scholarly journals Regionálne nerovnosti v zdravotnej a sociálnej starostlivosti o seniorov na Slovensku

2021 ◽  
Vol 15 (2) ◽  
Author(s):  
Marcela KÁČEROVÁ ◽  
Slavomír ONDOŠ ◽  
Miriam MILÁČKOVÁ
Keyword(s):  
Old Age ◽  
Social Care ◽  
Service Providers ◽  
Population Aging ◽  
Age Groups ◽  
Spatial Accessibility ◽  
Healthcare Facilities ◽  
Regression Parameters ◽  
Health And Social Care ◽  
Senior Population

Slovakia's regional health and social care inequities in old age. This study aims to find and analyse inequity between regions in access to health and social care. Focusing on two age groups above 65 and 80, we investigate a possibility that in some regions health and social care deteriorates towards substandard level. We use a static regression test in spatial Durbin specification for the relationships between distribution of demand for health and social care in senior population, and distribution of service providers' network: general practitioners and medical specialists in the first domain, residential social care facilities in the second domain. Significant regression parameters reveal that health and social care correlate in a complex pattern, including indices of population density, settlement hierarchy and competition. Difference between public and private subjects suggests existence of cost effectiveness driving capacities into suburban area. Current intensity of population aging and related growth in cohort size in senior age encourage a novel attitude and reassessment of wellbeing, housing, security, formal and informal support. Increasing longevity creates a simultaneous participation of three or four generations in the family networks at the same time. Social and economic problems arise on basis of inter-generational responsibility. Social care for senior population is one of the most important components of state's institutional sphere. Despite long history and adaptive capacity of public social sector, on background of different socioeconomic contexts, their scope, structure, and spatial accessibility signal inequities. Regional qualities seem structurally linked with healthcare facilities, part of which evolves in a commercial regime. Supply side may avoid the burden of healthcare in old age when health and mobility decline. We pay attention to relationships between healthcare and social care capacities and suggest practical identification of regions and their parts at the municipality scale, in which inaccessibility aggregates. These regions need future spatially well-focused interventions correcting increasing commercial motive shaping distribution of service providers.

The factors influencing access to health and social care in the farming communities of County Down, Northern Ireland

2006 ◽  
Vol 26 (3) ◽  
pp. 373-391 ◽  
Author(s):  
DEIRDRE HEENAN
Keyword(s):  
Health Care ◽  
Northern Ireland ◽  
Older People ◽  
Social Care ◽  
Service Providers ◽  
Farming Communities ◽  
Access To Health ◽  
Health And Social Care ◽  
County Down ◽  
Farming Families

Against a background of limited previous research, this paper examines the access to health and social care among older people in the farming communities of County Down, Northern Ireland. In-depth interviews were conducted with 45 people aged 60 or more years living on family farms to collect information about health care needs and service use and adequacy. In addition, interviews with service providers provided information on their perceptions of the farming communities' needs. The findings indicate that there are specific rural dimensions of access to services and that among the respondents there was substantial unmet need. For many farming families, using services is determined by much more than being able to reach them physically. The lack of reliable information, the culture of stoicism and the absence of appropriate services impeded obtaining effective support. Recent health care policies and strategies have stressed the importance of developing local services that are responsive to need in consultation with service users, but there is worryingly little evidence that this has occurred. It is concluded that if effective outcomes are to be achieved, policies must recognise the specific characteristics of rural populations and be sensitive to the needs, attitudes and expectations of farming families. The current lack of understanding about the distinct needs of these communities at present exacerbates the isolation and marginalisation of already vulnerable older people.

scholarly journals How to Implement Digital Services in a Way That They Integrate Into Routine Work: Qualitative Interview Study Among Health and Social Care Professionals

10.2196/31668 ◽  
2021 ◽  
Vol 23 (12) ◽  
pp. e31668
Author(s):  
Janna Nadav ◽  
Anu-Marja Kaihlanen ◽  
Sari Kujala ◽  
Elina Laukka ◽  
Pirjo Hilama ◽  
...  
Keyword(s):  
Social Care ◽  
Service Providers ◽  
Qualitative Content Analysis ◽  
Implementation Process ◽  
Digital Services ◽  
Routine Work ◽  
Qualitative Interview Study ◽  
Health And Social Care ◽  
Work Tasks ◽  
The Impact

Background Although the COVID-19 pandemic has significantly boosted the implementation of digital services worldwide, it has become increasingly important to understand how these solutions are integrated into professionals’ routine work. Professionals who are using the services are key influencers in the success of implementations. To ensure successful implementations, it is important to understand the multiprofessional perspective, especially because implementations are likely to increase even more. Objective The aim of this study is to examine health and social care professionals’ experiences of digital service implementations and to identify factors that support successful implementations and should be considered in the future to ensure that the services are integrated into professionals’ routine work. Methods A qualitative approach was used, in which 8 focus group interviews were conducted with 30 health and social care professionals from 4 different health centers in Finland. Data were analyzed using qualitative content analysis. The resulting categories were organized under the components of normalization process theory. Results Our results suggested 14 practices that should be considered when implementing new digital services into routine work. To get professionals to understand and make sense of the new service, (1) the communication related to the implementation should be comprehensive and continuous and (2) the implementation process should be consistent. (3) A justification for the service being implemented should also be given. The best way to engage the professionals with the service is (4) to give them opportunities to influence and (5) to make sure that they have a positive attitude toward the service. To enact the new service into professionals’ routine work, it is important that (6) the organization take a supportive approach by providing support from several easy and efficient sources. The professionals should also have (7) enough time to become familiar with the service, and they should have (8) enough know-how about the service. The training should be (9) targeted individually according to skills and work tasks, and (10) it should be diverse. The impact of the implementation on the professionals’ work should be evaluated. The service (11) should be easy to use, and (12) usage monitoring should happen. An opportunity (13) to give feedback on the service should also be offered. Moreover, (14) the service should support professionals’ work tasks. Conclusions We introduce 14 practices for organizations and service providers on how to ensure sustainable implementation of new digital services and the smooth integration into routine work. It is important to pay more attention to comprehensive and continuing communication. Organizations should conduct a competence assessment before training in order to ensure proper alignment. Follow-ups to the implementation process should be performed to guarantee sustainability of the service. Our findings from a forerunner country of digitalization can be useful for countries that are beginning their service digitalization or further developing their digital services.

scholarly journals Determinants of regulatory compliance in health and social care services: a systematic review protocol

2021 ◽  
Vol 4 ◽  
pp. 13
Author(s):  
Paul Dunbar ◽  
John P. Browne ◽  
Laura O'Connor
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
Social Care ◽  
Service Providers ◽  
Regulatory Compliance ◽  
Policy Makers ◽  
Care Services ◽  
Health And Social Care ◽  
Wide Range ◽  
Study Designs

Background: The delivery of high quality health and social care services is a fundamental goal for health systems worldwide. Identifying the determinants of quality is a complex task as there are a myriad of variables to choose from. Researchers in this field have assessed a range of organisational and environmental factors (for example: staff composition, facility ownership, facility size) for an association with various quality metrics. Less attention has been paid to the determinants of compliance with quality regulation. Identifying the determinants of compliance has the potential to improve regulatory processes and can inform quality improvement initiatives undertaken by service providers and policy makers. This protocol describes a systematic review which will review literature from a wide range of study designs and sources to develop an overview of the determinants of regulatory compliance in health and social care services. Methods: A wide range of study designs and grey literature will be sought for this review. Searches will be conducted using PubMed, MEDLINE, PsycInfo, SocINDEX and CINAHL databases. The studies included in the review will be subject to quality appraisal with reference to the collection of tools available from the Joanna Briggs Institute. Data extraction will be informed by the Consolidated Framework for Implementation Research (CFIR). A narrative synthesis will be conducted on the barriers, facilitators and factors associated with compliance, with reference to the concepts mapped onto the CFIR. GRADE-CERQual will be used to grade the overall body of evidence. Conclusion: The findings of this review will be useful to regulators to inform regulatory policy and practice. Service providers and policy makers may also use the findings to inform quality improvement initiatives aimed at improving compliance and quality across a range of health and social care services.

scholarly journals Determinants of regulatory compliance in health and social care services: a systematic review protocol

2021 ◽  
Vol 4 ◽  
pp. 13
Author(s):  
Paul Dunbar ◽  
John P. Browne ◽  
Laura O'Connor
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
Social Care ◽  
Service Providers ◽  
Regulatory Compliance ◽  
Policy Makers ◽  
Care Services ◽  
Health And Social Care ◽  
Wide Range ◽  
Study Designs

Background: The delivery of high quality health and social care services is a fundamental goal for health systems worldwide. The measurement of quality in health and social care services is a complex task as there are a myriad of determinants and outcome measures to choose from. Researchers in this field have assessed a range of organisational and environmental factors (for example: staff composition, facility ownership, facility size) for an association with various measurements for quality. Compliance with regulations is one such quality measure. Compliance with regulations is variable and the determinants of this variability are under-investigated. Identifying the determinants of compliance has the potential to improve regulatory processes and can inform quality improvement initiatives undertaken by service providers and policy makers. This protocol describes a systematic review which will review literature from a wide range of study designs and sources to develop an overview of the determinants of regulatory compliance in health and social care services. Methods: A wide range of study designs and grey literature will be sought for this review. Searches will be conducted using PubMed, MEDLINE, PsycInfo, SocINDEX and CINAHL databases. The studies included in the review will be subject to quality appraisal with reference to the collection of tools available from the Joanna Briggs Institute. Data extraction will be informed by the Consolidated Framework for Implementation Research (CFIR). A narrative synthesis will be conducted with reference to the CFIR and Normalisation Process Theory (NPT). GRADE-CERQual will be used to grade the overall body of evidence. Conclusion: The findings of this review will be useful to regulators to inform regulatory policy and practice. Service providers and policy makers may also use the findings to inform quality improvement initiatives aimed at improving compliance and quality across a range of health and social care services.

scholarly journals International experiments with different models of allocating funds to facilitate integrated care: a scoping review protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021374
Author(s):  
Akram Khayatzadeh-Mahani ◽  
Ellen Nolte ◽  
Jason Sutherland ◽  
Pierre-Gerlier Forest
Keyword(s):  
Integrated Care ◽  
Scoping Review ◽  
Care Coordination ◽  
Social Care ◽  
Service Providers ◽  
Research Question ◽  
Major Barrier ◽  
Health And Social Care ◽  
Wide Range ◽  
Care Systems

IntroductionIntegrated care is viewed widely as a potential solution to some of the major challenges faced by health and social care systems, such as those posed by service duplication, fragmentation and poor care coordination, and associated impacts on the quality and cost of services. Fragmented models of allocating funds to and across sectors, programmes and providers are frequently cited as a major barrier to integration and countries have experimented with different models of allocating funds to enhance care coordination among service providers and to reduce ineffective care and avoid costly adverse events. This scoping review aims to assess published international experiences of different models of allocating funds to facilitate integration and the evidence on their impacts.Methods and analysisWe will adopt a scoping review methodology due to the potentially vast and multidisciplinary nature of the literature on different models of allocating funds in health and social care systems, as well as the scarcity of existing knowledge syntheses. The framework developed by Arksey and O’Malley will be followed that entails six steps: (1) identifying the research question(s), (2) searching for relevant studies, (3) selecting studies, (4) charting the data, (5) collating, summarising and reporting the results and (6) and conducting consultation exercises. These steps will be conducted iteratively and reflexively, making adjustments and repetitions when appropriate to make sure the literature has been covered as comprehensively as possible. To ensure comprehensiveness of our literature review, we also search a wide range of sources.Ethics and disseminationAn integrated knowledge translation strategy will be pursued by engaging our knowledge users through all stages of the review. We will organise two workshops or policy roundtables/policy dialogues in Alberta and British Columbia with participation of diverse knowledge users to discuss and interpret the findings of our review and to draw out policy opportunities and lessons that can be applied to the context of these two provinces.

scholarly journals ETHNICITY, RACE, HEALTH, AND SOCIAL CARE: STUDYING INEQUALITIES IN AN INJUSTICE-OBLIVIOUS WAY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S197-S197
Author(s):  
Sandra Torres
Keyword(s):  
Old Age ◽  
Ethnic Minorities ◽  
Scoping Review ◽  
Research Agenda ◽  
Social Care ◽  
Self Care ◽  
Health And Social Care ◽  
Care Practices ◽  
Ethnicity And Race ◽  
Older Populations

Abstract Scholarship on ethnicity and old age is at a crossroad now that increased diversity is a given in older populations. The same holds true for the study of inequalities in old age as it relates to ethnicity and race. This presentation relies on a scoping review of scholarship published between 1998 - 2017 (n=336) that brings attention to the ways in which ethnicity/ race – as grounds for stratification and disadvantage - are made sense of in this scholarship. The presentation will describe the topics that the review divulged when it comes to the study of health and social care (i.e. access and usage; attitudes, preferences and experiences; assessment of programs suitability and self-care practices). In doing so, this presentation will argue that if we are to address the inequalities that older ethnic minorities face we need not only a diversity-astute research agenda but also an injustice-aware one.

scholarly journals Health and social care providers’ perspectives of older people’s drinking: a systematic review and thematic synthesis of qualitative studies

2020 ◽  
Vol 49 (3) ◽  
pp. 453-467 ◽  
Author(s):  
Bethany Kate Bareham ◽  
Eileen Kaner ◽  
Liam Spencer ◽  
Barbara Hanratty
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Social Care ◽  
Service Providers ◽  
Qualitative Studies ◽  
Care Providers ◽  
Thematic Synthesis ◽  
Care Recipients ◽  
Health And Social Care ◽  
The Impact

Abstract Background alcohol may increase risks to late-life health, due to its impact on conditions or medication. Older adults must weigh up the potential risks of drinking against perceived benefits associated with positive roles of alcohol in their social lives. Health and social care workers are in a key position to support older people’s decisions about their alcohol use. Objective to systematically review and synthesise qualitative studies exploring health and social care providers’ views and experiences of older people’s drinking and its management in care services. Method a pre-specified search strategy was applied to five electronic databases from inception to June 2018. Grey literature, relevant journals, references and citations of included articles were searched. Two independent reviewers sifted and quality-appraised articles. Included study findings were analysed through thematic synthesis. Results 18 unique studies were included. Four themes explained findings: uncertainty about drinking as a legitimate concern in care provision for older people; the impact of preconceptions on work with older adults; sensitivity surrounding alcohol use in later life; and negotiating responsibility for older adults’ alcohol use. Discipline- and country-specific patterns are highlighted. Conclusions reservations about addressing alcohol could mean that service providers do not intervene with older adults. Judgements of whether older care recipients’ drinking warrants intervention are complex. Providers will need support and training to recognise and provide appropriate intervention for drinking amongst older care recipients.

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