’ perception of parental readiness for hospital discharge were more closely aligned after implementation of a nurse-led discharge programme (r=0.81, p=0.001).ConclusionThe results of this study suggest that the discharge programme had positive and negative effects on parental perceptions of uncertainty and readiness for discharge. Further examination is warranted to delineate these influences and to design methods for supporting parents during the transition to home care.

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