Valutazione della sostenibilità economica e finanziaria del sistema di servizi assistenziali agli anziani non autosufficienti: il caso della Provincia di Autonoma di Trento (Evaluation of the Financial and Economic Sustainability of the Public Companies Managing Health and Social Services for Elderly People: The Case of the Autonomous Province of Trento)

2012 ◽  
Author(s):  
Andrea Francesconi ◽  
Luca Ghezzi
Keyword(s):  
Elderly People ◽  
Social Services ◽  
Economic Sustainability ◽  
Public Companies ◽  
The Public ◽  
Health And Social Services ◽  
Autonomous Province

scholarly journals Strategies for involving patients and the public in scaling-up initiatives in health and social services: protocol for a scoping review and Delphi survey

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Ali Ben Charif ◽  
◽  
Karine V. Plourde ◽  
Sabrina Guay-Bélanger ◽  
Hervé Tchala Vignon Zomahoun ◽  
...  
Keyword(s):  
Social Services ◽  
Scoping Review ◽  
Delphi Study ◽  
Public Involvement ◽  
Scale Up ◽  
Scaling Up ◽  
Delphi Survey ◽  
The Public ◽  
Health And Social Services ◽  
Scoping Reviews

Abstract Background The scale-up of evidence-based innovations is required to reduce waste and inequities in health and social services (HSS). However, it often tends to be a top-down process initiated by policy makers, and the values of the intended beneficiaries are forgotten. Involving multiple stakeholders including patients and the public in the scaling-up process is thus essential but highly complex. We propose to identify relevant strategies for meaningfully and equitably involving patients and the public in the science and practice of scaling up in HSS. Methods We will adapt our overall method from the RAND/UCLA Appropriateness Method. Following this, we will perform a two-prong study design (knowledge synthesis and Delphi study) grounded in an integrated knowledge translation approach. This approach involves extensive participation of a network of stakeholders interested in patient and public involvement (PPI) in scaling up and a multidisciplinary steering committee. We will conduct a systematic scoping review following the methodology recommended in the Joanna Briggs Institute Reviewers Manual. We will use the following eligibility criteria: (1) participants—any stakeholder involved in creating or testing a strategy for PPI; (2) intervention—any PPI strategy proposed for scaling-up initiatives; (3) comparator—no restriction; (4) outcomes: any process or outcome metrics related to PPI; and (5) setting—HSS. We will search electronic databases (e.g., Medline, Web of Science, Sociological Abstract) from inception onwards, hand search relevant websites, screen the reference lists of included records, and consult experts in the field. Two reviewers will independently select and extract eligible studies. We will summarize data quantitatively and qualitatively and report results using the PRISMA extension for Scoping Reviews (PRISMA-ScR) checklist. We will conduct an online Delphi survey to achieve consensus on the relevant strategies for PPI in scaling-up initiatives in HSS. Participants will include stakeholders from low-, middle-, and high-income countries. We anticipate that three rounds will allow an acceptable degree of agreement on research priorities. Discussion Our findings will advance understanding of how to meaningfully and equitably involve patients and the public in scaling-up initiatives for sustainable HSS. Systematic review registration We registered this protocol with the Open Science Framework on August 19, 2020 (https://osf.io/zqpx7/).

Perceptions of Community Carers about Elderly People: A Sentence Completion Approach

1985 ◽  
Vol 56 (3) ◽  
pp. 889-890
Author(s):  
Chris Phillipson ◽  
Patricia Strang
Keyword(s):  
Health Care ◽  
Older People ◽  
Elderly People ◽  
Social Services ◽  
Sentence Completion ◽  
Preventive Strategies ◽  
Health And Social Services

In the present study a sentence completion list was administered to a range of community carers in the health and social services. Analysis of information from 334 respondents indicated statistically significant differences regarding perceptions about older people. The responses of the different groups indicated attitudinal support for developing a range of preventive strategies in the field of social and health care. There was some evidence, however, that workers held stereotyped views about the lives of older people.

scholarly journals The Use of Internet-Based Health and Care Services by Elderly People in Europe and the Importance of the Country Context: Multilevel Study (Preprint)

2019 ◽  
Author(s):  
Sebastian Merkel ◽  
Moritz Hess
Keyword(s):  
Digital Divide ◽  
Elderly People ◽  
Social Services ◽  
Social Care ◽  
The Internet ◽  
Health And Social Services ◽  
Care Services ◽  
Country Level ◽  
Health And Social Care ◽  
Use Of Internet

BACKGROUND Digital health care is becoming increasingly important, but it has the risk of further increasing the digital divide, as not all individuals have the opportunity, skills, and knowledge to fully benefit from potential advantages. In particular, elderly people have less experience with the internet, and hence, they are in danger of being excluded. Knowledge on the influences of the adoption of internet-based health and care services by elderly people will help to develop and promote strategies for decreasing the digital divide. OBJECTIVE This study examined if and how elderly people are using digital services to access health and social care. Moreover, it examined what personal characteristics are associated with using these services and if there are country differences. METHODS Data for this study were obtained from the Special Eurobarometer 460 (SB 460), which collected data on Europeans’ handling of and attitudes toward digital technologies, robots, and artificial intelligence, including data on the use of internet-based health and social care services, among 27,901 EU citizens aged 15 years or older. Multilevel logistic regression models were adopted to analyze the association of using the internet for health and social care services with several individual and country-level variables. RESULTS At the individual level, young age, high education, high social class, and living in an urban area were positively associated with a high probability of using internet-based health and social services. At the country level, the proportion of elderly people who participated in any training activity within the last month was positively associated with the proportion of elderly people using these services. CONCLUSIONS The probability of using internet-based health and social services and their accompanying advantages strongly depend on the socioeconomic background. Training and educational programs might be helpful to mitigate these differences.

Creating Innovative Public Services by Fostering Conflicts

2016 ◽  
Vol 5 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Paula Rossi ◽  
Pasi-Heikki Rannisto ◽  
Jari Stenvall
Keyword(s):  
Social Services ◽  
Public Service ◽  
Public Services ◽  
Critical Realism ◽  
Public Administrators ◽  
The Public ◽  
Health And Social Services ◽  
Public Sector Leadership ◽  
Service Perspective

This article presents a case study focused on the conflicting logics of multiple actors involved in planning, organizing and providing health and social services in an innovative way. The aim was to empirically approach the experiences of the actors coping with the complexity of the multiple, often contradictory logics, concluding with a theoretical approach on how the leadership could strengthen the development of innovative public services. Data consisted of documents, observations and interviews and was analyzed through a critical realism approach. The purpose of this qualitative case study was to increase the understanding of the leadership as a constraining and an enabling force when developing innovative public services in a networked environment. As a result, two conflicting institutional logics were found: the costs-based logic of the public administrators and politicians, and the service-based logic of the citizens and public service producers, and the needs to consider the service perspective, new hybrid practices and changing meanings given to cooperation in public sector leadership are covered.

scholarly journals Strategies for involving patients and the public in scaling-up initiatives in health and social services: study protocol for a scoping review and Delphi survey

2021 ◽  
Author(s):  
Ali Ben Charif ◽  
Karine V. Plourde ◽  
Sabrina Guay-Belanger ◽  
Hervé Tchala Vignon Zomahoun ◽  
Amédé Gogovor ◽  
...  
Keyword(s):  
Social Services ◽  
Scoping Review ◽  
Delphi Study ◽  
Public Involvement ◽  
Scale Up ◽  
Scaling Up ◽  
Delphi Survey ◽  
The Public ◽  
Health And Social Services ◽  
Scoping Reviews

Abstract Background: The scale-up of evidence-based innovations is required to reduce waste and inequities in health and social services (HSS). However, it often tends to be a top-down process initiated by policy-makers, and the values of the intended beneficiaries are forgotten. Involving multiple stakeholders including patients and the public in the scaling-up process is thus essential but highly complex. We propose to identify relevant strategies for meaningfully and equitably involving patients and the public in the science and practice of scaling up in HSS.Methods: We will adapt our overall method from the RAND/UCLA Appropriateness Method. Following this, we will perform a two-prong study design (knowledge synthesis and Delphi study) grounded in an integrated knowledge translation approach. This approach involves extensive participation of a network of stakeholders interested in patient and public involvement (PPI) in scaling up and a multidisciplinary steering committee. We will conduct a systematic scoping review following the methodology recommended in the Joanna Briggs Institute Reviewers Manual. We will use the following eligibility criteria: 1) Participants – any stakeholder involved in creating or testing a strategy for PPI; 2) Intervention – any PPI strategy proposed for scaling-up initiatives; 3) Comparator – no restriction; 4) Outcomes: any process or outcome metrics related to PPI; and 5) Setting – HSS. We will search electronic databases (e.g., Medline, Web of Science, Sociological Abstract) from inception onwards, hand searching relevant websites, screen the reference lists of included records, and consult experts in the field. Two reviewers will independently select and extract eligible studies. We will summarize data quantitatively and qualitatively and report results using the PRISMA extension for Scoping Reviews (PRISMA-ScR) checklist. We will conduct an online Delphi survey to achieve consensus on the relevant strategies for PPI in scaling-up initiatives in HSS. Participants will include stakeholders from low-, middle-, and high-income countries. We anticipate that three rounds will allow an acceptable degree of agreement on research priorities. Discussion: Our findings will advance understanding of how to meaningfully and equitably involve patients and the public in scaling-up initiatives for sustainable HSS.Registration: We registered this protocol with the Open Science Framework on August 19, 2020 (https://osf.io/zqpx7/).

Psychiatric Morbidity and Service Use Among Elderly People

1991 ◽  
Vol 11 (3) ◽  
pp. 275-297 ◽  
Author(s):  
Ann Bowling ◽  
Morag Farquhar
Keyword(s):  
Urban Area ◽  
Elderly People ◽  
Social Services ◽  
Rural Areas ◽  
Functional Ability ◽  
Service Use ◽  
Explanatory Power ◽  
Psychiatric Morbidity ◽  
Health And Social Services ◽  
Two Samples

ABSTRACTThere is some evidence in the literature of increased demand on health services by adults with psychiatric morbidity. Among people over retirement age these associations appear weaker. Results from three independent, but comparable, surveys of elderly people living in London and Essex are presented in relation to their use of health and social services. Psychiatric morbidity was found to be a poor predictor of service use. Level of functional ability and, in some cases, age were both stronger predictors of use of a selection of these services among the two samples from the urban area. Age was a stronger predictor of use of home help and meals on wheels services among the younger urban sample aged 65–85. The model had little explanatory power in relation to use of general practitioner services. The study also indicated that the semi-rural sample had better reported health status and functional ability than the samples in the urban area. Use of health and social services was also lower in the semi-rural areas.

scholarly journals Mental health services and resources

1991 ◽  
Vol 15 (2) ◽  
pp. 65-68 ◽  
Author(s):  
Louis Blom-Cooper ◽  
Elaine Murphy
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Mental Disorder ◽  
Elderly People ◽  
Social Services ◽  
Senile Dementia ◽  
Direct Care ◽  
The Public

Of the very large sum of money spent on mental health services, almost all comes from the public directly in the form of central or local government taxation. In 1990, approximately £2 billion was spent in the National Health Service directly on mental health services. That represents 10% of total health service expenditure. In addition, local authority social services departments spend around £50 million annually on residential and day care services for people with mental problems. A further £100 million is spent on supplementary benefit for board and lodgings payments and a considerable amount expended by prisons, courts and the police. These figures omit the growing amount of money spent on supporting elderly people with senile dementia outside mental illness hospitals, in residential and nursing homes. Almost two thirds of all residential care for elderly people provide care for those with mental disorder, adding a further staggering £5–600 million by 1990. The current direct care costs of disabling mental disorder to the public purse is approximately £3,000 million (£3 billion). For all the huge amount of money, resources appear inadequate, ill-directed and uncoordinated. Several actions need to be taken to improve the use of these vast resources.

Clinical geratology – evidence-based multidisciplinary integrated geriatric care

1998 ◽  
Vol 8 (3) ◽  
pp. 275-277 ◽  
Author(s):  
C Bowman
Keyword(s):  
Information Management ◽  
Elderly People ◽  
Social Services ◽  
Geriatric Care ◽  
Evidence Based ◽  
Institutionalized Elderly ◽  
Health And Social Services

The need for integration of health and social services for institutionalized elderly people is urgent. A possible approach, based on information-management, using established technologies, is described.

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