care for older people
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2021 ◽  
Vol 27 (3) ◽  
pp. 303-321
Author(s):  
Maša t Filipovič Hrast ◽  
Tatjana Rakar

Slovenia makes a compelling case for care policy analysis since it is marked by extreme dichotomy in care. Therefore, placing Slovenia on a continuum of care regimes ranging from defamilialised to familialised with respect to care is difficult, with care for children being highly defamilialised, and care for older people highly familialised. The country’s childcare policies build on a historically well-developed system of public childcare provision and generous leave policies, together with a well-developed social protection system targeting families. These have been retained and, in some cases, were expanded, still following the 2009 economic crisis, certain austerity measures were introduced. On the other hand, care policies for older people started to develop later and after the initial growth they relatively stagnated (especially the social homecare system). A comprehensive long-term care system has yet to be developed and become a subject of ongoing political debates. Further, unlike in childcare, the increasing role of private actors can be observed in this sector. In the article, we discuss these care policy developments in Slovenia in terms of the role of relevant actors (state, family, private actors) with an emphasis on the views of people regarding care, based on data gathered within an innovative method of democratic forums. The article reveals that the dichotomy of care policies, as well as the differing recent trends in family policies for children and care for older people, is not present in people’s attitudes and their preferences for the arrangement of such policies. Key words: care, social policy, Slovenia, older people, childcare, democratic forum, attitudes.


2021 ◽  
Vol 21 (4) ◽  
pp. 30
Author(s):  
Anam Ahmed ◽  
Maria ETC Van den Muijsenbergh ◽  
Hubertus JM Vrijhoef

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 73-73
Author(s):  
Emmanuel Gonzalez-Bautista ◽  
Philipe de Souto Barreto ◽  
Aaron Salinas-Rodriguez ◽  
Sandrine Sourdet ◽  
Yves Rolland ◽  
...  

Abstract The Integrated Care for Older People (ICOPE) is a function- and person-centered healthcare pathway developed by the World Health Organization (WHO). ICOPE's first step (Step 1) consists of screening for impairments in the intrinsic capacity (IC) domains (namely sensorial, cognition, nutrition, psychological, and locomotion). For instance, the ICOPE Step1 tool suggests a cut-point of 14 seconds for five-repetition chair rise time as a marker of impaired locomotion. Given the lack of validation of this tool in the literature, we aimed to validate the ICOPE screening tool concerning incident health outcomes, focusing on the locomotion assessment. First, we analyzed the five-domain screening tool's ability to identify older adults (OA) at higher risk of incident outcomes (frailty, disability, dementia) using longitudinal data from the Multidomain Alzheimer Preventive Trial (MAPT). For the locomotion assessment (chair rise test), we derived and cross-validated age-specific cut points from two population-based cohorts using ROC (receiver operating characteristic) analysis. We further verified those cut points among OA real-life users of the health system and clinical trial participants. In conclusion, the ICOPE Step 1 screening tool was able to identify OA at higher risk of incident frailty, disability, and dementia. New chair-rise-time cut points for age groups 70-79 years old and 80 years and older were valid in populations from different settings. The ICOPE Step 1 tool provides a practical and integrative way of screening older adults for impairments in IC and detecting those at higher risk of functional decline.


2021 ◽  
pp. 260-273
Author(s):  
Joanna M. Salachna ◽  
Anna Szafranek

2021 ◽  
Author(s):  
◽  
Maxwell F Reid

<p>Existing research establishes a clear link between poor housing and poor health. There is also growing evidence that the physical, mental and social wellbeing of individuals and households can be improved by ensuring their access to suitable accommodation. Despite the growing body of research documenting the benefits of supported independent accommodation (SIA) as a means of maintaining the independence and wellbeing particularly of older people, there is little research evaluating the place of such accommodation within the New Zealand context. This thesis aims to address that gap. It reviews the existing body of literature surrounding this topic - exploring population and accommodation demographics, and analysing government policy in relation to both housing and health. It considers six New Zealand examples of SIA - each selected on the basis of their distinctiveness and innovation - documents these, and compares them using a case study approach. Adopting a general inductive methodology, each case study is then analysed against themes identified in the literature review, identifying any further trends, and the implications of these for ongoing policy and service development. Intersectoral collaboration is identified as having had particular bearing upon the development of SIA within the New Zealand context. This thesis concludes that SIA will play an increasingly important role in the continuum of accommodation and care for older people. It offers an alternative to more institutionalised models of care for older people, maintaining their independence and social integration within their own community. As demographic and economic factors drive up the cost of more traditional models of residential care, SIA offers government an equally important alternative. However, ongoing development in this area is not without it challenges. To this end, a number of policy implications are also identified and discussed.</p>


2021 ◽  
Author(s):  
◽  
Maxwell F Reid

<p>Existing research establishes a clear link between poor housing and poor health. There is also growing evidence that the physical, mental and social wellbeing of individuals and households can be improved by ensuring their access to suitable accommodation. Despite the growing body of research documenting the benefits of supported independent accommodation (SIA) as a means of maintaining the independence and wellbeing particularly of older people, there is little research evaluating the place of such accommodation within the New Zealand context. This thesis aims to address that gap. It reviews the existing body of literature surrounding this topic - exploring population and accommodation demographics, and analysing government policy in relation to both housing and health. It considers six New Zealand examples of SIA - each selected on the basis of their distinctiveness and innovation - documents these, and compares them using a case study approach. Adopting a general inductive methodology, each case study is then analysed against themes identified in the literature review, identifying any further trends, and the implications of these for ongoing policy and service development. Intersectoral collaboration is identified as having had particular bearing upon the development of SIA within the New Zealand context. This thesis concludes that SIA will play an increasingly important role in the continuum of accommodation and care for older people. It offers an alternative to more institutionalised models of care for older people, maintaining their independence and social integration within their own community. As demographic and economic factors drive up the cost of more traditional models of residential care, SIA offers government an equally important alternative. However, ongoing development in this area is not without it challenges. To this end, a number of policy implications are also identified and discussed.</p>


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