scholarly journals Between Migrant Care Work and New Occupational Welfare Tools: Changing Home Care Arrangements in Italy

2020 ◽  
Vol 17 (15) ◽  
pp. 5511
Author(s):  
Georgia Casanova ◽  
Mirko Di Rosa ◽  
Oliver Fisher ◽  
Giovanni Lamura
Keyword(s):  
Home Care ◽  
Social Innovation ◽  
Service Providers ◽  
Positive Impact ◽  
Care Service ◽  
Rapid Review ◽  
Term Care ◽  
Italian Case ◽  
Home Based ◽  
Care Workers

Austerity measures on services provision, introduced due to recent economic crises, have stimulated the search for innovative welfare solutions, including options that are not directly or entirely funded by public sources. In Italy, recent legislation has promoted the development of occupational welfare (OW) measures, aimed at strengthening the supply of services to support employees with informal (elder) care responsibilities. This paper aims to describe how the newly introduced OW schemes might innovate existing care arrangements, by identifying their impact on the different actors involved in home care provision (care recipients, family carers, home care service providers and migrant care workers), as well as at a macro level in terms of promoting social innovation. The international relevance of the Italian case comes from the fact that it is one of the more representative familistic care regimes, largely characterized by home care provided by informal carers and migrant care workers (MCW). The importance of Italian OW schemes is increasing, and in 2018 their presence in company-level bargaining agreements grew by more than 15%. A rapid review of the literature and expert interviews allowed us to describe the complex Italian OW schemes system, and to identify the positive implications of their application for the country’s long-term care (LTC) context, underlining what makes these measures a clear example of “social innovation” likely to have a future positive impact on home-based care in Italy.

An exploratory qualitative study on relationships between older people and home care workers in South Korea: the view from family carers and service providers

2013 ◽  
Vol 35 (3) ◽  
pp. 629-652 ◽  
Author(s):  
YONGHO CHON
Keyword(s):  
Home Care ◽  
Older People ◽  
Long Term Care ◽  
Service Providers ◽  
East Asian ◽  
Family Carers ◽  
Term Care ◽  
Care Workers ◽  
Home Care Workers

ABSTRACTAlthough the proportion of older people using home care services has significantly increased in East Asian countries, the issue of the relationships between older people and home care workers in the East Asian context has received scant attention from scholars. This exploratory qualitative study aims to explore these relationships under the new Korean long-term care insurance system. Semi-structured in-depth interviews were conducted with 22 family carers and private-sector home care service providers (home care workers and provider managers). The findings show that while the majority of family carers interviewed reported that their relationships were good, the majority of service providers' responses were more negative. Service providers stated that they experienced a number of difficulties that affected their relationships with older clients, including excessive demands or sexual harassment by the older people in their care, exposure to unsafe working environments, and poor treatment in terms of pay and conditions. The findings suggest that stable and good relationships between home care workers and their clients have not been secured in Korea's long-term care system.

scholarly journals Receiving the home care service offered by certified care workers prior to a patients’ death and the probability of a home death: observational research using an instrumental variable method from Japan

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e026238 ◽  
Author(s):  
Kazuhiro Abe ◽  
Atsushi Miyawaki ◽  
Yasuki Kobayashi ◽  
Haruko Noguchi ◽  
Hideto Takahashi ◽  
...  
Keyword(s):  
Home Care ◽  
Instrumental Variable ◽  
Care Service ◽  
Home Care Service ◽  
Observational Research ◽  
Full Time ◽  
Home Death ◽  
Term Care ◽  
Care Workers ◽  
At Home

ObjectivesTo assess the association between receiving the certified care workers’ home care service, which is provided by non-medical professionals prior to a patients’ death and the probability of a home death.DesignObservational research using the full-time translated number of certified care workers providing home care service per member of the population aged 65 or above, during the year prior to patient’s death per municipality as an instrumental variable.SettingThe certified care workers’ home care service covered by the public long-term care insurance (LTCI) system in Japan.ParticipantsIn total, 1 613 391 LTCI beneficiaries aged 65 or above who passed away, except by an external cause of death, between January 2010 and December 2013 were included in the analysis.Primary outcome measuresDeath at home or death at other places, including hospitals, nursing homes and clinics with beds.ResultsOut of all participants, 173 498 (10.8%) died at home. The number of patients who used the certified care workers’ home care service more than once per each month during 1, 2 or 3 months prior to the month of death numbered 213 848, 176 686 and 155 716, respectively. This was associated with an increased probability of death at home by 9.1% points (95% CI 2.9 to 15.3), 10.5% points (3.3 to 17.6) and 11.4% points (3.6 to 19.2), respectively.ConclusionsThe use of the certified care workers’ home care service prior to death was associated with the increased probability of a home death.

scholarly journals Social Innovation in Long-Term Care: Lessons from the Italian Case

2020 ◽  
Vol 17 (7) ◽  
pp. 2367 ◽  
Author(s):  
Georgia Casanova ◽  
Andrea Principi ◽  
Giovanni Lamura
Keyword(s):  
Long Term Care ◽  
Social Innovation ◽  
Well Being ◽  
Rapid Review ◽  
Key Factors ◽  
Term Care ◽  
New Approach ◽  
Italian Case ◽  
Social Innovations

The debate on policies addressing the challenges posed by population ageing pays increasing attention to sustainable and innovative ways to tackle the multidimensional impact this phenomenon has on society and individuals. Moving from the findings of two European research projects, a qualitative study based on a rapid review of the literature, expert interviews, focus groups and case studies analysis has been carried out in Italy. This study illustrates which social innovations have been recently implemented in this country’s long-term care (LTC) sector, and the areas in which further steps are urgently needed in the future. This takes place by first highlighting the existing links between social innovation and LTC, and then by identifying the key factors that can facilitate or hinder the implementation of these initiatives. Finally, the study suggests how to promote social innovation, by strengthening the “integration” and “coordination” of available services and resources, through a—for this country still relatively—new approach towards ageing, based on pillars such as prevention and education campaigns on how to promote well-being in older age.

“Then They Trust You …”

2017 ◽  
Vol 27 (2) ◽  
pp. 225-245 ◽  
Author(s):  
Marsha Love ◽  
Felipe Tendick-Matesanz ◽  
Jane Thomason ◽  
Davine Carter ◽  
Myra Glassman ◽  
...  
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Care Needs ◽  
Term Care ◽  
Team Members ◽  
Physical Independence ◽  
Care Workers ◽  
Communications Skills ◽  
Home Care Workers

The home care workforce, already at 2.7 million caregivers, will become the nation’s fastest growing occupation by 2024 as the senior boom generation accelerates the demand for in home services to meet its long-term care needs. The physically challenging work of assisting clients with intimate, essential acts of daily living places home care workers (HCWs) at risk for musculoskeletal disorders (MSDs); yet, HCWs typically receive little formal job training and may lack appropriate assistive devices. In this qualitative pilot study, HCW focus groups described workplace MSD risk factors and identified problem-solving strategies to improve ergonomic conditions. The results revealed that HCWs rely on their behavioral insights, self-styled communications skills and caring demeanor to navigate MSD risks to themselves and increase clients’ physical independence of movement. We suggest changes in employer and government policies to acknowledge HCWs as valued team members in long-term care and to enhance their effectiveness as caregivers.

Facilitators and Barriers to Accepting Long Term Care at Home: An Analysis of Licensed Home Care Service Agency Websites

2021 ◽  
pp. 108482232199477
Author(s):  
Tracy Chippendale ◽  
Patricia Gentile
Keyword(s):  
Home Care ◽  
Care Service ◽  
Home Care Services ◽  
Home Care Service ◽  
Service Agency ◽  
Term Care ◽  
Age In Place ◽  
Care Services ◽  
Facilitators And Barriers ◽  
Website Content

Most people prefer to age in place. However, there is a growing body of literature to suggest a reluctance to accept supportive services in the home due to concerns about trust, privacy, cost, and fear of being a burden. The purpose of this study was to examine potential facilitators and barriers to accepting home care services in the website content of Licensed Home Care Service Agencies (LHSCA). In this linguistic analysis study, the written content from 88 randomly selected LHCSA websites was examined. We used LIWC2015 and Microsoft® Word software to analyze websites for relevant word categories that reflect older adult identified facilitators and barriers to the acceptance of home care services. Results revealed that the summary score for clout (i.e., confidence and leadership reflected in the writing) was high. Some of the most commonly used word categories were positive emotions, present focused, and affiliation. The word category money was included, but to a lesser degree. However, Burden and related words were highly prevalent in the writing sample. In summary, LHCSA website content contains both facilitators and barriers to the acceptance of home care services. Given the importance of home care services in promoting the ability of older adults to age in place, greater attention may be needed regarding the way services are presented and advertised to consumers.

scholarly journals An Empirical Study on Tele-Consultation In Home-Visit Nursing Care Setting Under Korean Long-Term Care Insurance System

2021 ◽  
Vol 23 (3) ◽  
pp. 249-260
Author(s):  
Jungsuk Lee ◽  
Hee Seung Lee ◽  
Yeongwoo Park ◽  
Rahil Hwang
Keyword(s):  
Home Care ◽  
Nursing Care ◽  
Home Visit ◽  
Care Setting ◽  
Long Term Care ◽  
Service Providers ◽  
Pilot Project ◽  
Care Quality ◽  
Term Care

Purpose: The National Health Insurance Service implemented a tele-consultation pilot project for in-home care using Information and Communication Technologies (ICTs). This study aims to investigate nurses’, doctors’, and families’ perceptions on the project.Methods: Using the pilot project database and perception survey data, this study provides a description of the satisfaction, re-participation motivation, and experiences of nurses, doctors, and families.Results: Tele-consultation for home-visit nursing was used to monitor health conditions and problems, such as pain and blood pressure, or health counseling for home-care beneficiaries. The beneficiaries' families showed higher levels of satisfaction than the service providers. Nurses and doctors had relatively positive perceptions about the usefulness of sharing information about beneficiaries, timeliness of providing nursing care, and convenience of communication. Meanwhile, nurses and doctors had negative perceptions of the sufficiency and accuracy of information obtained from tele-consultation, implying the necessity of adopting more advanced ICTs.Conclusion: This study suggests what must be considered when designing a tele-consultation service model in long-term care settings, especially in the home-visit nursing care setting. Innovative approaches using ICTs should be taken to improve home-visit nursing care quality in the era of super-aging and COVID-19.

scholarly journals Historical Mismatch Between Home-Based Care Policies And Laws Governing Home Care Workers

2019 ◽  
Vol 38 (6) ◽  
pp. 973-980 ◽  
Author(s):  
Lisa I. Iezzoni ◽  
Naomi Gallopyn ◽  
Kezia Scales
Keyword(s):  
Home Care ◽  
Home Based ◽  
Care Workers ◽  
Care Policies ◽  
Home Care Workers ◽  
Home Based Care
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