The health and social care integration, with particular attention to the dimension of professional integration. A research across 12 italian regions

2012 ◽  
pp. 234-244
Author(s):  
Nicoletta Pavesi
Keyword(s):  
Health Care Professionals ◽  
Social Care ◽  
Daily Practice ◽  
Fully Integrated ◽  
Professional Integration ◽  
Care Integration ◽  
Self Sufficiency ◽  
Italian Regions ◽  
Health And Social Care ◽  
Experimental Project

This paper gives an account of a part of a wider research carried out on 12 italian Regions by title Experimental project of monitoring, evaluation and dissemination of knowledge on governance and national plans, regional and area plans within the policies of inclusion. In particular, it analizes the dimension of professional integration, both at the regulatory and daily practice levels. It clearly appears the shared conviction at the various levels for the need to operate in a way that is ever more oriented to integration, in so far as it represents a strategic means of welfare construction for citizens. In addition, in some regions testimonies of positive integration have been collected, especially in the field of non-self-sufficiency. Naturally, there are many difficulties that often make integration a practice entrusted to the goodwill of the health care professionals, rather than a process fully integrated in a system of policies and services.

scholarly journals 96 Service Priorities for People with Dementia in Ireland: A Mixed Methods Study of Health Care Professionals

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Fiona Keogh ◽  
Tom Pierse ◽  
Eamon O'Shea
Keyword(s):  
Mixed Methods ◽  
Health Care Professionals ◽  
Social Care ◽  
Unmet Need ◽  
Budget Constraint ◽  
Similar Proportion ◽  
People With Dementia ◽  
High Dependency ◽  
Health And Social Care ◽  
Wide Range

Abstract Background Public services for people with dementia living in the community face significant resource constraints. The aims of this study are to identify an optimum mix of services for six dementia case types and to gain a greater understanding of the resource allocation decision making process. Methods Irish datasets were used to identify dementia cases types representing 46% of cases in the datasets. Vignettes were prepared for six case types ranging from low to high dependency and needs. Carers, people with dementia and health and social care professionals (HSCPs) took part in mixed methods workshops. Initial findings for the HSCPs are reported here (N=23). HSCP participants firstly quantitatively identified an optimum care package for a set of six vignettes, then qualitatively discussed the needs and individual case factors that were driving service recommendations. The quantitative exercise was repeated with a budget constraint. The sessions finished with a discussion on service and case prioritisation. Results When no budget constraint is imposed, participants recommended the use of a wide range of services. Home help, in-home respite and day care services comprised 62% of spending in this scenario. When a budget constraint was imposed, participants focused on essential care and reduced services aimed at prevention, quality of life and carer support. Resources were not redistributed between cases (e.g. from low need to higher need cases) as a similar proportion of the budget was allocated to each of the cases in both scenarios. Conclusion People with dementia living in the community and their families have a wide range of health and social care needs. Optimum dementia care packages included a wide range of services to meet these needs. However, a budget constraint resulted in a much narrower range of services with consequent implications in terms of unmet need and a reactive rather than preventive approach to care.

scholarly journals THE EVALUATION OF INTERPROFESSIONAL EDUCATION IN PRIMARY CARE: A SOCIAL NETWORK ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S47-S47
Author(s):  
Linda C Smit ◽  
Jeroen Dikken ◽  
Nienke M Moolenaar ◽  
Marieke J Schuurmans ◽  
Niek J De Wit ◽  
...  
Keyword(s):  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
Older People ◽  
Health Care Professionals ◽  
Interprofessional Education ◽  
Social Care ◽  
Care Providers ◽  
Frail Older People ◽  
Health And Social Care

Abstract Effective, safe, person-centred care relies on skilled interprofessional collaboration (IPC) and practice. Little is known about interprofessional education (IPE) to increase IPC in the context of care for frail older people in the community. This study evaluates the effectiveness of IPE on IPC of primary health and social care providers providing care to frail older people in three districts in the Netherlands. A before-after study among 55 health care professionals using social network analysis was performed. The number of contacts increased on average with two contacts. The reciprocity in the districts increased with 15%, 2% and 13%. The diversity of contacts increased between 6% and 10% (p <.001; p .055; p .371). The IPE effectuated a larger, more collaborative, and diverse interprofessional network of health and social care professionals providing care to frail older people suggesting a ripple-effect of networked interventions.

Deprivation of Liberty Safeguards: complexity, confusion and case law – a commentary

2014 ◽  
Vol 5 (4) ◽  
pp. 245-255 ◽  
Author(s):  
Chris Lennard
Keyword(s):  
Health Care Professionals ◽  
Design Methodology ◽  
Literature Search ◽  
Social Care ◽  
Case Law ◽  
Best Interests ◽  
Content Type ◽  
Critical Studies ◽  
Health And Social Care ◽  
Definition Of

Purpose – As a healthcare professional caring for people who lack capacity, the author has noted a wide variation in knowledge and awareness by staff of the Deprivation of Liberty Safeguards (DoLS). The purpose of this paper is to examine the DoLS and the background to their coming into being, describes their operation and qualifying requirements, and the continuing problems with their application nationwide. Design/methodology/approach – Utilising a literature search of government papers, official reports of statutory bodies, and critical studies, it examines the central criticisms of DoLS, particularly the lack of a clear statutory definition of deprivation of liberty, and reports on the wide variation in knowledge of the legislation by staff in health and social care, and uneven application of the safeguards nationwide. Findings – It cites evidence from studies showing that even professionals with high levels of expertise in the field find the legislation confusing, and presents testimony from legal experts that case law has failed to clarify the issues for professionals. Originality/value – Finally, it argues that the legislation is now too complex to successfully amend, and tentatively suggests that, pending a government review to make the process more understandable, health care professionals make ‘precautionary’ applications for DoLS. The author argues that, notwithstanding its faults, the process is a worthwhile exercise in care planning and ensuring that people's care is in their best interests and the least restrictive available.

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