scholarly journals Alberta COVID-19 Response: Critical Considerations for Health Care Worker Single-Site Exclusion Policies and Wage Supplements

2021 ◽  
Vol 6 (1) ◽  
pp. 33-42
Author(s):  
Darshina Dhunnoo
Keyword(s):  
Health Care ◽  
Infection Prevention ◽  
Long Term Care ◽  
Single Site ◽  
Prevention Measures ◽  
Term Care ◽  
Nursing Support ◽  
Secure Environment ◽  
Care Worker

Abstract: On April 20, 2020, Alberta Minister of Health Tyler Shandro issued a single-site exclusion order and wage supplement for health care aid workers at long term care centres in an effort to reduce the transmission of COVID-19 between and within high-risk populations. Adequate staffing and diligent infection prevention measures in long term care centres are necessary to maintaining a medically secure environment and alleviating the pressures that are being faced by acute and intensive care units in-hospital, which have reached capacity as of December 2020. This paper argues that the April 20th order was an insufficient and inefficiently executed iteration of a policy intended to protect both the lives of residents and livelihoods of employees in long-term care throughout the pandemic. I propose instead that centralized regulation of all health care aid and nursing support staff would have better addressed the financial and health concerns that this policy aimed to target. I will also point out systemic issues in Canadian long-term care provision that have been aggravated by COVID-19, as well as reiterate the need for general infection prevention measures outside of the long-term care setting.

scholarly journals Successful multimodal measures preventing coronavirus disease 2019 (COVID-19) outbreaks without universal frequent testing within long-term care units in the Midwestern Veterans’ Health Care Network

2021 ◽  
pp. 1-3
Author(s):  
Michihiko Goto ◽  
Nicole Ueckert ◽  
Robert K. Meiches ◽  
Eli N. Perencevich
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Long Term Care ◽  
Veterans Health ◽  
Prevention Measures ◽  
Term Care ◽  
Care Facilities ◽  
Health Care Network ◽  
Frequent Testing

Abstract Coronavirus disease 2019 (COVID-19) remains a serious threat for long-term care facilities, and frequent screening of employees and residents places a substantial burden on those facilities. We report our successful multimodal prevention measures without frequent testing, which resulted in no cases within 20 nursing home units over the first 6 months of the pandemic.

scholarly journals COVID-19 Perspectives of Assisted Living and Health Care Providers in Seven States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 271-271
Author(s):  
Philip Sloane ◽  
Johanna Hickey ◽  
Kali Thomas ◽  
Julia Thorp ◽  
Meredith Poole ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Assisted Living ◽  
Infection Prevention ◽  
Long Term Care ◽  
Patient Access ◽  
Care Providers ◽  
Psychosocial Needs ◽  
Term Care

Abstract Thirty percent of COVID-19 deaths in long-term care were in assisted living (AL), indicating challenges providing care. This project recruited AL administrators and medical and mental health care providers in a seven-state stratified random sample of 250 communities; it asked what was most challenging responding to COVID-19, what was successful, how to have better dealt with COVID-19, and how others could have helped. The most common challenge was addressing residents’ psychosocial needs, explained as “No contact - no hugging. The seniors require touch. It's something we've always done, and we can't do; we're required not to do it.” Successes included infection prevention, and in hindsight, administrators discussed staffing. Related to external entities, one commented, “Come in the building and see what we're doing. Don't sit behind a freaking screen and act like you know what we're doing.” Providers stressed patient access to care and social isolation. Implications will be discussed.

scholarly journals Health care worker opinions on use of isolation precautions in long-term care facilities

2012 ◽  
Vol 40 (3) ◽  
pp. 263-266 ◽  
Author(s):  
Jon P. Furuno ◽  
Sarah Krein ◽  
Bonnie Lansing ◽  
Lona Mody
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Care Worker

scholarly journals Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 704-704
Author(s):  
Yuchi Young ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Systems ◽  
Long Term Care ◽  
The United States ◽  
World Population ◽  
Term Care ◽  
The Usa ◽  
Aged Society

Abstract The world population is aging. The proportion of the population over 60 will nearly double from 12% in 2015 to 22% in 2050. Global life expectancy has more than doubled from 31 years in 1900 to 72.6 years in 2019. The need for long-term care (LTC) services is expanding with the same rapidity. A comprehensive response is needed to address the needs of older adults. Learning from health systems in other countries enables health systems to incorporate best long-term care practices to fit each country and its culture. This symposium aims to compare long-term care policies and services in Taiwan, Singapore, and the USA where significant growth in aging populations is evidenced. In 2025, the aging population will be 20% in Taiwan, 20% in Singapore and 18 % in the USA. In the case of Taiwan, it has moved from aging society status to aged society, and to super-aged society in 27 years. Such accelerated rate of aging in Taiwan is unparalleled when compared to European countries and the United States. In response to this dramatic change, Taiwan has passed long-term care legislation that expands services to care for older adults, and developed person-centered health care that integrates acute and long-term care services. Some preliminary results related to access, care and patterns of utilization will be shared in the symposium. International Comparisons of Healthy Aging Interest Group Sponsored Symposium.

Aging, health expenditure, proximity to death, and income in Finland

2008 ◽  
Vol 3 (2) ◽  
pp. 165-195 ◽  
Author(s):  
UNTO HÄKKINEN ◽  
PEKKA MARTIKAINEN ◽  
ANJA NORO ◽  
ELINA NIHTILÄ ◽  
MIKKO PELTOLA
Keyword(s):  
Health Care ◽  
Health Expenditure ◽  
Long Term Care ◽  
Health Care Expenditure ◽  
Term Care ◽  
Age And Gender ◽  
And Gender ◽  
Proximity To Death ◽  
Naive Model

AbstractThis study revisits the debate on the ‘red herring’, i.e. the claim that population aging will not have a significant impact on health care expenditure (HCE), using a Finnish data set. We decompose HCE into several components and include both survivors and deceased individuals into the analyses. We also compare the predictions of health expenditure based on a model that takes into account the proximity to death with the predictions of a naïve model, which includes only age and gender and their interactions. We extend our analysis to include income as an explanatory variable. According to our results, total expenditure on health care and care of elderly people increases with age but the relationship is not as clear as is usually assumed when a naïve model is used in health expenditure projections. Among individuals not in long-term care, we found a clear positive relationship between expenditure and age only for health centre and psychiatric inpatient care. In somatic care and prescribed drugs, the expenditure clearly decreased with age among deceased individuals. Our results emphasize that even in the future, health care expenditure might be driven more by changes in the propensity to move into long-term care and medical technology than age and gender alone, as often claimed in public discussion. We do not find any strong positive associations between income and expenditure for most non-LTC categories of health care utilization. Income was positively related to expenditure on prescribed medicines, in which cost-sharing between the state and the individual is relatively high. Overall, our results indicate that the future expenditure is more likely to be determined by health policy actions than inevitable trends in the demographic composition of the population.

The Impacts of Long-Term Care Insurance on Health Care Utilization and Expenditure: Evidence From China

2022 ◽  
Author(s):  
He Chen ◽  
Jing Ning
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Treatment Effect ◽  
Health Expenditure ◽  
Long Term Care ◽  
Care Utilization ◽  
Ageing Population ◽  
Term Care ◽  
Long Term Care Insurance

Abstract Long-term care insurance (LTCI) is one of the important institutional responses to the growing care needs of the ageing population. Although previous studies have evaluated the impacts of LTCI on health care utilization and expenditure in developed countries, whether such impacts exist in developing countries is unknown. The Chinese government has initiated policy experimentation on LTCI to cope with the growing and unmet need for aged care. Employing a quasi-experiment design, this study aims to examine the policy treatment effect of LTCI on health care utilization and out-of-pocket health expenditure in China. The Propensity Score Matching with Difference-in-difference approach was used to analyse the data obtained from four waves of China Health and Retirement Longitudinal Study (CHARLS). Our findings indicated that, in the aspect of health care utilization, the introduction of LTCI significantly reduced the number of outpatient visits by 0.322 times (p<0.05), the number of hospitalizations by 0.158 times (p<0.01), and the length of inpatient stay during last year by 1.441 days (p<0.01). In the aspect of out-of-pocket health expenditure, we found that LTCI significantly reduced the inpatient out-of-pocket health expenditure during last year by 533.47 yuan (p<0.01), but it did not exhibit an impact on the outpatient out-of-pocket health expenditure during last year. LTCI also had a significantly negative impact on the total out-of-pocket health expenditure by 512.56 yuan. These results are stable in the robustness tests. Considering the evident policy treatment effect of LTCI on health care utilization and out-of-pocket health expenditure, the expansion of LTCI could help reduce the needs for health care services and contain the increases in out-of-pocket health care expenditure in China.

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