scholarly journals Supported Independent Accommodation for Older New Zealanders: a Review of Current Policy and Innovative Practice

2021 ◽  
Author(s):  
◽  
Maxwell F Reid

<p>Existing research establishes a clear link between poor housing and poor health. There is also growing evidence that the physical, mental and social wellbeing of individuals and households can be improved by ensuring their access to suitable accommodation. Despite the growing body of research documenting the benefits of supported independent accommodation (SIA) as a means of maintaining the independence and wellbeing particularly of older people, there is little research evaluating the place of such accommodation within the New Zealand context. This thesis aims to address that gap. It reviews the existing body of literature surrounding this topic - exploring population and accommodation demographics, and analysing government policy in relation to both housing and health. It considers six New Zealand examples of SIA - each selected on the basis of their distinctiveness and innovation - documents these, and compares them using a case study approach. Adopting a general inductive methodology, each case study is then analysed against themes identified in the literature review, identifying any further trends, and the implications of these for ongoing policy and service development. Intersectoral collaboration is identified as having had particular bearing upon the development of SIA within the New Zealand context. This thesis concludes that SIA will play an increasingly important role in the continuum of accommodation and care for older people. It offers an alternative to more institutionalised models of care for older people, maintaining their independence and social integration within their own community. As demographic and economic factors drive up the cost of more traditional models of residential care, SIA offers government an equally important alternative. However, ongoing development in this area is not without it challenges. To this end, a number of policy implications are also identified and discussed.</p>

2021 ◽  
Author(s):  
◽  
Maxwell F Reid

<p>Existing research establishes a clear link between poor housing and poor health. There is also growing evidence that the physical, mental and social wellbeing of individuals and households can be improved by ensuring their access to suitable accommodation. Despite the growing body of research documenting the benefits of supported independent accommodation (SIA) as a means of maintaining the independence and wellbeing particularly of older people, there is little research evaluating the place of such accommodation within the New Zealand context. This thesis aims to address that gap. It reviews the existing body of literature surrounding this topic - exploring population and accommodation demographics, and analysing government policy in relation to both housing and health. It considers six New Zealand examples of SIA - each selected on the basis of their distinctiveness and innovation - documents these, and compares them using a case study approach. Adopting a general inductive methodology, each case study is then analysed against themes identified in the literature review, identifying any further trends, and the implications of these for ongoing policy and service development. Intersectoral collaboration is identified as having had particular bearing upon the development of SIA within the New Zealand context. This thesis concludes that SIA will play an increasingly important role in the continuum of accommodation and care for older people. It offers an alternative to more institutionalised models of care for older people, maintaining their independence and social integration within their own community. As demographic and economic factors drive up the cost of more traditional models of residential care, SIA offers government an equally important alternative. However, ongoing development in this area is not without it challenges. To this end, a number of policy implications are also identified and discussed.</p>


2021 ◽  
Author(s):  
◽  
Kathy Glasgow

<p>As a large age cohort, baby boomers needs, attitudes and behaviour can have a substantial impact on society. Despite international predictions that older boomers will behave in very different ways to current generations of older people little scholarly research has to date been done to explore „kiwi boomers‟ attitudes to ageing or the underlying values that may predispose them to behave in a particular manner as older workers, consumers, voters and family members.  This study explores boomers views about their own ageing and considers how their expectations, attitudes and beliefs and underlying values may influence their behaviour as they age. Policy implications are then considered. Discourse analysis reveals prevailing paradigms and the degree of disparity or congruence with boomers‟ views is considered.  Eleven focus groups were held in urban and semi-rural settings around New Zealand with boomers born 1946 – 1965, to explore participants' views on ageing, their expected lifestyle in future years, what forms of assistance they expected to give or receive, and what attitudes and values they felt baby boomers typically had that may influence their behaviour in older age. Results are triangulated with existing data on boomers in New Zealand. Where possible comparisons are drawn with boomers in other countries and with older and younger generations in New Zealand.  Results indicate these boomers have a sense of common identity. Many articulated and appeared to have internalised common discourses about the boomer generation, although differences between older and younger, urban and provincial, socio-economic and ethnic groups were apparent. Most believed they would age differently to current generations of older people.  These boomers are interested in new forms of work, more flexible, creative lifestyles and more supportive living arrangements. They have a strong work ethic, but they value work/life balance, choice, freedom and autonomy in decision-making. They anticipate working longer, but on their own terms. They believe they should provide for their families, but the state has a responsibility to reduce inequities and support those in need. Like their parents they value self-reliance and independence, but also inter-dependence and inter-generational care responsibilities. There was a desire for more innovative intra-cohort care and support.  Despite areas of commonality, a key feature of the boomer cohort is their diversity and this presents a major challenge for policy and service development. Boomers accept their status as change agents. They anticipate drawing on previous experience to collectively influence policy. While it remains unclear on which issues they may converge, findings suggest the boomer cohort has the potential and inclination to advocate for social change. Processes of policy development will need to adapt to effectively work, with and not against this cohort.</p>


2021 ◽  
Author(s):  
◽  
Kathy Glasgow

<p>As a large age cohort, baby boomers needs, attitudes and behaviour can have a substantial impact on society. Despite international predictions that older boomers will behave in very different ways to current generations of older people little scholarly research has to date been done to explore „kiwi boomers‟ attitudes to ageing or the underlying values that may predispose them to behave in a particular manner as older workers, consumers, voters and family members.  This study explores boomers views about their own ageing and considers how their expectations, attitudes and beliefs and underlying values may influence their behaviour as they age. Policy implications are then considered. Discourse analysis reveals prevailing paradigms and the degree of disparity or congruence with boomers‟ views is considered.  Eleven focus groups were held in urban and semi-rural settings around New Zealand with boomers born 1946 – 1965, to explore participants' views on ageing, their expected lifestyle in future years, what forms of assistance they expected to give or receive, and what attitudes and values they felt baby boomers typically had that may influence their behaviour in older age. Results are triangulated with existing data on boomers in New Zealand. Where possible comparisons are drawn with boomers in other countries and with older and younger generations in New Zealand.  Results indicate these boomers have a sense of common identity. Many articulated and appeared to have internalised common discourses about the boomer generation, although differences between older and younger, urban and provincial, socio-economic and ethnic groups were apparent. Most believed they would age differently to current generations of older people.  These boomers are interested in new forms of work, more flexible, creative lifestyles and more supportive living arrangements. They have a strong work ethic, but they value work/life balance, choice, freedom and autonomy in decision-making. They anticipate working longer, but on their own terms. They believe they should provide for their families, but the state has a responsibility to reduce inequities and support those in need. Like their parents they value self-reliance and independence, but also inter-dependence and inter-generational care responsibilities. There was a desire for more innovative intra-cohort care and support.  Despite areas of commonality, a key feature of the boomer cohort is their diversity and this presents a major challenge for policy and service development. Boomers accept their status as change agents. They anticipate drawing on previous experience to collectively influence policy. While it remains unclear on which issues they may converge, findings suggest the boomer cohort has the potential and inclination to advocate for social change. Processes of policy development will need to adapt to effectively work, with and not against this cohort.</p>


Author(s):  
Stefanie Vandevijvere ◽  
Nick Young ◽  
Sally Mackay ◽  
Boyd Swinburn ◽  
Mark Gahegan

2018 ◽  
Vol 18 (1) ◽  
pp. 68-87
Author(s):  
Andrei Yakovlev ◽  
Olga Balaeva ◽  
Andrey Tkachenko

Purpose This paper aims to measure the cost of procurement because public procurement procedures prescribed by legislation not only enhance transparency and competition but also entail certain transaction costs for both customers and suppliers. Design/methodology/approach These costs are important to the efficiency of the procurement system. However, very few previous studies have focused on estimating procurement costs. This paper proposes a methodology for public procurement cost evaluation. Findings This paper shows how procurement costs can be calculated using a formalized survey of public customers. This methodology was tested with a representative group of public customers operating in one region of the Russian Federation. Originality/value The authors formulate the policy implications of this paper, as they relate to the improvement of public procurement regulations and argue that this methodological approach can be applied in other developing and transitioning economies.


2010 ◽  
Vol 34 (1) ◽  
pp. 11 ◽  
Author(s):  
Jenny Carryer ◽  
Chiquita O. Hansen ◽  
Judy A. Blakey

To examine issues related to the working life of registered nurses in residential care for older people in New Zealand, 48 registered nurses completed surveys (n = 28) or participated in discussions (n = 26) regarding their work roles, continuing education and interactions with specialist nurse services when providing care for older people living with chronic illnesses. This nursing workforce is characterised by ageing, relative isolation, reduced confidence and few opportunities for induction of new graduates. Registered nurses reported their struggle to deliver the appropriate quality of care to residents as acuity increases, general practitioner availability decreases and the opportunities for increasing their knowledge and competence remain limited. The provision of nursing services in residential care for older people is an area of growing concern to many Western countries. Nurse practitioners offer opportunities to improve the quality of residential care. What is known about the topic?The lack of registered nurses generally and the more critical shortage in residential care is well known. What does this paper add?This paper explains the impact on the current and future viability and the quality of registered nurse services in an area of service where acuity continues to rise and the demand for nursing services is increasing. What are the implications for practitioners?Nurses in older care settings often express a sense of isolation and note limited career development despite their passion for serving the frail older person. The establishment of nurse practitioner (gerontology) roles offers the potential for improved quality of clinical care for residents and clinical champions for development of nursing services.


2020 ◽  
Vol 4 (4) ◽  
pp. 531-547
Author(s):  
Barbara Horrell ◽  
Mary Breheny ◽  
Christine Stephens

In this article, we use the capability approach and Nussbaum’s list of essential capabilities to understand the experiences of people providing (informal) care for older people. Nussbaum’s ten essential capabilities were used as a template to analyse contributions to an online forum created for the research. The carers’ posts indicated they valued these capabilities, though, in some instances, struggled to achieve them in the context of providing care. The capability approach provided a useful framework to move beyond caring as beneficial or burdensome, to view care as valued and as influencing other capabilities among carers for older people.


Author(s):  
Leo Paul Dana ◽  
Tiffany Chan ◽  
Daniel Chia

In New Zealand, where it is more common to export lamb, one micro-enterprise – consisting of an entrepreneur and two assistants – is exporting Angus beef. A case study approach was used to gain an understanding of the international entrepreneurship of such a small firm. The methodology adopted was in-depth interviewing. The article provides insights into what an entrepreneur faces when developing a new export venture in the absence of government support.


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