scholarly journals Development of elderly care services in Hong Kong: challenges and creative solutions

2007 ◽  
Vol 7 (6) ◽  
pp. 548-550 ◽  
Author(s):  
Jean Woo
2019 ◽  
Vol 5 (3) ◽  
pp. 47
Author(s):  
Fanny YF Young

This literature review paper examined the development of time banking in Hong Kong. Time banking is a system of transaction using time. Members of a time bank can earn time credits through work which they can spend these credits later. Time banking has become an international movement with participants included people in different age groups, local businesses, staff from participating organizations and even the organizations themselves. This diversity of time banking systems in different areas showed modifications of time banking systems can increase their uses, functions and effectiveness, and also can improve their versatility so as to provide tailor-made applications on different problems in different situations. Although around half a century has passed after the first time bank appeared (Miller, 2008), there was only one time bank in Hong Kong involving the elderly care service and the number of participants were less than 200 (Tsui, 2018; Ho, 2018; Lee, 2018). To improve this situation it is necessary to see whether it is possible to modify the present time banking system so that more extensive and effective applications can be provided. The present paper will address this gap of knowledge through proposing a time banking system on young people with the novel time credit multiplier concept with an aim to alleviate the serious and ever increasing manpower shortage problem of the elderly care services in Hong Kong.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Lucia Leporatti ◽  
Marcello Montefiori

Abstract The increasing life expectancy poses challenges on the future sustainability of long-term care services that today strongly depend on informal care provided within the family by working age children. Ongoing social changes are likely to weaken the informal provision of care. The paper derives optimal policies to help the policy-maker to choose innovative and sustainable solutions to support home care, taking into account the severity of health condition and the different opportunity costs of carers. Drawing inspiration from real world policies, the suitable policy combines lump-sum transfers, paid permissions from work and in-kind provisions. In some circumstances, benefits can favour higher rather than lower income individuals. In the context of information asymmetry, the implementation of the second-best outcome requires the level of care of the most subsidized households’ to be forced towards certain targets to avoid adverse selection.


SpringerPlus ◽  
2014 ◽  
Vol 3 (Suppl 1) ◽  
pp. P1
Author(s):  
Stella, Sin-tung Kwok ◽  
Kris, Wai-ning Wong ◽  
Shun-lai Yang

2016 ◽  
Vol 22 (1) ◽  
Author(s):  
Sandra Torres ◽  
Anna Olaison ◽  
Emilia Forssell

Care managers on need assessment with late-in-life immigrants: insights into how an institutional category is created Research on the implications of cross-cultural interaction for needs assessment practice is scarce. This is particularly the case when it comes to research on care management within elderly care. There is therefore a need to explore the ways in which care managers regard and experience cross-cultural interaction when assessing older people’s needs prior to granting access to elderly care services. This article is based on a project that aimed to explore just that through focus group interviews with care managers (n=60) who work within the context of Swedish elderly care. The analysis presented here addresses the ways through which an institutional category is created as care managers discuss the kind of cross-cultural interaction that they find the most challenging (which is the one involving older people who migrated late, do not speak Swedish and come from cultures that are deemed to be too different). The analysis discloses the underlying assumptions about Otherness that the care managers alluded to when sharing their views on, and experiences of, assessing needs by way of cross-cultural interaction with late-in-life immigrants. The article discusses the implications that these findings have for care management practice in Sweden considering that the legislation dictates that care managers need to attend to older people’s “uniqueness”. The analysis reveals that the uniqueness associated with certain client categories is too unique to cater for


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.


2017 ◽  
Vol 27 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Yuan Yuan Fu ◽  
Ernest Wing Tak Chui ◽  
Wing Shan Kan ◽  
Lisanne Ko

2021 ◽  
pp. bmjspcare-2020-002800
Author(s):  
Roger Yat-Nork Chung ◽  
Derek Chun Kiu Lai ◽  
Alvin Yik-Kiu Hui ◽  
Patsy Yuen-Kwan Chau ◽  
Eliza Lai-Yi Wong ◽  
...  

ObjectivesTo investigate whether there were any socioeconomic disparities in utilisation of hospital care services during end of life in Hong Kong.MethodsSecondary data analyses were conducted using frequency of the accident and emergency (A&E) department visits and hospital admissions during the last year of life in all public hospitals from 2004 to 2014 in Hong Kong. A total of 1 237 044 A&E records from 357 853 patients, and 1 878 982 admission records from 375 506 patients were identified for analyses. In total, 395 019 unique deceased patients were identified from both datasets.ResultsRegression analyses showed that comprehensive social security assistance (CSSA) recipients used A&E services 1.29 times more than the non-recipients. Being either a CSSA recipient or an elderly home resident was more likely to be admitted to hospitals and stayed longer. Elderly home residents tended to stay longer than those from the community in the earlier months during the last year of life regardless of CSSA status; however, non-elderly home residents surpassed the residents in the duration of stay at hospitals towards the later months of the last year of life. There were also significant differences in hospital utilisation across various districts of residence.ConclusionsPeople of lower socioeconomic position tend to have higher emergency visits and hospitalisation during their last year of life in Hong Kong, implying the presence of health inequality during end of life. However, due to Hong Kong’s largely pro-rich primary care system, the predominantly public A&E and inpatient services may inadvertently act as a mitigator of such health inequalities.


2020 ◽  
Author(s):  
Na Du ◽  
Man Yuan ◽  
Peng Wu ◽  
Zhiwu Li

Abstract Background: In the context of China’s aging population, comprehensive medical care, convenient diagnosis, comprehensive medical care and elderly care services are increasingly needed. But China's medical care and elderly care service system is still immature. This study aims to build a performance evaluation index/criteria system for the combination of medical care and elderly care services and present an empirical approach to assess them.Methods: A two-stage DEA approach is taken: 1) establish a performance evaluation index system for the combination of medical care and elderly care services, 2) adopt a two-stage DEA to evaluate the performance of 30 pension institutions in China, and 3) Determine and identify important criteria to improve the efficiency of pension institutions. Results: The results show that the two-stage DEA accounted for a relatively high affiance of medical and nursing care services, but resource allocation still needs to be further optimized. Institutions with ineffective DEA need to reduce the five factors of operations, management, fixed assets, technology and services in the input dimension. In the output dimension, the service evaluation effect and safety management effect need to be improved. The performance of combined old-age care and medical care in old-age institutions can be improved in terms of investment in fixed assets, methods of capital subsidies, supervision and management, as well as standardized operations.Conclusions: This study establish a performance evaluation index system for the combination of medical care and elderly care services and present a two-stage DEA empirical approach to evaluate the performance of 30 pension institutions in China, which provides the method supports for decision-makers and researchers in performing evaluation of pension institutions in China, outlines the suggestions in improving them.


2015 ◽  
pp. 1139-1158
Author(s):  
Basel Khashab ◽  
Uday Joshi ◽  
Stephen R. Gulliver

With an aging global population, it is important that clinicians empower their patients. Empowering the patient-physician interaction leads to a more positive health outcome. This chapter discusses the potential of adopting Customer Relationship Management (CRM) as a way of guiding non-critical care services (i.e. linking the problems of customer-focused care expectation and resource allocation management). Implementation of CRM solutions would create value for patients by supporting trust and service creation; however, the chapter highlights a need for a common and systematic way to implement CRM solutions in the healthcare domain.


Author(s):  
Satu Pekkarinen ◽  
Helinä Melkas

The purpose of this paper is to investigate the innovation opportunities related to digitalisation in health care and elderly care services using a “pothole approach”. The study focuses on two innovative e-service concepts developed in Finland for enhancing the well-being of senior citizens: The hStick (health stick) and the mStick (memory and reminiscence stick). The data consist of 59 thematic interviews and focus group meetings, observation data and diaries collected in pilot cases. The innovation opportunities related to the novel e-service concepts are identified and explored using the pothole approach. The potholes in the stick system are first identified and then studied as sources and opportunities for potential future innovations. This study offers a novel perspective on research concerning technology and e-services and the various innovation opportunities made possible once technological and other shortcomings have been identified.


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