Trends in Care and Services for Elderly Individuals in Denmark and Sweden

1993 ◽  
Vol 37 (4) ◽  
pp. 271-276 ◽  
Author(s):  
Norman Cates
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Independent Living ◽  
Institutional Care ◽  
The Elderly ◽  
Nursing Home Care ◽  
Care Hospital ◽  
Term Care ◽  
Elderly Individuals ◽  
Care Community

Both Denmark and Sweden have achieved a reduction in institutionalization of elderly individuals; 23 percent nursing home care in Denmark from 1980–89 and 34 percent overall institutionalization in Sweden from 1970–1985. This was accomplished by increasing home care and housing with services and adaptations. Further increases in growth of the elderly population combined with modest economic expansion will be the forces responsible for finding additional alternatives to costly institutional care. Community-based services and care have not been demonstrated at this time to be less costly than institutional care. An illustration of an innovative model of nursing home care in Denmark is described. The medical model of care was abandoned in favor of a self-care model for the purpose of fostering independent living and decision-making as long as possible. In Sweden, a reduction in demand for beds in a long-term care hospital has been achieved through a tightly coordinated system of care and services among the various health and social service professionals.

Institutional care in the community: from chaos to integration of health and social care?

1997 ◽  
Vol 7 (3) ◽  
pp. 189-191
Author(s):  
Clive E Bowman
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Social Services ◽  
Long Term Care ◽  
Social Care ◽  
Institutional Care ◽  
Nursing Home Care ◽  
Term Care ◽  
The Uk

Distinguishing between health and social aspects of institutional care for frail elderly people remains confusing and contentious in the UK, even though health and community care reforms specifically sought to avoid such problems. Nursing home care in the UK has developed rapidly to 170 000 nursing home beds. Nursing home care now costs significantly more than the total committed to primary care. Some health authorities maintain a large commitment to long-term care provision in hospitals and contract nursing home beds; others have divested themselves of providing long-term care, becoming dependent on means-tested nursing home care provided by social services. Where 'free' health service contract nursing home beds are adjacent to social services means-tested placements the inconsistencies become even more perverse. Distinguishing between health and social patients/clients/supplicants on the basis of health or social care need is often impossible. Health Service responsibilities to support care home residents will become more onerous as cost pressures define the limits of social care for individuals and social services producers alike. There is, in addition, an unresolved tension between the professions associated with the care of elderly patients, who are seeking clear standards, and the hostile purchasing environment which fails to value the cost benefit, let alone the health gain of planned care management in deference to the Mammonism of treatment episodes.

scholarly journals Municipalities’ Decision to Care: At Home or in a Nursing Home

2020 ◽  
Vol 26 (4) ◽  
pp. 327-342
Author(s):  
Theis Theisen
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Empirical Literature ◽  
Term Care ◽  
Scant Attention ◽  
Insurance Mechanism ◽  
Using Data

AbstractAn almost ideal demand system for long-term care is estimated using data from Norway, where the split of long-term care between home care and care in nursing homes is determined by municipalities. Previous literature has barely addressed what determines municipalities’ or other organizations’ allocations of resources to the sub-sectors of long-term care. The results show that home care is a luxury, while nursing home care is a necessity with respect to total expenditures on long-term care. Municipalities respond to high unit costs for home care by reducing that type of care. Municipalities are highly responsive to variations in the need for the two types of care and seem to provide a well-functioning insurance mechanism for long-term care. In the previous empirical literature, municipalities’ role as providers of insurance against the consequences of disabilities and frailty has received scant attention.

scholarly journals Does Informal Care from Adult Children Reduce Nursing Home Admissions for the Elderly?

2002 ◽  
Vol 39 (3) ◽  
pp. 279-297 ◽  
Author(s):  
Anthony T. Lo Sasso ◽  
Richard W. Johnson
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Informal Care ◽  
Adult Children ◽  
Oldest Old ◽  
The Elderly ◽  
Nursing Home Care ◽  
Health Dynamics ◽  
Using Data ◽  
The Impact

Despite the policy importance, particularly as society ages, little is known about the impact of informal care on nursing home admissions. This paper jointly models the receipt of regular help from adult children and subsequent nursing home care, using data from the Study of Asset and Health Dynamics Among the Oldest Old (AHEAD). Results indicate that frequent help from children with basic personal care reduces the likelihood of nursing home use over a subsequent two-year period by about 60% for disabled Americans age 70 and older. However, we found no significant reduction in nursing home admissions when help was measured more broadly to include assistance with chores and errands.

Physical Health and Cognitive Ability Among Married Long-Term-Care Patients and Among Their Spouses—A Comparison Between Home Care and Nursing Home Care

1993 ◽  
Vol 5 (2) ◽  
pp. 157-168 ◽  
Author(s):  
Ann-Christine Löfgren ◽  
Gösta Bucht ◽  
Sture Eriksson ◽  
Tage Lundström
Keyword(s):  
Nursing Home ◽  
Cognitive Function ◽  
Nursing Homes ◽  
Home Care ◽  
Physical Health ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Nursing Home Patients

The purpose of this study was to establish whether physical health and cognitive function in married long-term patients or in their spouses determines why some patients are cared for in home care while others reside in nursing homes. Out of 38 married couples with a sick spouse cared for in a nursing home, 23 couples were studied; out of 34 couples with a sick spouse cared for in home care, 22 patients and 25 spouses were studied. The results showed no significant differences in physical health score either between the two groups of patients, or between the two groups of spouses. Both home-care patients and nursing home patients had low cognitive function scores, but nursing home patients had significantly lower scores. A multivariate analysis showed that physical health and cognitive function explained only 20% of patients' residence. Between the two groups of spouses there was no difference in cognitive function score. The conclusion is that physical health status and cognitive function explain only to a small extent why married long-term care patients are cared for in nursing homes or in home care.

scholarly journals Medicaid Reimbursement and the Quality of Nursing Home Care: A Case Study of Medi-Cal Long-Term Care Reimbursement Act of 2004 in California

2016 ◽  
Vol 8 (3) ◽  
pp. 329-343
Author(s):  
Jingping Xing ◽  
Dana B. Mukamel ◽  
Laurent G. Glance ◽  
Ning Zhang ◽  
Helena Temkin-Greener
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Medicaid Reimbursement ◽  
Quality Of Nursing

Effizienzreserven in der stationären Pflege in Deutschland: Versuch einer Quantifizierung und Implikationen für die Reform der Gesetzlichen Pflegeversicherung

2008 ◽  
Vol 57 (1) ◽  
Author(s):  
Jasmin Häcker ◽  
Birgit König ◽  
Bernd Raffelhüschen ◽  
Matthias Wernicke ◽  
Jürgen Wettke
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Home Care ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Consumer Sovereignty ◽  
Incentive Problem ◽  
Relationship Of

AbstractThe design of the German statutory long-term care insurance (LTCI) is deficient in many respects. One of the major flaws in nursing home care is the inherent incentive problem concerning the relationship of the insured, the insurers and the nursing homes: For one, there is no competition amongst the insurers which influences the negotiation behaviour towards the nursing homes concerning the fixing of the daily payment rates. The nursing homes in turn are more or less unrestricted at setting the daily payment rate as the insured are mostly not in a position to fully practice their consumer sovereignty in case of the need of long-term care treatment. In the framework of this paper we try to quantify the efficiency reserve behind these disincentives in nursing home care and try to assess to what extent the contribution rate to LTCI could be reduced, if the efficieny reserves were exhausted.

Older couples and long-term care: the financial implications of one spouse entering private or voluntary residential or nursing home care

1999 ◽  
Vol 19 (2) ◽  
pp. 209-237 ◽  
Author(s):  
RUTH HANCOCK ◽  
FAY WRIGHT
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Residential Care ◽  
Married Couples ◽  
Nursing Home Care ◽  
Local Authorities ◽  
Term Care ◽  
Care Costs ◽  
At Home

A minority of older people who move into long-term institutional care are married and have spouses who continue living in the community. The financial complexities and consequences for a couple in this situation deserve to be more widely recognised. Data from the Family Expenditure Survey on the incomes of older married couples are used to examine the financial implications for couples of one spouse entering residential or nursing home care, taking into account local authority procedures for assessing residents' contributions to charges and Income Support rules as they apply to both spouses. We look in particular at the consequences of alternative ways couples might share their incomes, and alternative treatments of such sharing by local authorities and the Department of Social Security. We demonstrate that wives remaining at home are more likely to have low incomes and have recourse to means-tested state benefits if their husbands enter residential care than husbands who remain at home when their wives enter care. Local authorities are likely to be able to require larger contributions to their care costs from husbands than wives. On average, wives whose husbands enter residential care are best off financially when their combined income and savings are shared equally, but this leaves husbands with the least money to contribute to their care costs. If it is the wife who enters care the situation is reversed.

A Comparison between the Veteran Administration's Long-Term Nursing Home Care Program and Three Examples of Similar Care Outside of the V.A.

1981 ◽  
Vol 13 (1) ◽  
pp. 61-69 ◽  
Author(s):  
William M. Epstein
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Nursing Care ◽  
Long Term Care ◽  
Care Program ◽  
Nursing Home Care ◽  
National Academy Of Sciences ◽  
Term Care

In a study mandated by Congress, the National Academy of Sciences reviewed the quality of medical care in the Veteran's Administrations health care system. The study reported here summarizes the findings of the long-term care portion of the NAS' work as it relates to nursing home care. The quality of the long-term care in the VA's nursing home care units was compared to three quality standards of long-term nursing care outside of the VA. Staffing pattern, quality of services, quality of the environment, and patient needs were measured and compared; overall assessments of nursing home quality were made by site visitors. Generally, the results show VA care to be superior to the care provided in the benchmark institutions, suggesting perhaps that the public sector's direct provision of long-term nursing care may be an acceptable alternative to the support of private sector care.

scholarly journals Assumptions of good practices in home care for the elderly: a systematic review

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 302-310
Author(s):  
Rosalina Aparecida Partezani Rodrigues ◽  
Alexandre de Assis Bueno ◽  
Francine Golghetto Casemiro ◽  
Alan Nogueira da Cunha ◽  
Lucas Pelegrini Nogueira de Carvalho ◽  
...  
Keyword(s):  
Systematic Review ◽  
Best Practices ◽  
Home Care ◽  
Healthy Aging ◽  
The Elderly ◽  
Nursing Home Care ◽  
Term Care ◽  
Good Practices ◽  
Care For The Elderly

ABSTRACT Objective: To synthesize the knowledge produced on best nursing practices in long-term care for elderly at home, in order to promote healthy aging. Method: A systematic review, based on the Joanna Briggs Institute’s proposal: without restriction of dates; in the English, Portuguese and Spanish languages; conducted in PubMed, CINAHL, LILACS, Embase and Scopus databases. Results: Among 453 articles identified, 16 were included in the review: seven qualitative and nine quantitative, published between 1996 and 2015. The synthesis of the data identified as best practices identifies a premise of care centered on the elderly and the inclusion of the elderly, family and nurses as agents of this care. Conclusion: According to evidence, good practices in gerontological and nursing home care fundamentally depend on constant planning and reorganization, so that they are indeed comprehensive and contextualized. Thus, providing care will be reasoned by and driven to the elderly, based on their specific and global needs, favoring a process of healthy and active aging.

Nursing Home Care for the Elderly

2003 ◽  
Vol 103 (9) ◽  
pp. 97
Author(s):  
Peri Rosenfeld ◽  
Charlene Harrington
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
The Elderly ◽  
Nursing Home Care ◽  
Care For The Elderly
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