Evaluation on Risk Factors of Elderly Services From the Perspective of Integrated SCOR Model

Analysing and identifying the risk factors of elderly services is conducive to improving the risk management capabilities of the elderly care industry and maintaining the safety and stability of the elderly care service industry chain. Based on the integrated Supply Chain Operations Reference (SCOR) model, a risk indicator system for elderly services supply chain was established from plan, design, supply, implementation, and customer service. The DEA method with Entropy-AHP mixed constraint was introduced to deal with the weight freedom of traditional DEA method. Taking the likelihood, exposure and consequence of risk occurrence as decision variables, the risk evaluation and ranking of the indicators were carried out. According to the empirical analysis based on the data of elderly care institutions in the Pearl River Delta of China, the biggest Pareto risk factors in the first-level and second-level indicators, the risk growth and reduction ratios of the first-level indicators were obtained.

Author(s):  
Thais Andrea Baldissera ◽  
Luis M. Camarinha-Matos ◽  
Cristiano De Faveri

This chapter provides a brief overview of the demographic evolution and aging process, introducing a collaborative framework to assist senior citizens. The importance of supporting the age-related care needs, and the potential technologies for aging support are highlighted. A conceptual model for an elderly care ecosystem (ECE) and methods for care service personalization and evolution based on a collaborative environment are presented. To facilitate the consideration of human factors in the early design stage of ECE, a care need goals taxonomy and human-centered design principles are introduced. Customer, service, and service provider template profiles to design the elderly care ecosystem are proposed. Experimental results and feedback from lead users are presented and discussed. The goal of the ECE framework is to provide assistance in service recommendation (and adaptation) for the elderly care domain taking into account human factors.


2018 ◽  
Vol 28 (2) ◽  
pp. 571-574
Author(s):  
Ivanka Stambolova ◽  
Stefan Stambolov

In outpatient care the home care, including hospices, is recognized as a model for providing quality, cost-effective and charitable care. The focus is mainly on the care that helps everyday lifeof the patient as well as the relatives, rather than on treatment, and in most cases it takes place in the patients' home. In Europe, in recent years there has been a real "boom" in home care due to demographic processes linked to increased needs for elderly care and chronically ill under the conditions of limited financial resources.In outpatient medical care in our country by means of a national framework contract there are regulated visits to the patient's home by a doctor, as well as visits by medical staff employed by him - nurse, midwife, medical assistant / paramedic / for manipulation, counseling and monitoring. At the same time there is no regulated legal activity in the Republic of Bulgaria, which is essentially the subject of home care.Since 1994 „Caritas“ has carried out the "Home Care" service, which provides a complex - health and social care for over 360 sick adults in a place where the elderly person feels the most comfortable - in their own home. „Caritas Home Care“ is provided by mobile teams of nurses and social assistants who visit the elderly at home and provide them with the necessary care according to their health and social needs.With the establishment of the first „Home Care Center“ in Lozenets region, Sofia, with the support of the PHARE ACCESS program in 2003, the Bulgarian Red Cross introduces in Bulgaria an integrated model for provision of health care and social services in the home of adults, chronically ill and people with permanent disabilities. To date, there are a number of problems in home care related to the realization of home care for patients in need in out-of-hospital settings: lack of legal regulation for home care, lack of qualified staff in outpatient care; lack of organization and structures for care; unsettled funding and the inability of the part of the population that is most in need of care to pay for it, there is no regulation to control the activity. Although home care began over 20 years ago, our country is yet to make its way to the European program called „Home care in Europe“.


2019 ◽  
Author(s):  
Hungyi Chen ◽  
Yuan-Chia Chu ◽  
Feipei Lai

BACKGROUND Time banking is a good mechanism to provide elderly care in community services with members having mutual benefits, besides social welfare and out-of-pocket fee payment mechanisms. With further integration with off-line works, mobile time banking may provide a better way, compared to traditional web access. On the other hand, blockchain technology has been long encountering difficulty in integrating with real-world economies or activities. Development of a mobile time banking system on blockchain (MTBB) may provide a realistic solution for community elderly care. Besides, the tracking mechanism from blockchain technology itself may also help track the elderly care service transaction records in order to measure better Sustainable Development Goals (SDGs) set by United Nations (UN). OBJECTIVE The aim of this study was to develop the MTBB, which enables tracking service transaction records in community elderly care through mutual helps. METHODS The MTBB was developed to empower organizations, either Corporate Social Responsibility (CSR) organizations, or Non-Profit Organizations (NPOs), to issue time tokens of their proprietary token types to the members who participate in the volunteer activities organized by the organizations respectively. In the service activities, members sign in and sign out before and after the services by using a smartphone app, and then get the time tokens afterwards. Members with time tokens can then exchange time tokens for elderly care services using the same smartphone app. MultiChain is used as the blockchain technology stack, as one of its features to support multiple token types is critical. RESULTS Database applications with smartphone apps integrated with MultiChain were developed. The whole set of the database schema was integrated with two smartphone apps, one for members, and the other for organizations, in addition to the two backend operations modules, one for organizations, and the other for managing all organizations and members. The MultiChain wallet was also integrated into the member app, as well as the organization backend modules for keeping track of the service transactions and time tokens. Metadata with the service transaction information is stored in the MultiChain blocks so that the transaction records are immutable and can thus be analyzed in the future. CONCLUSIONS The twelve characteristics of Cahn’s time banking are the guidelines of developing this MTBB with integration of MultiChain blockchain technology for tracking service transaction records. The study also combines the 1-to-1 member service exchange with organizations holding volunteer activities and issuing proprietary time tokens. With the blockchain transaction tracking mechanism, all of the elderly care service records through or within organizations can be tracked and analyzed to align with UN’s five SDGs.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 643
Author(s):  
Jiangang Shi ◽  
Wenwen Hua ◽  
Daizhong Tang ◽  
Ke Xu ◽  
Quanwei Xu

Based on Maslow’s hierarchy of needs theory and customer satisfaction theory, we constructed a satisfaction model for supply–demand satisfaction for community-based senior care (SSCSC) combined with the psychological perspective of the elderly, and four dimensions of basic living needs (BLNs), living environment (LE), personal traits (PTs), and livability for the aged (LA) were selected to construct the model. The data were obtained from 296 questionnaires from seniors over 50 years old (or completed by relatives on their behalf, according to their actual situation). Twenty-two observed variables were selected for the five latent variables, and their interactions were explored using structural equation modeling. The results showed that LA was the most significant factor influencing SSCSC, and it was followed by BLNs and LE. PTs did not show a direct effect on LA, but they could have an indirect effect on SSCSC through influencing BLNs and LE. Based on the current state of community aging satisfaction, we propose to establish a community elderly care service system based on the basic needs of the elderly population, providing differentiated and refined elderly care services and improving the level of aging-friendly communities. This study provides references for the government to formulate relevant policies and other supply entities to make strategic decisions and has important implications for further enhancing community elderly services to become an important part of the social security system for the elderly.


2021 ◽  
Vol 275 ◽  
pp. 03003
Author(s):  
Yi Ding ◽  
Zhe Zhang ◽  
Meiyun Yang ◽  
Fengqi Sun

This research focuses on a service acquisition mode for parents in urban separated families of China to promote the popularization of elderly care services in Internet economy. Based on interviews and questionnaires, authors find the pain point of the elderly care service acquisition mode and propose a tripartite participatory mode. Using this new service acquisition mode, adult children can play an assistant role with a smartphone-based service purchase platform. Next, in order to determine what services should be provided priorly on the platform, an empirical study based on questionnaires and KANO model is carried out to screen a propriate services items. Through the innovation of new elderly care service acquisition mode, more practitioners are supposed to expands their business effectively in aging market, and to play an ever more active role in the growth of Internet economy.


1998 ◽  
Vol 120 (1) ◽  
pp. 115-115
Author(s):  
M. WASHIO

Epidemiol. Infect.119, (1997), 285Correct last sentence to: ‘Unnecessary administration of antibiotics as well as unnecessary hospitalization is not advisable when treating the elderly in nursing homes.’


2021 ◽  
Vol 4 (4) ◽  
pp. 139-145
Author(s):  
Mengna Li ◽  
Liyun Wu

In order to solve the problem of imbalance resource allocation and service income in the elderly care service industry, this article establishes three service income models in different situations for a single provider and a single integrator while considering the quality as well as government subsidies. The results showed that government subsidies can significantly improve quality efforts and service income with a mutual restriction between quality and service income. Government subsidies would have an impact on the quality, and they are more conducive to the service income of providers. When government subsidies are less than 80% of the service income, the incentive effect is better.


2021 ◽  
Vol 233 ◽  
pp. 01168
Author(s):  
Aijia Song ◽  
Zhaoqi Peng

2020-2050 is a period of rapid development of China's population aging, and it is also a critical period for the country to actively respond to population aging. Under the background of the combination of medical care and nursing, institutional elderly care services, as an important branch of the multi-level elderly care service system, have become the main battlefield of the integrated medical and elderly care policy. Therefore, institutional care talents for the aged have also become a key link in improving the quality of life of the elderly population. This paper using trend extrapolation model to predict the needs of elderly care talents in institutions in Beijing, including nursing staff who provide basic living care and professional medical staff who provide services such as rehabilitation, medical treatment, nutrition, and psychological consultation. The results show that, in 2050, the demand for institutional elderly nursing staff in Beijing will exceed 150,000, and the demand for institutional elderly medical staff will reach about 20,000.


2016 ◽  
Vol 2 (3) ◽  
pp. 89 ◽  
Author(s):  
Anas Mutakin ◽  
Musa Hubeis

The objectives of this research were (1) Assess the supply chain structure of cement products in PT Indocement Induk Prakarsa (ITP) Tbk; (2) Conduct performance measurement of supply chain management (SCM) for cement products in PT ITP Tbk approach Supply Chain Operations Reference (SCOR) model version 9.0; (3) Provide alternatives solution to the problem after the measurement is known along with suggestions of measurement and analysis activities of SCM at PT ITP Tbk. Calculation of performance metrics level 1 is the perfect order fulfillment (POF) 82.43%, order fulfillment cycle time (OFCT) 2 days, the cost of good sold (COGS) 53.84% and cash-to-cash cycle time (CTCCT) 53 days. Opportunity value that is calculated using the lost opportunity measure (LOM) is a POF registration COGS Rp 552,146,310,636 and Rp 127,956,658,590. The mapping level 2 shows PT ITP Tbk have performance lowest deliver process, because the expedition and transportation of cement is less effective and efficient in sending customer orders. Mapping level 3 shows in detail the process of delivering PT ITP Tbk, so it can answer why deliver a low performance. From the results of the overall SCM performance PT ITP Tbk good enough, but needs to be improved on the expedition and the distribution of transportation to reach the target business objectives set PT ITP Tbk, which is improving customer service and increase profits.


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