National Old-Age Care Regimes and the Emergence of Transnational Long-Term Care Arrangements for the Elderly

2017 ◽  
pp. 222-242 ◽  
Author(s):  
Anita Böcker ◽  
Vincent Horn ◽  
Cornelia Schweppe
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S802-S802
Author(s):  
Ganesh Baniya ◽  
Ami Moore

Abstract Attitudes towards long-term care can help policymakers tailor policies considering different racial and ethnic experiences of the elderly population. The theory of Proactive Coping can help elderly people to better prepare for aging and minimize stressors related to aging by identifying potential sources of stress before they occur and help gather resources and skills for successful aging. The data from the “Long-term care in America: views on who should bear the responsibilities and costs of care” (2017) study showed that Hispanics generally perceived their health to be in a better status and Hispanic women perceived that they had better health compared to males. Similarly, Hispanic males generally thought that they would not need assistance at old age whereas women anticipated that they would require assistance at old age. Similarly, there was a gender difference on who should bear the caregiving responsibility. More Hispanic women thought it would be their responsibility to provide care than males. Women were more prepared than males to provide the care needed to family members of friends. In regards to financial preparation, males reported being more financially capable than females to bear expenses during the old age. Similarly, women were more likely to solely depend on using governmental assistance such as Medicare and Medicaid during old age for needed care. Most of the respondents thought that the US was not well prepared to meet the needs of the aging population and suggested that the government needs to do more before it would be too late.


2015 ◽  
Vol 3 (2) ◽  
pp. 56
Author(s):  
Joan.M Kloppers ◽  
Agnes Van Dyk ◽  
Lucia N. Nelumbu

<p>In many instances care for the frail elderly, especially in long-term care institutions, is provided under minimal supervision by caregivers who lay people. This can lead to poor-quality care or neglect of the frail elderly. Therefore, caregivers have a major role in coordinating comprehensive long-term care.</p><p>One of the objectives of the study “Caregiving in old-age homes in Windhoek: A practice-orientated enquiry into caregiving education” was to implement the educational programme for caregivers in old age homes in Windhoek. A qualitative, explorative, descriptive, contextual and phenomenology design was used to perform this study.</p><p>The study was conducted in three phases. Firstly, a situational analysis was carried out to explore and describe the experiences and needs of the caregivers and the elderly. The situation analysis revealed themes in terms of interpersonal relationships that could be positive or negative regarding the elderly, with the sub-themes like communication, support and caring for elderly people. These themes and sub-themes include the following: Interpersonal relationships were viewed as an important aspect of the caring process. Lack of regular in-service training sessions for caregivers, with a sub- theme of a lack of adequate knowledge of procedures. Lack of human resources, equipment and policies</p><p>In the second phase, a conceptual framework was derived from the results of phase 1, using the activities prescribed by Dickoff, James and Wiedenbach (1968). In the third phase, a programme was developed from the findings of the previous phase. Finally, the educational programme was implemented and evaluated in old-age homes in Windhoek.</p>


2003 ◽  
Vol 54 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Masanori Komatsu ◽  
Kayoko Hirata ◽  
Idumi Mochimatsu ◽  
Kazuo Matsui ◽  
Hajime Hirose ◽  
...  

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 176-176
Author(s):  
Hiroto Yoshida ◽  
Yuriko Kihara

Abstract This study examined the impact of frailty on medical and long-term care expenditures in an older Japanese population. The subjects were those aged 75 years and over who responded to the survey (March 2018) in Bibai, Hokkaido, Japan (n=1,203) and have never received certification of long-term care insurance at the survey. We followed up 867 individuals (72.1%) until the end of December 2018 (10 month-period). We defined frailty as a state in performing 4 items and over of 15 items which were composed of un-intentional weight loss, history of falls, etc. Among 867 subjects, 233 subjects (26.9%) were judged to be frailty group, and 634 subjects (73.1%) non-frailty group. We compared period to the new certification of long-term care insurance (LTCI), accumulated medical and long-term care expenditures adjusted for age and gender between the two groups during the follow-up period. Cox proportional hazard models were used to examine the association between baseline frailty and the new certification of LTCI. The relative hazard ratio (HR) was higher in frailty group than non-frailty group (HR=3.51, 95% CI:1.30-9.45, P=.013). The adjusted mean accumulated medical and long-term care expenditures per capita during the follow-up were significantly (P=.002) larger for those in the frailty group (629,699 yen), while those in the non-frailty group were 450,995 yen. We confirmed strong economic impact of frailty in the elderly aged 75 or over in Japan.


1981 ◽  
Vol 62 (7) ◽  
pp. 420-425 ◽  
Author(s):  
Alicia S. Cook

Abraham Maslow's hierarchy of human needs provides a useful operating framework for professionals working with residents of long-term care institutions. The difficulties and obstacles that the elderly often encounter in these facilities are addressed and discussed for each level of the theoretical model.


Author(s):  
Isabel Brown

ABSTRACTA retrospective study was conducted in a large multilevel geriatric centre to analyse the deaths reported in the year 1981. This centre provides accommodation for 750 elderly and/or chronically ill persons in three agencies—an apartment complex, a home for the aged, and a long-term care hospital The study revealed that the hospital is the place of death for a high proportion of the elderly residents of the centre. In particular, residents of the home for the aged are unlikely to remain in the “home” to die. It was found that patterns of death and dying for individuals admitted to the hospital from the general community differ in several ways from the patterns of those who are already living in the centre in terms of age and probable cause of death.


Sign in / Sign up

Export Citation Format

Share Document