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 ◽  

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.

2020 ◽  
Vol 19 (3) ◽  
pp. 22-32
Author(s):  
K.A. Samofatova ◽  

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.


2013 ◽  
Vol 9 (4) ◽  
Author(s):  
Nicholas Mays ◽  
John Marney ◽  
Erin King

New Zealand’s health and long-term care system plays an important role in society by improving the length and quality of people’s lives and providing dignity for the sick and infirm. It also accounts for a significant proportion of government spending and a rising share of national income. This article discusses some of the challenges that New Zealand faces in managing expenditure growth and repositioning its health and long-term care system to deal more effectively with changing patterns of disease. 


2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi

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.


1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle

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.


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