Construction of Essential Care Service Package for People Living with Dementia in Smoke-free Environment under Disease Pandemic in China

2021 ◽  
Vol 7 (4) ◽  
pp. 308-325
Author(s):  
Tongda Sun ◽  
Hongdao Meng ◽  
Mingze Zhu ◽  
Xiaoxin Dong ◽  
Naidan Tu ◽  
...  
Keyword(s):  
Large Scale ◽  
Care Service ◽  
Cluster Sampling ◽  
Service Needs ◽  
Public Attention ◽  
Term Care ◽  
Service Package ◽  
Care Services ◽  
Free Environment ◽  
Different Levels

Objectives: In recent years, the harm of smoking has attracted more and more public attention. Creating a healthy smoke-free environment has been widely favored and supported by the public. Smokeless environment has a certain positive effect on the rehabilitation of dementia patients. Sustained smoking cessation is associated with significantly decreased the future prevalence of dementia. Therefore, hospitals often establish a special organizational structure and management model for tobacco control, and carry out training and assessment for all staff. The nursing group also took it as the basic nursing standard. The 2019 disease pandemic has posed unique health threats to people living with dementia (PLWD). Therefore, a strict smoke-free environment is more necessary for the nursing group. One of the key challenges is scaling up long-term care services to meet the needs of the rapidly growing population of PLWD in developing countries. The aim of the study is to explore the care service needs, utilization and build an essential care service package (ECSP) for PLWD under the disease pandemic in China. Methods: From July 2018 to October 2019, a total of 1255 elderly with dementia in six cities in China by a cluster sampling were investigated with the self-designed questionnaire. Care service needs and utilization for PLWD with different levels of cognitive impairment were summarized. Results: The ECSP for PLWD was composed of 30 service items (7 for core care) in order to guarantee that all PLWD enjoy equal care services, basing on public financing and implementing strategies and taking China's situations into account. The selection plan for ECSP at different levels is designed as 'General Care Services + Selective Care Services ', in which respective service items for low, mid, and high-level care for PLWD are 7+3, 7+6, and 7+10, and requires 151.41 hours, 201.88 hours, and 252.35 hours per month, respectively. Conclusion: The present study provides the first large-scale data on care service needs and utilization for PLWD in mainland China. The ECSP for PLWD based on the needs advanced in the paper was a practicable and effective quantitative management means that deserves a large-scale application. Some safeguard mechanisms and operational implementing pathways of ECSP for PLWD during and after the disease pandemic in China are proposed.

scholarly journals Development of a Needs-Based Essential Care Service Package for Institutional Dementia Care in China

2021 ◽  
Author(s):  
Tongda Sun ◽  
Hongdao Meng ◽  
Mingze Zhu ◽  
Xiaoxin Dong ◽  
Naidan Tu ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Large Scale ◽  
Care Service ◽  
Mainland China ◽  
Service Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Service Package ◽  
Care Services ◽  
High Level

Alzheimer’s disease and related dementias (ADRD) remain a public health challenge in developing counties. We developed a needs-based essential care service package (ECSP) for care planning of persons living with dementia (PLWD) using a cross-sectional survey among PLWD in institutions in six cities in China (n= 1,299). Face-to-face interviews were conducted with caregivers of PLWD by trained staff between 2018 and 2019. Care service needs and utilization by the level of cognitive impairment were summarized. The average age of PLWD was 80.7 years. 76% of participants had severe cognitive impairment. The needs-based ECSP with 30 service items would be sufficient in supporting care services of PLWD in China, of which seven items are core care. The selection plan for ECSP at different levels is designed as “General Care Services + Selective Care Services”, in which service items for low-, mid-and high-level care for PLWD are 7+3, 7+6, and 7+10, respectively. The findings provide the first large-scale data on service needs and utilization of PLWD in mainland China. The ECSP for PLWD advanced in the paper was a practicable and effective quantitative management means. It is deserved to application in a large scale.

Facilitators and Barriers to Accepting Long Term Care at Home: An Analysis of Licensed Home Care Service Agency Websites

2021 ◽  
pp. 108482232199477
Author(s):  
Tracy Chippendale ◽  
Patricia Gentile
Keyword(s):  
Home Care ◽  
Care Service ◽  
Home Care Services ◽  
Home Care Service ◽  
Service Agency ◽  
Term Care ◽  
Age In Place ◽  
Care Services ◽  
Facilitators And Barriers ◽  
Website Content

Most people prefer to age in place. However, there is a growing body of literature to suggest a reluctance to accept supportive services in the home due to concerns about trust, privacy, cost, and fear of being a burden. The purpose of this study was to examine potential facilitators and barriers to accepting home care services in the website content of Licensed Home Care Service Agencies (LHSCA). In this linguistic analysis study, the written content from 88 randomly selected LHCSA websites was examined. We used LIWC2015 and Microsoft® Word software to analyze websites for relevant word categories that reflect older adult identified facilitators and barriers to the acceptance of home care services. Results revealed that the summary score for clout (i.e., confidence and leadership reflected in the writing) was high. Some of the most commonly used word categories were positive emotions, present focused, and affiliation. The word category money was included, but to a lesser degree. However, Burden and related words were highly prevalent in the writing sample. In summary, LHCSA website content contains both facilitators and barriers to the acceptance of home care services. Given the importance of home care services in promoting the ability of older adults to age in place, greater attention may be needed regarding the way services are presented and advertised to consumers.

scholarly journals Problem ponoszenia kosztów związanych ze starzeniem się społeczeństwa – analiza na przykładzie domów pomocy społecznej w gminie miejskiej Szczecin

2018 ◽  
Vol 64 (4) ◽  
Author(s):  
Marta Giezek ◽  
Rafał Iwański ◽  
Marta Kożybska ◽  
Paulina Zabielska ◽  
Monika Paszkiewicz ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Long Term Care ◽  
Care Service ◽  
Social Assistance ◽  
Service Needs ◽  
Elderly Persons ◽  
Full Time ◽  
Term Care ◽  
Dependent Elderly

ABSTRACTIntroduction: Selected aspects of securing the needs of dependent elderly persons by the social assistance sector from the perspective of law, society and economics, are presented in the article.The purpose of the article is to evaluate the sources of funding full-time long-term care services for the benefit of dependent elderly persons in Szczecin.Materials and methods: The analysis was based on statistical and financial data concerning the costs of maintenance in nursing homes in Szczecin provided for the benefit of dependent persons aged over 65.Results: Currently, the main costs of securing full-time care service needs fulfilled by social assistance institutions are borne by the city, which covers more than half of the expenses connected with care. One third of the cost is covered by the seniors themselves, while the involvement of families in payments does not exceed 5%.Conclusions: A reduction in the number of working age persons, increases in the number of elderly persons, an increasing demand for long-term care facilities, rising average annual costs of maintenance in nursing homes and the very low participation of families in those costs all result in the need to allocate greater amounts of funds in city budgets for providing care for dependent persons aged over 65.

Financial Affordability, Health Insurance, and Use of Health Care Services by the Elderly: Findings From the China Health and Retirement Longitudinal Study

2019 ◽  
Vol 31 (6) ◽  
pp. 510-521 ◽  
Author(s):  
Jiaojiao Ren ◽  
Ding Ding ◽  
Qunhong Wu ◽  
Chaojie Liu ◽  
Yanhua Hao ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Longitudinal Study ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
The Elderly ◽  
Cluster Sampling ◽  
Service Usage ◽  
Care Services

The rapidly growing aging population has attracted global attention. This study explores the associations between 3 basic health insurances, and it identifies factors associated with health care services among the elderly populations. This study is based on multistage stratified cluster sampling method from the 2013 China Health and Retirement Longitudinal Study (CHARLS) resulting in 7589 participants. Medical Insurance for Urban Employees (MIUE) members were more likely to use inpatient health care services. Health insurance programs were associated with inpatient services usage but not outpatient services usage. There are significant disparities in medical costs and health care service usage among the 3 insurance programs. Health insurance program is only associated with inpatient care. These findings may provide some suggestions to support improvements to the Chinese health care system.

Quality Improvement in Community-Based, Long-Term Care: Theory and Reality

1994 ◽  
Vol 20 (1-2) ◽  
pp. 59-77
Author(s):  
Eleanor D. Kinney ◽  
Jay A. Freedman ◽  
Cynthia A. Loveland Cook
Keyword(s):  
Daily Living ◽  
Long Term Care ◽  
Care Service ◽  
The Elderly ◽  
Community Based ◽  
Term Care ◽  
Care Theory ◽  
Care Services ◽  
Community Based Services

Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients.An ever increasing proportion of the population is in need of community-based, long-term care services. Between nine and eleven million Americans of all ages are chronically disabled and require some help with tasks of daily living. In 1990, thirty percent of the elderly with at least one impaired activity of daily living used a community-based, long-term care service. Not surprisingly, expenditures for community-based, long-term care have increased.

scholarly journals Development and Dissemination of Nursing Robots and Support Systems for Welfare Sites

2021 ◽  
Vol 33 (4) ◽  
pp. 713-718
Author(s):  
Yuji Higashi ◽  
Keyword(s):  
Human Resources ◽  
Nursing Care ◽  
Human Services ◽  
Large Scale ◽  
Service Providers ◽  
Care Service ◽  
The Elderly ◽  
Evidence Based ◽  
Care Services ◽  
Care Robots

The Japanese population is rapidly aging, with fewer proportion of children, and its production-age population has decreased correspondingly, with a resulting shortage in nursing-care service providers. To cope with this situation, the Japanese government has focused on developing and deploying nursing-care robots to compensate for the shortage of human resources. As most nursing-care services are intended for the elderly and disabled, they are traditionally considered as human services. To implement nursing-care robots on a large scale, numerous approaches and measures have been considered, such as modeling the approaches to effectively use nursing-care robots in nursing-care fields, rewarding highly useful nursing-care robots with greater nursing-care compensations, and responding to consultations at nursing-care sites by building a platform to develop, demonstrate, and deploy nursing-care robots. However, nursing-care services using robots are still not popular because of prevailing anxieties about and resistance to such technologies; therefore, the promotion of nursing-care services using robot technologies remains a challenge. Presently, a system capable of supporting not only a single nursing-care scenario but also a series of nursing-care operations is highly desired. In the future, nursing-care services have to be made more rewarding using robots, for which it is vitally important to provide support in the form of evidence-based, scientific, and effective nursing-care services.

The (im)mobility of masculinities: discourses on hiring men in long-term care services in Catalonia

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Mireia Roca Escoda ◽  
Yolanda Bodoque Puerta
Keyword(s):  
Long Term Care ◽  
Care Service ◽  
Alternative Conceptions ◽  
Direct Care ◽  
Gender Inequalities ◽  
Job Seekers ◽  
Term Care ◽  
Care Services ◽  
The Moment

The presence of male job seekers in the long-term care sector poses new challenges for organizations operating in this environment. We take a qualitative approach to analyze the discourses and practices applied by managers of long-term care services in relation to hiring men in their organizations. In this analysis we explore how masculinities are mobilized and whether the growing male presence has brought about changes in hiring requirements in terms of gender. The growing number of professionally trained male carers who are willing to work in direct care settings does not, at the moment, seem to be a factor that alters or challenges organizational hiring requirements. We introduce the concept of (im)mobilization of masculinities to illustrate how, although care service organizations’ recruitment practices do mobilize idealized and alternative conceptions of masculinity, hiring men is not their priority. These practices help to reproduce gender inequalities in the long-term care sector.

Transition of Severely Disabled Children From Hospital or Chronic Care Facilities to the Community

PEDIATRICS ◽  
1986 ◽  
Vol 78 (3) ◽  
pp. 531-534
Author(s):  
Keyword(s):  
Long Term Care ◽  
Transitional Care ◽  
Institutional Care ◽  
Congenital Defects ◽  
Service Needs ◽  
Term Care ◽  
Number Of Children ◽  
Care Services ◽  
Low Incidence

There has been an increase in the number of children with significant chronic illness requiring long-term care, as well as those with significant limitations of activities.1-4 This increase is, in large part, the result of improvements in medical care and technologic advances. Among the groups of children with chronic conditions requiring long-term care are children with developmental disabilities and major congenital defects; survivors of major trauma with residual severe neurologic, neuromuscular, or orthopedic abnormalities; and children with low incidence and extremely costly chronic disorders ranging from those who are dependent on ventilators or have renal failure to children who may be hospitalized less frequently, such as those with cystic fibrosis or hemophilia. These conditions tend to be costly not only in economic terms but also in psychologic respects.5-8 TRANSITIONAL CARE Many children with sever disabilities or long-term illness require special services to support home rather than institutional care. Transitional care may be defined as those services that support the move of the child from an institution to home and community. At times, special transitional care units provide such services, although, more typically, transitional care services refer to activities that directly strengthen the capacity of the family and community to care for the child at home. Transition to the community requires (1) careful planning and discharge efforts, (2) determination of special home equipment and service needs, (3) educational activities for family and community providers, and (4) development of an explicit plan to provide nursing care and other support services as needed.

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