Features exploration and service provision strategies for long-term care beneficiaries with dementia

2021 ◽  
Vol 41 (5) ◽  
pp. 887-898
Author(s):  
Mi Kyung Song ◽  
Jung Hee Kim ◽  
Eun-Jeong Han
Keyword(s):  
Service Provision ◽  
Long Term Care ◽  
Term Care

Current Status of the Long-term Care Security System for Older Adults in China

2020 ◽  
pp. 016402752094911
Author(s):  
Peng Du ◽  
Tingyue Dong ◽  
Jingyao Ji
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Service Provision ◽  
Long Term Care ◽  
Care Service ◽  
Security System ◽  
Current Status ◽  
Term Care ◽  
Insurance System

In response to the increasing care demand of older adults and their families, the construction of the long-term care (LTC) security system has been widely recognized by the government, society and families. This article discusses the socio-demographic background, current situation, achievements and issues of this system. The LTC security system in China has achieved considerable progress in enriched service provision and expanded social insurance system pilot programs. However, the issues of unbalanced service provision and the explorative design of the insurance system still need to be resolved. Our recommendations for the development of the LTC security system include comprehensively reviewing the integrated care service system in terms of placing “old adults at the center,” addressing the long-standing divisions between urban and rural areas in service provision and insurance design, advancing research and discussion concerning pilot experiences and improving the unified evaluation and financial planning systems.

scholarly journals Eastenders on the South Coast

1993 ◽  
Vol 17 (6) ◽  
pp. 344-346
Author(s):  
Richard Duffett ◽  
Claire Lawton
Keyword(s):  
Nursing Home ◽  
Elderly People ◽  
Mentally Ill ◽  
Service Provision ◽  
Long Term Care ◽  
Local Authority ◽  
Term Care ◽  
Health Service Provision ◽  
Care Of Elderly

In spite of the moves over the last 20 years towards community care, there remain substantial numbers of elderly people with both physical and mental illness who require residential, nursing home and hospital care. There is evidence to suggest that health service provision of long term care for the mentally ill has been, and continues to be, reduced. In addition there has been reduction in beds for long term care by geriatric physicians and while the nursing home and residential care sectors have expanded, this expansion has been entirely within the ‘independent’ private and voluntary sector, with considerable contraction of local authority provision. Representations have been made about this to the Old Age Section of the Royal College of Psychiatrists and they have reported on this (Benbow & Jolley, 1992). Concern has not been confined to the profession. Over the last year, there has been considerable media publicity about the long term care of elderly people in institutions. Some of this has been very critical [Panorama, 20.1.92] and has provoked debate on the pages of the national papers.

scholarly journals Preventable? Long-Term Care Policy Successes and Failures During COVID-19 Pandemic: A Scoping Literature Review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 848-848
Author(s):  
Chaoran Wu ◽  
Aleksandra Zecevic ◽  
Maxwell Smith ◽  
Shannon Sibbald
Keyword(s):  
Literature Review ◽  
Service Provision ◽  
Long Term Care ◽  
Grey Literature ◽  
Term Care ◽  
Physical Environments ◽  
Mesh Terms ◽  
Scoping Literature Review ◽  
China And Japan

Abstract The number of older adults who live in long-term care (LTC) is expected to increase worldwide. The COVID-19 pandemic has caused serious consequences in Canadian LTC homes, while homes in China and Japan reported minimal infection and death rates in residents. The differences in LTC policies may be one of the contributors. The purpose of this literature review was to identify elements of the LTC policies that might have impacted COVID-19 outcomes in LTC homes in Canada, China, and Japan. A scoping review was conducted following the framework proposed by Arksey and O’Malley. Scholarly articles and grey literature published between January 2015 and June 2020 were identified in six databases, four in English (CINAHL, Scopus, ProQuest, and PubMed), one in Chinese (CNKI), and one in Japanese (CiNii), using MeSH terms for LTC and health policy. Grey literature was identified using Google. Data were extracted, summarized and common themes identified through content analysis. A total of 52 articles and 26 grey sources were included in the review based on determined inclusion criteria. They were research articles, reviews, government or association reports, policy briefs, policy documents, and guides. Four common themes of challenges emerged: caregiver workforce, service provision, funding, and physical environments. Three sub-themes were identified for caregiver workforce and service provision. Differences in COVID-19 consequences in LTC homes in the three countries seem to be related mainly to the challenges with the caregiver workforce and the lack of funding. The result suggests Improvements of LTC policies are required, especially in Canada.

scholarly journals Views from Below: Inspectors’ Coping with Hybrid Accountabilities

2020 ◽  
Vol 691 (1) ◽  
pp. 138-152
Author(s):  
Tanja Klenk
Keyword(s):  
Service Provision ◽  
Long Term Care ◽  
Negative Impact ◽  
Care Service ◽  
Term Care ◽  
Institutional Settings ◽  
Regulatory Culture ◽  
Care Regulation

Regulation of long-term care service provision is a case of hybrid accountabilities. How do inspectors who are responsible for the implementation of regulations handle the uncertainties arising from hybrid accountabilities? While the prevailing scholarly consensus is that hybridity creates tensions that have a negative impact on the quality of regulation, this article shows that different accountabilities can reinforce each other. However, situations in which inspectors can develop a positive stance toward hybridity and integrate competing logics are rare. Hybrid professionalism among inspectors requires training, education, and resources as well as a joint regulatory culture with inspectees—preconditions that are hardly present in recent institutional settings of long-term care regulation.

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

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.

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment
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