Matrix of Stages and Process Tools Within the Organizational and Management Mechanism for Providing Services in the System of Long-Term Care for Older Citizens Based on Public-Private Partnership

2020 ◽  
Vol 19 (3) ◽  
pp. 22-32
Author(s):  
K.A. Samofatova ◽  
Keyword(s):  
Social Services ◽  
Long Term Care ◽  
Public Insurance ◽  
Management Mechanism ◽  
Term Care ◽  
Public And Private ◽  
Medical Infrastructure ◽  
Older Citizens ◽  
Managerial Mechanism

the article describes a matrix of stages and process tools developed on the basis of algorithms of legal, organizational, technical and financial processes, consisting of a set of stages, processes and tools necessary for the implementation of an infrastructure PPP project in the field of social services, the strict implementation of which will lead to the effective functioning of the organizational and managerial mechanism for providing services in the framework of long-term care for elderly citizens on the basis of publicprivate partnership (PPP), reflecting the interaction between public and private parties within the framework of a concession agreement for the object of social or medical infrastructure with the participation of public, insurance and credit institutions.

scholarly journals Algorithm of the Functioning of the System of Long-Term Care for Elderly Citizens in the Framework of Public-Private Partnership

2020 ◽  
Vol 19 (4) ◽  
pp. 50-58
Author(s):  
K.A. Samofatova ◽  
Keyword(s):  
Social Services ◽  
Long Term Care ◽  
Quality Of Services ◽  
Term Care ◽  
Private Partnership ◽  
Control Procedures ◽  
Older Citizens ◽  
Care System

the author has compiled and adapted, taking into account the existing Russian and foreign experience, an algorithm for the functioning of the system of long-term care for older citizens by including control procedures at each stage of its implementation (identification of elderly citizens who need constant care, typing, routing, provision of medical and social services). Based on the elements of the long-term care system identified by the author and the types of support for the implementation of the long-term care system, this algorithm will allow implementing a comprehensive step-by-step system of state and public control over the quality of services provided, as well as organizing interdepartmental interaction and synchronization of the activities of organizations involved in the process of providing care.

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.

Interprovincial Comparisons of Public and Private Sector Long-Term Care Facilities for the Elderly in Canada

1994 ◽  
Vol 20 (3) ◽  
pp. 278 ◽  
Author(s):  
Janet Greb ◽  
Larry W. Chambers ◽  
Amiram Gafni ◽  
Ron Goeree ◽  
Roberta Labelle
Keyword(s):  
Private Sector ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Public And Private ◽  
Care Facilities ◽  
Public And Private Sector

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 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 Time to return to work following workplace violence among direct healthcare and social workers

2020 ◽  
Vol 77 (3) ◽  
pp. 160-167
Author(s):  
Kelvin Choi ◽  
Esther T Maas ◽  
Mieke Koehoorn ◽  
Christopher B McLeod
Keyword(s):  
Social Work ◽  
Return To Work ◽  
Social Workers ◽  
Social Services ◽  
Workplace Violence ◽  
Long Term Care ◽  
Cox Regression ◽  
Term Care ◽  
Psychological Injuries

ObjectivesThis study examined time to return-to-work (RTW) among direct healthcare and social workers with violence-related incidents compared with these workers with non-violence-related incidents in British Columbia, Canada.MethodsAccepted workers’ compensation lost-time claims were extracted between 2010 and 2014. Workers with violence-related incidents and with non-violence-related incidents were matched using coarsened exact matching (n=5762). The outcome was days until RTW within 1 year after the first day of time loss, estimated with Cox regression using piecewise models, stratified by injury type, occupation, care setting and shift type.ResultsWorkers with violence-related incidents, compared with workers with non-violence-related incidents, were more likely to RTW within 30 days postinjury, less likely within 61–180 days, and were no different after 181 days. Workers with psychological injuries resulting from a violence-related incident had a lower likelihood to RTW during the year postinjury (HR 0.61, 95% CI 0.43 to 0.86). Workers with violence-related incidents in counselling and social work occupations were less likely to RTW within 90 days postinjury (HR 31–60 days: 0.67, 95% CI 0.48 to 0.95 and HR 61–90 days: 0.46, 95% CI 0.30 to 0.69). Workers with violence-related incidents in long-term care and residential social services were less likely to RTW within 91–180 days postinjury.ConclusionsWorkers with psychological injuries, and those in counselling and social work occupations and in long-term care and residential social services, took longer to RTW following a violence-related incident than workers with non-violence-related incidents. Future research should focus on identifying risk factors to reduce the burden of violence and facilitate RTW.

scholarly journals Demand-side strategies to deal with moral hazard in public insurance for long-term care

2015 ◽  
Vol 20 (3) ◽  
pp. 170-176 ◽  
Author(s):  
Pieter Bakx ◽  
Dov Chernichovsky ◽  
Francesco Paolucci ◽  
Erik Schokkaert ◽  
Maria Trottmann ◽  
...  
Keyword(s):  
Moral Hazard ◽  
Long Term Care ◽  
Demand Side ◽  
Public Insurance ◽  
Term Care

scholarly journals Institutionalization of long-term care for the elderly: the experience of St. Petersburg

2021 ◽  
Vol 7 (2) ◽  
pp. 194
Author(s):  
Galina V. Kolosova
Keyword(s):  
Social Services ◽  
Long Term Care ◽  
Institutional Development ◽  
The Elderly ◽  
Term Care ◽  
Care For The Elderly ◽  
The Social ◽  
The Family ◽  
Mechanisms Of Formation

The increase in life expectancy and the growth of the elderly population in the Russian Federation, including in St. Petersburg, dictates the need for changes in the areas of social services and health care. This is not surprising, aging today has become a global process that has different mechanisms of formation and differs by country and territory. But the sociological theoretical study of the topic of aging is still insufficient. European states rely on demographic trends, which determine a new approach to assessing the available resources, prospects for the development and improvement of social service systems in the direction of long-term care for the elderly. It is important, while maintaining continuity in the work of the social services established in the 1990s, to actively include the family, NGOs and volunteerism in the development of these institutions. The purpose of this article is to analyze the achievements and barriers to the institutional development of long - term care for the elderly in St. Petersburg. Methodically, the article is based on the analysis of legal acts regulating the development of long-term care, mainly in St. Petersburg. For the care system to take shape, it requires the participation of families, NGOs and volunteer resources, as well as the study of the best Russian and international experience.

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