SYSTEM-BASED SUPPORT OF IMPROVEMENT OF QUALITY OF LIFE FOR ELDERLY PEOPLE IN RUSSIA: OUTLOOK AND CHALLENGES

2021 ◽  
pp. 825-837
Author(s):  
В. Н. Анисимов ◽  
А. А. Редько ◽  
А. В. Финагентов ◽  
В. Х. Хавинсон ◽  
А. В. Шабров
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Social Services ◽  
Social Care ◽  
Healthcare Providers ◽  
Health And Social Care ◽  
Integrated Health ◽  
Geriatric Service ◽  
Older Populations

В статье рассмотрены проблемы и перспективы реализации функций системной поддержки деятельностиорганизацийздравоохраненияисоциального обслуживания населения в процессе оказания ими медицинских, социальных и психологических услуг гражданам старших возрастных групп (далее - Граждане), в частности в связи с преодолением кризисных ситуаций, таких как пандемия COVID -19. Представлены понятие, структура и алгоритм оказания комплексной медико-социальной помощи (далее - Комплексная помощь)Гражданам. Показано, что организация системы оказания Комплексной помощи позволит обеспечить повышение качества жизни Граждан и продление периода их активного долголетия за счет предоставления им услуг социального профиля в составе индивидуальных пакетов, сформированных на основе персонифицированного подхода. Приводится понятие и детализируются функции системной поддержки оказания Комплексной помощи Гражданам. Описаны условия организации системной поддержки на уровне отдельного региона. Анализируются состав, задачи и формы организации Гериатрической службы как базовой составляющей системы оказания Комплексной помощи Гражданам, проблемы организации согласованной работы подразделений Гериатрической службы, их взаимодействия с учреждениями социального обслуживания населения и профильными медицинскими организациями. Обоснована необходимость создания в составе Гериатрической службы специализированной научно-методической структуры - Центра системной поддержки. The article examines the outlook and challenges relating to the provision of system-based support of healthcare providers and social services in the course of delivering their healthcare, mental health and social services to elderly people, in particular amidst a crisis, such as the COVID-19 pandemic. The article gives the definition of integrated health and social care, its structure and the algorithm of delivering integrated health and social care to elderly people. The article argues that a system of integrated health and social care will improve the quality of life of older populations and extend their active longevity through a person-centered social services plan offered according to an older person’s needs. The article gives the definition and a detailed description of the goals of system-based support of integrated health and social care for older populations. It describes the conditions for providing such system-based support in one specific region of the country. The article analyses the structure, aims and type of entity of the Geriatric Service which is viewed by the authors as a building block of the system of integrated health and social care for elderly people, and discusses the issues relating to coordination of activities among various divisions of the Geriatric Service and their cooperation with social services and healthcare providers. The article explains why it is important to establish a special research and methodological unit - the Center for System-Based Support - within the Geriatric Service.

REGIONAL SYSTEM OF INTEGRATED HEALTH AND SOCIAL CARE FOR ELDERLY PEOPLE: EXPERIENCE AND EXPERTISE OF SAINT-PETERSBURG

2021 ◽  
pp. 809-824
Author(s):  
В. Н. Анисимов ◽  
А. А. Редько ◽  
А. В. Финагентов ◽  
В. Х. Хавинсон ◽  
А. В. Шабров
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Social Care ◽  
Federal District ◽  
Pilot Project ◽  
Saint Petersburg ◽  
The North ◽  
Health And Social Care ◽  
Integrated Health

В публикации рассматриваются проблемы создания в России системы комплексной медико-социальной помощи (далее - Система) гражданам старшего поколения, которые приобретают особую значимость с учетом необходимости преодоления негативного влияния пандемии COVID -19 на качество жизни и психофизиологическое состояние граждан старшего поколения (далее - Граждан) с учетом динамики развития у них возраст-ассоциированных хронических заболеваний. Представлены структура Системы, условия и предпосылки ее создания, функциональные составляющие системной поддержки повышения качества жизни Граждан. Обоснована необходимость использования позитивного и негативного опыта регионов, внедрения российских научно-практических наработок в области геронтологии и гериатрии, организации конструктивного и равноправного сотрудничества органов государственной власти с научными и профессиональными сообществами, негосударственными организациями. Авторы предлагают рассматривать Санкт-Петербург в качестве модельного региона при создании Системы. В публикации приводится перечень наиболее значимых проектов и мероприятий, реализованных в городе за период с 2012 по 2020 г., по системной поддержке организации оказания комплексной медико-социальной помощи Гражданам, которые не коррелированы с реализацией федеральных программ. Объективная научно-практическая оценка опыта и наработок Санкт-Петербурга и других регионов России позволит использовать их при создании Систем в субъектах Российской Федерации, не располагающих достаточными собственными ресурсами. Предлагается поэтапное разворачивание Системы в России на уровне федеральных округов, в частности пилотного проекта на территории СевероЗападного Федерального округа, с использованием опыта и наработок Санкт-Петербурга. The article examines the challenges of creating a system of integrated health and social care for elderly people (the System) in Russia, these challenges being of particular significance in the light of the negative effects of the COVID -19 pandemic on the quality of life and mental and general health of elderly people, which need to be mitigated with due consideration of the dynamics of progression of age-associated chronic diseases of elderly people. The article describes the structure of the System, and the conditions and background of its establishment. It also looks at the components of system-based support of improvement of quality of life of elderly people. The article argues that it is essential to use the positive and negative experiences of different regions, to implement the practical and scientific expertise in the field of gerontology and geriatrics made so far in Russia, and to establish a meaningful and equal partnership among the state, research organizations, communities of professionals and non-public organizations. The authors suggest to look on Saint-Petersburg as a model region when establishing the System. The article contains a list of the major projects and events in the city from 2012 to 2020 aimed to provide system-based support for integrated health and social care for elderly people, not affiliated with any federal programs. Unbiased evaluation of the experience and expertise of Saint-Petersburg and other regions of Russia will allow to use them when establishing similar systems in other Russia’s regions that do not possess sufficient resources. The authors suggest to establish the System in a step-wise manner at the federal district level. For example, a pilot project may be launched in the North-Western Federal District using the experience and expertise of Saint-Petersburg.

Residential Care for Elderly People: The Correlates of Quality

1992 ◽  
Vol 12 (4) ◽  
pp. 463-482 ◽  
Author(s):  
Ian Gibbs ◽  
Ian Sinclair*
Keyword(s):  
Elderly People ◽  
Social Services ◽  
Residential Care ◽  
Social Care ◽  
Local Authority ◽  
Care Provision ◽  
The Social ◽  
Health And Social Care

ABSTRACTGiven the vulnerability of elderly people living in long-term hospitals and in other forms of institutional provision, it is essential that the quality of their care is as high as possible. This observation, moreover, has widespread relevance irrespective of variations in the structure of health and social care provision in different countries. In pursuit of this objective the newly established ‘arm's length’ inspection units in Britain will be responsible for setting and also safeguarding standards in homes. The article, based on research commissioned by the Social Services Inspectorate, uses a global measure of quality derived from the inspection of residential care homes, examines the correlates of this measure in a sample of local authority and independent homes in Britain and discusses the implications of the findings for policy and further research.

Collaborating across health and social care: joint funding an adult protection Coordinator post in Caerphilly, UK

2015 ◽  
Vol 17 (2) ◽  
pp. 139-147
Author(s):  
Andrea Giordano ◽  
Alison Neville
Keyword(s):  
Social Services ◽  
Social Care ◽  
Service Improvement ◽  
Health Board ◽  
Content Type ◽  
Health And Social Care ◽  
Abuse And Neglect ◽  
Vulnerable Adults ◽  
Adult Protection

Purpose – The purpose of the paper is to improve the consistency and quality of the response to vulnerable adults who experience abuse and neglect within NHS, independent healthcare and social care settings is noted by practitioners, agencies and patients. Health and social care policy frameworks promote principles of service improvement and consistency, along with a focus on outcomes and resource effectiveness and interagency collaboration. The Protection of Vulnerable Adults (POVA) coordinator role carries the responsibility of coordinating a response to individual referrals of abuse and neglect as described as part of the Designated Lead Manager role in the Wales Interim POVA Policy and Procedures for the POVA from abuse (Wales Adult Protection Coordinators Group, 2013). Design/methodology/approach – This paper will explore the benefits realised through a registered nurse being seconded from the Aneurin Bevan University Health Board into a newly created joint adult protection Health Coordinator post within the Caerphilly County Borough Council social services department POVA team. Findings – This is the first example of such partnership working in adult protection in Wales and has provided a number of benefits in relation to: providing adult protection advice; coordinating the response to referrals of vulnerable adult abuse and neglect within health and social care settings; carrying out or buddying others to complete adult protection investigations; facilitating the two day non-criminal POVA investigation training course and, awareness raising within the local Health Board. The development of a student nurse placement in the social services POVA team cements the multiagency collaborative approach that this development sought to achieve. Originality/value – The need to improve the consistency and quality of the response to vulnerable adults who experience abuse and neglect within NHS, independent healthcare and social care settings is noted by practitioners, agencies and patients.

Investigating the relative value of health and social care related quality of life using a discrete choice experiment

2019 ◽  
Vol 233 ◽  
pp. 28-37 ◽  
Author(s):  
Brendan Mulhern ◽  
Richard Norman ◽  
Richard De Abreu Lourenco ◽  
Juliette Malley ◽  
Deborah Street ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Social Care ◽  
Relative Value ◽  
Health And Social Care ◽  
Related Quality ◽  
Value Of Health

Longitudinal studies and housing with care in England: a review

2015 ◽  
Vol 18 (1) ◽  
pp. 1-11
Author(s):  
Randall Smith
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Social Services ◽  
Social Care ◽  
Frontline Staff ◽  
Content Type ◽  
The University ◽  
The Voice ◽  
Extra Care Housing

Purpose – The purpose of this paper is to review the recent literature on housing with care in England where a longitudinal approach has been adopted and to identify possible new research projects that focus on gaps in the existing literature. Design/methodology/approach – The review of the relevant research literature draws in part on an earlier overview of the broader literature on housing with care, part of an NIHR School for Social Care Research project, Adult Social Services Environments and Settings (ASSET). Findings – The literature review suggests that the findings from longitudinal studies on housing with care in England have usually been based on administrative sources (such as assessments) rather than the primary focus being on the voice of residents and frontline staff. It is therefore suggested that further studies are required to reflect the views of everyday life in housing with care settings. Research limitations/implications – This literature review and the longitudinal qualitative framework for undertaking further inquiry forms the basis for a major bid for funds from the NIHR School for Social Care Research. This is a collaborative endeavour between the University of Bristol’s School for Policy Studies, the Association for Dementia Studies at the University of Worcester, the Personal Social Services Research Unit at the University of Kent and the Housing and Learning Improvement Network. The limitations of this paper reflect the paucity of past investigations on the contribution of social care to the quality of life of elderly residents in extra care housing. Practical implications – As noted above, the reviews of this draft paper have helped to determine the form of the bid for research funds. Informal discussions with commissioners and providers of extra care housing for older people indicate that access for fieldwork along the lines proposed should not prove to be a major barrier. One of the important implications is to add to the weight of evidence about the working conditions of care staff in extra care housing. The research is likely to highlight both good and poor practices, not least with consequences for the quality of life of elderly residents. Social implications – As indicated above, the paper draws attention to the need for a longitudinal qualitative study on the contribution of social care to the quality of life of older residents in extra care housing. Such a study would focus both on the details of everyday lives experienced by residents and the interaction in this setting between frontline staff and residents. In the context of major demographic change in the UK and planned further substantial cuts in public expenditure, this research is of high relevance for both policy and practice in this field of social care. Originality/value – The review indicated a reliance on administratively derived information about residents rather than focusing on the voice of residents and frontline staff. Future longitudinal research should pay attention to the latter.

scholarly journals The Use of Internet-Based Health and Care Services by Elderly People in Europe and the Importance of the Country Context: Multilevel Study (Preprint)

2019 ◽  
Author(s):  
Sebastian Merkel ◽  
Moritz Hess
Keyword(s):  
Digital Divide ◽  
Elderly People ◽  
Social Services ◽  
Social Care ◽  
The Internet ◽  
Health And Social Services ◽  
Care Services ◽  
Country Level ◽  
Health And Social Care ◽  
Use Of Internet

BACKGROUND Digital health care is becoming increasingly important, but it has the risk of further increasing the digital divide, as not all individuals have the opportunity, skills, and knowledge to fully benefit from potential advantages. In particular, elderly people have less experience with the internet, and hence, they are in danger of being excluded. Knowledge on the influences of the adoption of internet-based health and care services by elderly people will help to develop and promote strategies for decreasing the digital divide. OBJECTIVE This study examined if and how elderly people are using digital services to access health and social care. Moreover, it examined what personal characteristics are associated with using these services and if there are country differences. METHODS Data for this study were obtained from the Special Eurobarometer 460 (SB 460), which collected data on Europeans’ handling of and attitudes toward digital technologies, robots, and artificial intelligence, including data on the use of internet-based health and social care services, among 27,901 EU citizens aged 15 years or older. Multilevel logistic regression models were adopted to analyze the association of using the internet for health and social care services with several individual and country-level variables. RESULTS At the individual level, young age, high education, high social class, and living in an urban area were positively associated with a high probability of using internet-based health and social services. At the country level, the proportion of elderly people who participated in any training activity within the last month was positively associated with the proportion of elderly people using these services. CONCLUSIONS The probability of using internet-based health and social services and their accompanying advantages strongly depend on the socioeconomic background. Training and educational programs might be helpful to mitigate these differences.

scholarly journals Assessing the impact of care farms on quality of life and offending: a pilot study among probation service users in England

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019296 ◽  
Author(s):  
Helen Elsey ◽  
Tracey Farragher ◽  
Sandy Tubeuf ◽  
Rachel Bragg ◽  
Marjolein Elings ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Social Care ◽  
Recruitment And Retention ◽  
Health And Social Care ◽  
Probation Service ◽  
Assess Quality ◽  
The Impact

ObjectivesTo assess the feasibility of conducting a cost-effectiveness study of using care farms (CFs) to improve quality of life and reduce reoffending among offenders undertaking community orders (COs). To pilot questionnaires to assess quality of life, connection to nature, lifestyle behaviours, health and social-care use. To assess recruitment and retention at 6 months and feasibility of data linkage to Police National Computer (PNC) reconvictions data and data held by probation services.DesignPilot study using questionnaires to assess quality of life, individually linked to police and probation data.SettingThe pilot study was conducted in three probation service regions in England. Each site included a CF and at least one comparator CO project. CFs are working farms used with a range of clients, including offenders, for therapeutic purposes. The three CFs included one aquaponics and horticulture social enterprise, a religious charity focusing on horticulture and a family-run cattle farm. Comparator projects included sorting secondhand clothes and activities to address alcohol misuse and anger management.ParticipantsWe recruited 134 adults (over 18) serving COs in England, 29% female.Results52% of participants completed follow-up questionnaires. Privatisation of UK probation trusts in 2014 negatively impacted on recruitment and retention. Linkage to PNC data was a more successful means of follow-up, with 90% consenting to access their probation and PNC data. Collection of health and social-care costs and quality-adjusted life year derivation were feasible. Propensity score adjustment provided a viable comparison method despite differences between comparators. We found worse health and higher reoffending risk among CF participants due to allocation of challenging offenders to CFs, making risk of reoffending a confounder.ConclusionsRecruitment would be feasible in a more stable probation environment. Follow-up was challenging; however, assessing reconvictions from PNC data is feasible and a potential primary outcome for future studies.

Referrals to an Occupational Therapy Division: A Descriptive Survey

1983 ◽  
Vol 46 (3) ◽  
pp. 83-86 ◽  
Author(s):  
Wendy Smart ◽  
M. Vaughan ◽  
Sonya Hunt
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Elderly People ◽  
Social Services ◽  
Frail Elderly ◽  
Reliable Data ◽  
Disabled People ◽  
Frail Elderly People ◽  
Descriptive Survey

Occupational Therapy Departments are concerned with improving the quality of life for disabled people of varying ages and the increasing number of frail elderly people. Increasing emphasis is being placed upon continuing life in the community and this calls for good communications between O.T. Departments and social services although there is no administrative link between them. For an O.T. Department to fulfill its role effectively there is a need for good and reliable data for planning and evaluation. This survey examines the problem in some detail.

scholarly journals Planes gerontológicos y proyectos de animación socioculturalpara las personas mayores

10.14201/2879 ◽  
2009 ◽  
Vol 12 ◽  
Author(s):  
Agustín Requejo Osorio
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Social Services ◽  
Leisure Time ◽  
Action Plan ◽  
Cultural Development ◽  
International Project ◽  
Calidad De Vida ◽  
Adult Education Centres

RESUMEN: En el contexto de una población cada vez más anciana, el presente trabajo analiza, en una primera parte, los diferentes planes gerontológicos del Estado español y de las diferentes regiones autonómicas que los han aprobado y aplicado en los últimos años.El interés por la multiplicidad y evolución de dichos planes está relacionado con el proyecto internacional de evaluación para el año 2001 del «Plan de Acción Internacional sobre el Envejecimiento» propuesto por Naciones Unidas a lo largo de la última década.Un aspecto particular de dichos planes —junto al tema de las pensiones, salud, asistencia sanitaria, servicios sociales y participación— se refiere a las cuestiones de cultura y tiempo libre.Por tal motivo esta cuestión es valorada en distintos planes gerontológicos y estudiada en el contexto de los procesos y planes de animación sociocultural con las personas mayores para transformar su ocio pasivo en ocio activo mediante programas y actividades que lo fomentan.Con carácter particular se estudian las características del ocio de las personas mayores en Galicia en algunos de estos programas (universidades populares, iv ciclo universitario) considerando su importancia para la mejor participación, desarrollo cultural y calidad de vida de las personas mayores. ABSTRACT: Within the context of a population increasingly older, the first part of this paper analyses the different gerontology plans of the Spanish State and its autonomous regions, which approved and applied them along the last few years.The interest for the great variety and evolution of said plans it is related to the international project on evaluation for the year 2001 of the «International Action Plan for Elderly People» proposed by the United Nations along the last decade.A particular aspect of said plans —together with the themes of pensions, health, health aids, social services and participation— refers to the issues of culture and leisure time. Therefore, this fact is greatly valued among the various gerontology plans and it is studied within the context of the processes and plans of «socio-cultural animation » for elderly in order to transform their passive leisure time into an active one by using the programmes and activities that promote it.Finally, and within some of these programmes [universidades populares («popular universities», or a specific type of adult education centres), «iv ciclo universitario» (4th university cycle, or university studies for elderly people)], the particular characteristics of the leisure time of Galician elderly are studied. The relevance of these programmes for a better participation, a better cultural development and a better quality of life for elderly people is considered.

Sign in / Sign up

Export Citation Format

Share Document