Pflegebedürftigkeit unterscheiden

2021 ◽  
Author(s):  
Johannes Michael Bergmann
Keyword(s):  
Cluster Analysis ◽  
Long Term Care ◽  
Multiple Correspondence Analysis ◽  
Methodological Approach ◽  
Assessment System ◽  
Theoretical Discussion ◽  
Need For Care ◽  
Term Care ◽  
Measurement And Analysis

In Germany, a new assessment system (the NBA) is being applied to assess the need for long-term care. The degree of care that is calculated defines the extent of welfare state benefits. Measuring and analysing the need for care in a statistically appropriate way is subject to certain preconditions. This book presents multiple correspondence analysis (MCA) in combination with cluster analysis (HCA) as an innovative methodological approach to dealing with this challenge. The first part provides a theoretical discussion of the need for care; the second part describes MCA and HCA in detail using an example. The book is aimed at all those involved in the measurement and analysis of the need for care.

Exploring food choice and flexibility practices among staff and residents at care homes in Denmark

2019 ◽  
pp. 1-21
Author(s):  
Maria Nyberg ◽  
Mine Sylow
Keyword(s):  
Focus Groups ◽  
Food Choice ◽  
Long Term Care ◽  
Time Pressure ◽  
Older Age ◽  
Care Homes ◽  
Need For Care ◽  
Term Care ◽  
Know How

AbstractWith a growing number of people reaching older age, the need for care provided in long-term care institutions is increasing. Although the goal is to deliver person-centred care that includes choice and flexibility opportunities, pre-scheduled mealtimes and set menus are still used. The aim was to explore how food choice and flexibility practices were perceived and performed by residents and staff at three care homes in Denmark. Three food journey interviews with eight residents (aged 83–96) and three focus groups with 12 people from the care and kitchen staff were conducted. Food choice and flexibility practices were mainly performed informally and selectively by the staff, and through personal practices by the residents, implying that many residents were excluded from food choice and flexibility opportunities. However, food choice and flexibility practices were also inhibited by the staff's time pressure and unfamiliarity with choice possibilities, and by the politeness of the residents. Our findings suggest that food choice and flexibility practices must be understood and performed broadly, and include various ways of listening and responding to the residents’ needs and preferences. The study highlighted the importance of incorporating the essential embodied knowledge and emotional know-how, inherent in food choice and flexibility practices, into formal and inclusive strategies concerning how to think and act in relation to the food and meal situation.

Long-term care and disaster preparedness: A study of organizational types and levels of preparedness for a disaster or emergency

2011 ◽  
Vol 9 (2) ◽  
pp. 39 ◽  
Author(s):  
Saher Selod, MA ◽  
Janice Heineman, PhD ◽  
Catherine O’Brien, MPH, MA ◽  
Scott P. King, PhD
Keyword(s):  
Cluster Analysis ◽  
Hurricane Katrina ◽  
Disaster Preparedness ◽  
Urban Areas ◽  
Long Term Care ◽  
Disaster Plan ◽  
Term Care ◽  
Preparedness Planning ◽  
Demographic Survey

Objectives: Although the consequences of Hurricane Katrina motivated considerable research into long-term care (LTC) facility preparedness, many questions still remain. This study examines the characteristics of LTC facility in relation to the level of preparedness to discern whether there are patterns that can inform future planning efforts. The data from PREPARE, a federally funded disaster preparedness program for LTC staff, are used in the analysis.Methods: More than 400 PREPARE participants completed both baseline and impact surveys as well as a demographic survey, allowing for an analysis of the characteristics and levels of disaster preparedness among participating LTC facilities. Crosstabs were run for the baseline and impact surveys against the demographic survey that the participants completed. Cluster analysis was performed to fit organizations into distinct groups based on their baseline responses to key preparedness domains.Results: The results of the crosstabs reveal the specific areas where LTC facilities have a more comprehensive disaster plan. For example, skilled nursing facilities appear to be more prepared than continuing care retirement communities (CCRCs); rural facilities seem to be more prepared than urban facilities; and facilities that are part of a chain did not emerge as being better equipped than independent facilities. Cluster analysis found three groups of organizations: “Resourceful but Hesitant,” “Unprepared,” and “Model Preparedness.”Conclusions: These findings have important implications for public health efforts surrounding disaster preparedness in LTC. The findings suggest that CCRCs deserve special attention in preparedness planning and that consideration in disaster planning is required in both rural and urban areas.

scholarly journals Forms of Providing and Financing Long-Term Care in OECD Countries

2017 ◽  
Vol 17 (2) ◽  
pp. 159-178 ◽  
Author(s):  
Renáta Halásková ◽  
Pavel Bednář ◽  
Martina Halásková
Keyword(s):  
Cluster Analysis ◽  
Long Term Care ◽  
Formal System ◽  
Principal Component ◽  
Oecd Countries ◽  
Population Ageing ◽  
Term Care ◽  
Care Systems ◽  
Provision Of Care

Abstract Long-term care is being prioritised due to population ageing, and hand in hand with the development of professional provision of long-term care, public expendi-tures will be increasing. Mainly countries with a sharp increase in the number of people aged 80+ will have to address the sustainability of long-term care systems and the pro-curement of relevant services. This paper aims to evaluate the forms of provision and financing of long-term care in selected OECD countries. Provision and funding of long-term care in terms of a formal system are assessed based on selected criteria using analytical methods (principal component analysis and TwoStep cluster analysis). Results of the evaluation carried out in 2008 and 2013 by means of the selected indicators of long-term care, using TwoStep cluster analysis, confirmed both similar as well as different approaches to the provision and financing of long-term care in the analysed countries. The most marked differences in the provision of care based on indicators LTC recipients aged 65+ and LTC recipients in institutions as a percentage of total LTC recipients were found between the first cluster (Australia and Korea with the highest share of LTC recipients) and the second cluster (Czech Republic, Estonia, with the lowest share of LTC recipients). In financing of long-term care (LTC expenditures on institutions as a percentage of total LTC expenditures), the most significant differences were observed between the first (Australia, Korea, with the largest share of LTC expenditures on institutions) and third cluster (mainly Nordic countries, with the lowest share of LTC expenditures on institutions of total LTC expenditures).

scholarly journals Leadership for quality in long-term care

2021 ◽  
pp. 084047042110407
Author(s):  
Ivy L. Bourgeault ◽  
Tamara Daly ◽  
Catherine Aubrecht ◽  
Pat Armstrong ◽  
Hugh Armstrong ◽  
...  
Keyword(s):  
Long Term Care ◽  
Point Of Care ◽  
Methodological Approach ◽  
Care Staff ◽  
High Quality ◽  
Term Care ◽  
Leadership Standards ◽  
Non Profit ◽  
Post Hoc

Leadership in long-term care is a burgeoning field of research, particularly that which is focused on enabling point of care staff to provide high-quality and responsive healthcare. In this article, we focus on the relatively important role that leadership plays in enabling the conditions for high-quality long-term care. Our methodological approach involved a rapid in-depth ethnography undertaken by an interdisciplinary team across eight public and non-profit long-term care homes in Canada, where we conducted over 1,000 hours of observations and 275 formal and informal interviews with managers, staff, residents, family members and volunteers. Guiding our analysis post hoc is the LEADS in a Caring Environment framework. We mapped key promising leadership practices identified by our analysis and discuss how these can inform the development of leadership standards across staff and management in long-term care.

scholarly journals Methodological description of the mapping of Brazilian long-term care facilities for older adults

2021 ◽  
Vol 15 ◽  
Author(s):  
Marisa Accioly Rodrigues da Costa Domingues ◽  
Patrick Alexander Wachholz ◽  
Christiano Barbosa da Silva ◽  
Lidiane Charbel Souza Peres ◽  
Paula Ferreira Chacon ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Methodological Approach ◽  
Primary Source ◽  
Current Status ◽  
Exploratory Research ◽  
Multiple Sources ◽  
Term Care ◽  
Care Facilities

OBJECTIVE: To describe the methodological approach adopted to build a database of long-term care facilities (LCTFs) in Brazil. METHODS: This exploratory research was conducted for 12 months, between August 2020 and July 2021, based on primarily publicly accessible data. First, the Unified Social Assistance System (Sistema Único de Assistência Social [SUAS]) database from 2019 was adopted as the primary source of information. In addition, public agencies and managers were consulted and invited to share their databases, while researchers and private entities collaborated by making their spreadsheets available. Data were organized in spreadsheets for each Brazilian state. LTCFs not catering to older adults (aged 60 years and over) were excluded. Duplicate data were excluded when overlaps were identified. RESULTS: This brief communication describes the methodology adopted for mapping the current status of Brazilian LTCFs. Despite its caveats, this study represents an important advance in the identification, characterization, and monitoring of these services nationwide. A total of 5769 facilities were found in the 2019 SUAS census. After excluding facilities not caring for residents aged 60 years or over, this number decreased to 2381 LTCFs. The consolidation and filtering of information from multiple data sources led to the identification of 7029 LTCFs throughout the country. CONCLUSION: Building a solid database was paramount to devising a national policy on long-term care. By including multiple sources, the scope of this survey was wider than all previous efforts and constituted an unprecedented collaborative experience in the country, including the potential to become the first national dataset for the Brazilian LTC sector.

scholarly journals Factors associated with drug prescribing practices in long-term care patients with cognitive impairment

2020 ◽  
Vol 11 (5) ◽  
pp. 761-775
Author(s):  
Violetta Kijowska ◽  
Ilona Barańska ◽  
Katarzyna Szczerbińska
Keyword(s):  
Cognitive Impairment ◽  
Atypical Antipsychotics ◽  
Long Term Care ◽  
Multiple Correspondence Analysis ◽  
Prescribing Practices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Factors Associated

Abstract Purpose To examine factors associated with prescribing anti-dementia medicines (ADM), atypical antipsychotics (A-APM), typical antipsychotics (T-APM), anxiolytics and other psychostimulants (OP) in the residents of long-term care institutions (LTCIs). Methods A cross-sectional survey of a country-representative sample of randomly selected LTCIs in Poland, conducted in 2015–2016. First, we identified 1035 residents with cognitive impairment (CI) among all 1587 residents. Next, we randomly selected 20 residents from each institution. Study sample consists of 455 residents with CI: 214 recruited from 11 nursing homes and 241 from 12 residential homes. We used InterRAI-LTCF questionnaire and drug dispensary cards administered on the day of data collection to assess use of drugs. Multiple correspondence analysis (MCA), descriptive and logistic regression analyses were performed. Results The residents were treated with ADM (13.4%), OP (14.3%), antipsychotics (46.4%) including A-APM (24.2%) and T-APM (27.9%), and anxiolytics (28.4%). Hydroxyzine was used most often among anxiolytics (71.3%). Prescribing of ADM was more likely in Alzheimer’s disease (OR = 4.378; 95%CI 2.173–8.823), while OP in other dementia (OR = 1.873; 95%CI 1.007–3.485). Administration of A-APM was more likely in older residents (OR = 1.032, 95%CI 1.009–1.055), and when delusions appeared (OR = 2.082; 95%CI 1.199–3.613), while there were no neuropsychiatric factors increasing the odds of T-APM use. Prescribing of anxiolytics was less likely in moderate CI (by 47.2%) than in residents with mild CI. Conclusion Current practices of prescribing psychotropics are inadequate in Polish LTCIs, especially in terms of use of T-APM and hydroxyzine. More attention should be given to motivate physicians to change their prescribing practices.

scholarly journals Aging, Pensions and Long-term Care: What, Why, Who, How? Comment on "Financing Long-term Care: Lessons From Japan"

2019 ◽  
Author(s):  
Kieke Okma ◽  
Michael K. Gusmano
Keyword(s):  
Home Care ◽  
Frail Elderly ◽  
Long Term Care ◽  
Assessment System ◽  
Control Measures ◽  
Nursing Home Care ◽  
International Studies ◽  
Term Care ◽  
The Government

Japan has been aging faster than other industrialized nations, and its experience offers useful lessons to others. Japan has been willing to expand its welfare state with a long-term care (LTC) insurance to finance home care and nursing home care for frail elderly. As Ikegami shows, it created new facilities and expanded specialized staffing for home care, developed a country-wide assessment system and shifted responsibilities between the central and local authorities over that assessment and the determination of co-payments for LTC. Faced with rapid growth in demand for LTC, the government felt the need for new cost control measures. The Japanese experience illustrates that new social policies take time to develop. There is often a need to adjust. But there are also other lessons. The main one is that there is no direct relation between the degree of population aging and total health spending. While aging requires adjustments in the organization of care, and expanding LTC for frail elderly, international studies show there is no need to worry about the ‘unaffordability’ of aging. In this commentary, we have framed four "What, Why, Who, and How" questions about LTC to (re-)define the borderlines between public and private responsibilities for the range of activities for which some (but certainly not all) frail elderly as well as many non-elderly require support in daily life.

scholarly journals Categorization of Long Term Care Hospital in Korea Using Cluster Analysis

2019 ◽  
Vol 3 (1) ◽  
pp. 71-81 ◽  
Author(s):  
Soo-Kyung Park ◽  
Yeon-Ju Lee
Keyword(s):  
Cluster Analysis ◽  
Long Term Care ◽  
Care Hospital ◽  
Term Care
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