scholarly journals The adoption of market-based practices within care for older people: is the work satisfaction of Nordic care workers at risk?

2011 ◽  
Vol 2 ◽  
Author(s):  
Teppo Kröger
Keyword(s):  
Older People ◽  
Elderly People ◽  
Health Care Systems ◽  
Work Satisfaction ◽  
Postal Survey ◽  
Nordic Countries ◽  
For Profit ◽  
Care Workers ◽  
Care Systems ◽  
Care For Older People

Market-based practices, including privatization and the increased emphasis on managerialism, have entered Nordic social- and health-care systems for elderly people. This article examines whether the adoption of these practices has affected the work satisfaction of care workers in Denmark, Finland, Norway, and Sweden. The data used comes from a postal survey conducted in spring 2005 among Nordic care workers, covering 2716 respondents who provided care for older people. The items analysed include background questions, Likert-scale questions on working conditions, and questions on the presence of different market-based practices in the workplace. The results indicate that there are many variations between the four Nordic countries concerning the adoption of market-inspired practices in the care for elderly people, with Denmark having been the most eager and Norway the least to introduce them. Employees of for-profit employers report a lower level of work satisfaction than public employees. On the other hand, the adoption of most market-based instruments correlates with higher and not lower levels of work satisfaction among care workers working with elderly people.The results do not show a simple connection between the adoption of market-based practices and lower levels of work satisfaction, which might have been expected on the basis of earlier research discussions. However, due to some weaknesses of the data and the many variations between individual market-based models as well as between different Nordic countries, there is cause for caution in the interpretation of the results. It is particularly necessary for policymakers to remain sensitive to the national context.

scholarly journals UNDERSTANDING NON-MEDICAL COSTS FOR HEALTH CARE: EVIDENCE FROM INPATIENT CARE FOR OLDER PEOPLE IN CHINA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S733-S733
Author(s):  
Wei Yang
Keyword(s):  
Health Care ◽  
Older People ◽  
Health Care Systems ◽  
Significant Proportion ◽  
Medical Costs ◽  
Urban China ◽  
Substantial Part ◽  
Rural And Urban ◽  
Care Systems ◽  
Health Payment

Abstract Non-medical costs can constitute a substantial part of total health care costs, especially for older people. Costs associated with carers, travel, food and accommodation for family members accompanying and caring for older people during their medical visits can be hefty. This study seeks to examine the effects of non-medical costs on catastrophic health payments and health payment-induced poverty among older people in rural and urban China. Using data from the China Health and Retirement Longitudinal Survey 2015, this study finds that inpatient costs account for a significant proportion of household expenditure, and non-medical costs can account for approximately 18% of total costs. That share is highest for those who belong to the lowest wealth groups. Non-medical costs increase the chances of older people incurring catastrophic health payments and suffering from health payment-induced poverty. Such effects are more concentrated among the poor than the rich. The results also show that the rural population are more likely to incur catastrophic health payments and suffer from health payment induced poverty compared to the urban population. This paper urges policy makers to consider reimbursing the non-medical costs of patient care, improving health care systems in general and for the rural populations specifically.

scholarly journals Initial experiences of US neurologists in practice during the COVID-19 pandemic via survey

Neurology ◽  
2020 ◽  
Vol 95 (5) ◽  
pp. 215-220 ◽  
Author(s):  
Akanksha Sharma ◽  
Christina R. Maxwell ◽  
Jill Farmer ◽  
Diana Greene-Chandos ◽  
Kathrin LaFaver ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
The United States ◽  
Survey Study ◽  
Practice Model ◽  
Safety Measures ◽  
Public Health Emergencies ◽  
Care Workers ◽  
Rapid Changes ◽  
Care Systems

ObjectiveTo test the hypothesis that US neurologists were experiencing significant challenges with lack of personal protective equipment (PPE), rapid changes in practice, and varying institutional protocols, we conducted this survey study. The current coronavirus disease of 2019 (COVID-19) pandemic has caused widespread disease and death. Rapid increases in patient volumes have exposed weaknesses in health care systems and challenged our ability to provide optimal patient care and adequate safety measures to health care workers (HCWs).MethodsA 36-item survey was distributed to neurologists around the United States through various media platforms.ResultsOver a 1-week period, 567 responses were received. Of these, 56% practiced in academia. A total of 87% had access to PPE, with 45% being asked to reuse PPE due to shortages. The pandemic caused rapid changes in practice, most notably a shift toward providing care by teleneurology, although a third experienced challenges in transitioning to this model. Wide variations were noted both in testing and in the guidance provided for the exposed, sick, or vulnerable HCWs. Notably, 59% of respondents felt that their practices were doing what they could, although 56% did not feel safe taking care of patients.ConclusionsResults from our survey demonstrate significant variability in preparedness and responsiveness to the COVID-19 pandemic in neurology, affected by region, health care setting, and practice model. Practice guidelines from professional societies and other national entities are needed to improve protection for physicians and their patients, promote recommended practice changes during a pandemic, and optimize future preparedness for public health emergencies.

Commitment to Change Among Health Care Workers in Pakistan

2020 ◽  
Vol 22 (3) ◽  
pp. 330-347
Author(s):  
Haroon Bakari ◽  
Ahmed Imran Hunjra ◽  
Stephen Jaros
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Organizational Change ◽  
Health Care Workers ◽  
Health Care Systems ◽  
Change Initiative ◽  
Commitment To Change ◽  
Research Attention ◽  
Care Workers ◽  
Care Systems

Commitment to organizational change as an important focus of commitment has received greater attention in the literature of action commitments. Research indicates that this construct represents employee attitude towards change initiative and may be a greater predictor of support for change. This is of particular import in health care systems, globally, and in developing nations, in particular, which are constantly seeking to change and adapt to new medical and administrative advances. However, commitment to change (C2C) has received very little research attention from Asian health care systems. Therefore, this study answers the call for validation, by validating a culture-specific translated version of the C2C scale in a sample drawn from the privatization context of public sector hospitals in Pakistan. The goals are to: (a) examine some psychometric properties of the major Western-derived measures of C2C in Pakistan to see if they are valid and reliable there; and (b) draw implications from our results for the management of change efforts in Pakistani health care systems. Thus, exploratory factor analysis and confirmatory factor analysis (CFA) were conducted using SPSS and analysis of moment structures (AMOS) to provide evidence of reliability, construct validity and predictive validity of C2C among Pakistani health care workers. Results found evidence of the measure’s cross-cultural validity and revealed a positive correlation between C2C and three dimensions of behavioural support for change. This study is a significant contribution to the literature, being the first to provide comprehensive evidence of validity of the C2C scale in Pakistan, a developing country. An important implication for leaders of organizational change in Pakistan is that they may use this construct to unearth employee level of understanding and attitude towards change initiative to envisage mechanisms to foster employee support for change. Researchers may also use this construct in Pakistan’s context to assess employee C2C.

Potentiality made workable – exploring logics of care in reablement for older people

2018 ◽  
Vol 39 (9) ◽  
pp. 2018-2041 ◽  
Author(s):  
MALENE NØRSKOV BØDKER
Keyword(s):  
Home Care ◽  
Older People ◽  
Elder Care ◽  
Health Care Systems ◽  
Moral Standards ◽  
Inclusive Approach ◽  
The Face ◽  
Care Systems ◽  
Abstract Notion ◽  
Training Programmes

ABSTRACTIn the face of population ageing, Western health-care systems are currently demonstrating an immense interest in mobilising older people's potentials. With this agenda in mind, several countries have introduced reablement: a type of home care aimed at mobilising older people's potentials for independence by means of short-term training programmes. Based on extensive ethnographic fieldwork conducted in Denmark's home care sector, this paper explores how elder-care professionals translate the abstract notion of ‘potentiality’ into practice. Theoretically, the paper draws on Annemarie Mol's term ‘logic of care’. I demonstrate that professionals draw on two co-existing logics of care: a logic of reablement encapsulating ideals of successful ageing and life-long development; and a logic of retirement, which in contrast allows people at the end of life to retreat and engage in enjoyable activities. Professionals manage to balance these logics in order to live up to policy obligations while at the same time complying with moral standards of good care. However, very little is achieved in terms of increased independence. I argue that by narrowly focusing on bodily and quantifiable potentials, the ‘potentiality paradigm’ holds the risk of deeming older people to lack potential. In conclusion, I therefore encourage a more inclusive approach to elder-care and ageing that recognises the complexities of ageing, including older people's potentials for retreat and leisure.

Digital transformation of care for older people

2021 ◽  
Vol 5 (3) ◽  
pp. 535-541
Author(s):  
Oscar Zanutto
Keyword(s):  
Health Care ◽  
Older People ◽  
Digital Literacy ◽  
Digital Transformation ◽  
Care Model ◽  
Model Based ◽  
Care Workers ◽  
The Social ◽  
Care For Older People

We are facing the 2050 aging wave that is calling us to prepare several strands of interventions to be ready on time. There is a need to foster the digital transformation of the care sector by the improvement of the digital literacy among older people, carers and care workers also using codesign approaches for the ICT usability and adoption in the social and health care domains. Moreover we need to switch from a reactive care model based on chronicity towards the adoption of a new one where citizens will be the co-maker of their own health.

Meaning and practices of spiritual care for older people with dementia: experiences of nurses and care workers

2019 ◽  
Vol 20 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Yoshihisa Hirakawa ◽  
Kyoka Yajima ◽  
Chifa Chiang ◽  
Atsuko Aoyama
Keyword(s):  
Older People ◽  
Spiritual Care ◽  
People With Dementia ◽  
Care Workers ◽  
Care For Older People

scholarly journals The Psychosocial Impact of Compounding Humanitarian Crises Caused by War and COVID-19 Informing Future Disaster Response

2021 ◽  
pp. 1-5
Author(s):  
Hakob Harutyunyan ◽  
Artak Mukhaelyan ◽  
Attila J. Hertelendy ◽  
Amalia Voskanyan ◽  
Todd Benham ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Disaster Response ◽  
Large Scale ◽  
Health Care Systems ◽  
Influenza Pandemic ◽  
Care Workers ◽  
Care Systems ◽  
The Republic ◽  
1918 Influenza

Abstract The coronavirus disease 2019 (COVID-19) pandemic has caused the greatest global loss of life and economic impact due to a respiratory virus since the 1918 influenza pandemic. While health care systems around the world faced the enormous challenges of managing COVID-19 patients, health care workers in the Republic of Armenia were further tasked with caring for the surge of casualties from a concurrent, large-scale war. These compounding events put a much greater strain on the health care system, creating a complex humanitarian crisis that resulted in significant psychosocial consequences for health care workers in Armenia.

scholarly journals Sleep deficit in COVID-19 health-care workers may increase the infection risk

2021 ◽  
pp. 140349482110076
Author(s):  
Isabela A. Ishikura ◽  
Daniela S. Rosa ◽  
Helena Hachul ◽  
Gabriel N. Pires ◽  
Sergio Tufik ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Negative Effects ◽  
Care Workers ◽  
Care Systems ◽  
As Stress ◽  
Sleep Deficit ◽  
Inflammatory Milieu

The COVID-19 pandemic has had negative effects on health-care workers. The rapid growth of the disease has led to overwhelmed health-care systems, overcrowded hospitals, an insufficient number of health-care professionals and shortages of medical equipment. The potential exposure of front-line health-care workers during the COVID-19 outbreak has led to self-isolation and the appearance of adverse feelings such as stress, anxiety and fear. All these factors, combined with an increased workload and extra and changed shifts, are determinants of a sleep-loss process that may result in insomnia. The exacerbated pro-inflammatory milieu caused by insomnia and sleep deprivation present in health professionals may therefore make them more prone to developing severe COVID-19 if infected and/or aggravate the symptoms of the disease. Keeping these professionals healthy and doing everything possible to prevent them from being infected with COVID-19 should be a top priority. As part of this effort, we must be aware of the important effects of insomnia on the immune systems of these professionals and take all possible measures to counter these effects.

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