Ensuring the Service Quality of Long-Term Care Provided through Competitive Markets: The Experience of Care Workers’ Training in Japan

Consequences of prioritisation within long-term care in Denmark, England and Norway: towards increasing inequalities and poorer quality of care?

International Journal of Care and Caring ◽

10.1332/239788220x16025229321691 ◽

2020 ◽

Author(s):

Rune Ervik ◽

Tord Skogedal Lindén

Keyword(s):

Service Quality ◽

Service Provision ◽

Long Term Care ◽

Central Control ◽

Term Care ◽

Policy Documents ◽

Care Workers ◽

State Context

Prioritisation concerns choosing something before something else, and in a welfare state context, this is about decisions on distribution, redistribution and rationing. This article investigates consequences of prioritisation within long-term care in Denmark, England and Norway. Analysing interviews with policy actors and policy documents, we find that prioritising home care, combined with increasing targeting of help and restricting institutionalised care towards those with the most severe needs, may reduce both service quality and equality for those not being prioritised. Moreover, monitoring and central control of service provision restrict individual discretion of care workers, with implications for service quality.

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The different faces of care work: understanding the experiences of the multi-cultural care workforce

Ageing and Society ◽

10.1017/s0144686x08007708 ◽

2009 ◽

Vol 29 (3) ◽

pp. 337-350 ◽

Cited By ~ 40

Author(s):

MARTHA DOYLE ◽

VIRPI TIMONEN

Keyword(s):

Long Term Care ◽

Care Work ◽

Term Care ◽

Care Services ◽

Care Givers ◽

Experience Of Care ◽

Care Workers ◽

Cultural Care ◽

Industrialised Countries

ABSTRACTAn increased demand for long-term care services coupled with the decreased availability of informal (family) carers in many industrialised countries has led to the employment of growing numbers of ‘migrant care workers’. Little is known about this heterogeneous group or of their experience of employment in long-term care. Providing an important insight into a hitherto little researched and poorly understood topic, this article presents the findings of a qualitative study in Ireland that sought greater understanding of migrant carers' experience of care work and of the intra-group differences among them. The findings suggest that some members of the long-term care workforce are more likely to confront obstacles and discrimination than others. The data indicate that the experiences of European, South Asian and African carers are significantly different and that relationships may exist between carers' region of origin and their experience of care work, employment mobility and long-term plans for remaining in the sector. The findings underscore the significance of acknowledging the unique barriers and obstacles faced by particular populations of care workers. A better understanding of the changing demographic profile and needs of both care recipients and their paid (migrant) care-givers is required to ensure that appropriate policy and practical interventions are developed to support both groups.

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519 - PET@home: Research protocol for a toolkit to improve care for non-residential long term care clients owning pets

International Psychogeriatrics ◽

10.1017/s1041610221002143 ◽

2021 ◽

Vol 33 (S1) ◽

pp. 68-68

Author(s):

Ruslan Leontjevas ◽

Marie-José Enders-Slegers ◽

Peter Reniers ◽

Ine Declerq ◽

Debby Gerritsen ◽

...

Keyword(s):

Quality Of Life ◽

Long Term Care ◽

Support Network ◽

Social Support Network ◽

Term Care ◽

Care Workers ◽

Residential Long Term Care

BackgroundOver half of the households in The Netherlands have one or more pets. In elderly people, owning a pet is associated with a better quality of life and less loneliness, anxiety, depression and agitation. Many non-residential long term care (LTC) clients rely on support of others to take care of their pets. However, that may place a significant burden on the social support network of the LTC client. Issues relevant to keeping pets are not explicitly incorporated in the Dutch Long-term Care Act. Many LTC organizations have no instruments for care workers, clients and their family (1) to consolidate the positive role of pets for clients’ quality of life and (2) to address whether it is possible to keep the pets and to organize care accordingly.Research ObjectivesTo help care workers, clients and their family to gain insight into the role of the pets in the clients’ life and their social support network; to develop practical instruments that help making decisions about owning and caring for pets.MethodPLAN: In months 0-16, a narrative systematic review will be conducted (STUDY 1.1) on the meaning of pets for elderly people in general. A qualitative STUDY 1.2 with LTC clients, their informal carers and care professionals will validate and further explore the topic. STUDY 1.3 and 1.4 develop and (cognitively) validate work cards for interviews of clients and relatives by care providers. In months 17-29, an Experience based co-design method (STUDIES 2.1-2.3) will be used to develop the PET@home toolkit. The method includes (1) discovery interviews (10 clients and their family), (2) focus groups with healthcare providers (N = 2x6); (3) focus groups with 6-8 clients and informal and professional carers. In STUDY 3.1, potential users will pre-test the Toolkit. In months 30-34, a process evaluation (STUDY 3.2) is performed in 10-15 clients. A dissemination and an implementation plan will be developed.ConclusionsThe project will result in an innovative PET@home toolkit that will help to assess the pets role in the clients’ quality of life and support network, and will help making decisions about owning and caring for pets.

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