Journal articles on the topic 'Demand for aged care'
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Csesko, Monika, and Richard Reed. "Will residential aged care facilities meet long‐term demand?" Property Management 27, no. 1 (February 6, 2009): 58–74. http://dx.doi.org/10.1108/02637470910932674.
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Rodwell, John, and Angela Martin. "The importance of the supervisor for the mental health and work attitudes of Australian aged care nurses." International Psychogeriatrics 25, no. 3 (November 19, 2012): 382–89. http://dx.doi.org/10.1017/s1041610212001883.
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ABSTRACTBackground: The work attitudes and psychological well-being of aged care nurses are important factors impacting on the current and future capacity of the aged care workforce. Expanding our understanding of the ways in which the psychosocial work environment influences these outcomes is important in order to enable organizations to improve the management of human resources in this sector.Methods: Using survey data from a sample of 222 Australian aged care nurses, regression analyses were employed to test the relative impact of a range of psychosocial work environment variables derived from the demand-control-support (DCS) model and organizational justice variables on satisfaction, commitment, well-being, and depression.Results: The expanded model predicted the work attitudes and well-being of aged care nurses, particularly the DCS components. Specifically, demand was related to depression, well-being, and job satisfaction, job control was related to depression, commitment, and job satisfaction, and supervisor support and interpersonal fairness were related to well-being. The contributions of informational and interpersonal justice, along with the main and interaction effects of supervisor support, highlight the centrality of the supervisor in addressing the impact of job demands on aged care nurses.Conclusion: Psychosocial variables have utility beyond predicting stress outcomes to the work attitudes of nurses in an aged care setting and thus present further avenues of research for the retention of nurses and improved patient care.
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KARMEL, ROSEMARY, DIANE GIBSON, PHIL ANDERSON, YVONNE WELLS, and STEPHEN DUCKETT. "Care trajectories through community and residential aged care services: disease effects." Ageing and Society 32, no. 8 (January 16, 2012): 1428–45. http://dx.doi.org/10.1017/s0144686x11001231.
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ABSTRACTAs in other ageing populations, dementia, musculoskeletal conditions and cardiovascular disease affect a high proportion of Australians aged over 65 years, and the prevalence of these conditions increases significantly with age. People with these conditions may need to access a range of care services over time to enable them to remain living in their homes. Many eventually need to move into a nursing home.In contrast to the considerable recent literature on the funding of long-term care systems for population ageing, studies on the care pathways followed by individuals are much less common. This paper explores the effect of disease on use of community care services and nursing homes over time, focusing on people with dementia, cardiovascular disease and musculoskeletal conditions. Care-use transitions are identified using linked administrative client data for a cohort of 33,300 community-living Australians who had an aged care assessment in 2003-04 and who had not previously used aged care services.The different symptoms and courses of diseases meant that the patterns of aged care service use, both in terms of care services accessed and the timing of this access, varied considerably for people with different health conditions. These differences persisted across a range of client characteristics. In particular, people with dementia or cerebrovascular disease as their main health condition were more likely to enter nursing home care than those with heart disease or musculoskeletal conditions.The variation in use of aged care services according to disease group need to be taken into account in any projections of demand for aged care. Such projections must allow for predictions of disease prevalence, or else they will yield inaccurate predictions of demand for both community and residential care.
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Liu, Aaron, Wendy Miller, James Chiou, Sherif Zedan, Tan Yigitcanlar, and Yuemin Ding. "Aged Care Energy Use and Peak Demand Change in the COVID-19 Year: Empirical Evidence from Australia." Buildings 11, no. 12 (November 23, 2021): 570. http://dx.doi.org/10.3390/buildings11120570.
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Aged care communities have been under the spotlight since the beginning of 2020. Energy is essential to ensure reliable operation and quality care provision in residential aged care communities (RAC). The aim of this study is to determine how RAC’s yearly energy use and peak demand changed in Australia and what this might mean for RAC design, operation and energy asset investment and ultimately in the healthcare plan for elderly residents. Five years of electricity demand data from four case study RACs in the same climate zone are analyzed. Statistical tools are used to analyze the data, and a clustering algorithm is used to identify typical demand profiles. A number of energy key performance indicators (KPIs) are evaluated, highlighting their respective benefits and limitations. The results show an average 8% reduction for yearly energy use and 7% reduction for yearly peak demands in the COVID-19 year compared with the average of the previous four years. Typical demand profiles for the four communities were mostly lower in the pandemic year. Despite these results, the KPI analysis shows that, for these four communities, outdoor ambient temperature remains a very significant correlation factor for energy use.
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Liu, Aaron, Wendy Miller, Glenn Crompton, and Sherif Zedan. "Has COVID-19 lockdown impacted on aged care energy use and demand?" Energy and Buildings 235 (March 2021): 110759. http://dx.doi.org/10.1016/j.enbuild.2021.110759.
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Nakanishi, Yasuhiro, Yuichi Nishioka, Yukio Tsugihashi, Tomohiro Kakinuma, Tatsuya Noda, Tomoaki Imamura, and Manabu Akahane. "FORECASTING THE REGIONAL DISTRIBUTION OF HOME CARE PATIENTS USING BIG DATA OF INSURANCE CLAIMS IN JAPAN: 2015 TO 2045." Innovation in Aging 6, Supplement_1 (November 1, 2022): 140. http://dx.doi.org/10.1093/geroni/igac059.557.
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Abstract Regional distribution of home care patients and future demand in Japan are unknown. This study aimed to reveal the actual situation of home care patients by region and forecast demand up to 2045. Linked complete health and long-term care insurance claims data on Nara Prefecture (around 1% of the total population and area of Japan) patients aged 75 years or older who received planned and/or urgent medical treatment by physician home visit between April 2015 and March 2016 were extracted and analyzed by sex, age group, and municipality. We calculated the proportion of home medical care utilization and projected the number of home care patients for every five-year period up to 2045 across five administrative areas of the medical service in Nara Prefecture. Data on 12,656 patients, including 1,455 aged 75–79 years, 2,753 aged 80–84, 3,854 aged 85–89, and 4,594 aged 90 years or older, were extracted. The current proportion of patients receiving home medical care (unadjusted for age) by medical service administrative area showed a difference of up to 1.6 times for those aged 90 years or older. Results of forecasting showed a marked increase in the number of patients aged 90 years or older, with overall numbers continuing to increase up to 2040, reaching a maximum of around 25,759 then decreasing thereafter. The future increase in home care patient numbers could vary by age and area, and our findings suggest that public health policy based on the future demand in each area will be required.
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NUSEM, EREZ, CARA WRIGLEY, and JUDY MATTHEWS. "Exploring aged care business models: a typological study." Ageing and Society 37, no. 2 (November 12, 2015): 386–409. http://dx.doi.org/10.1017/s0144686x15001257.
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ABSTRACTAustralian providers of aged care are facing a rapidly ageing population and growth in demand for services. Beyond a sheer increase in consumers and major regulatory changes from Federal Government, many customers are becoming progressively discontented with a medically dominated model of care provision. This period of turbulence presents an opportunity for new entrants and forward-thinking organisations to disrupt the market by designing a more compelling value offering. Under this line of inquiry, the researchers conducted a qualitative content analysis study of over 37 Australian aged care organisations, clustering providers into six business model typologies. The study revealed that providers of aged care are becoming increasingly aware of emerging customer needs, and, in addressing these needs, are seeking to establish innovative models of care provision. This paper therefore presents a future model of care, along with implications for practice and policy.
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Değirmenci, Serkan. "Long-Term Care in Turkey: Towards a Growing Crisis of Aged Care." Journal of Population and Social Studies 30 (April 3, 2022): 542–61. http://dx.doi.org/10.25133/jpssv302022.031.
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Turkey exemplifies a typical familialistic long-term care regime as having a negligible degree of state and market participation in the active delivery of aged care services. However, demographic and economic changes necessitate a transition towards a new type of care regime. An upward shift in the population’s age structure and increasing economic strains weaken the caregiving capacities of Turkish families. This paper analyzes demographic and economic factors within a demand-supply framework to question the future sustainability of the existing care regime. It presents descriptive evidence for a growing crisis of aged care in Turkey by focusing on long-term care. It also assesses the implications of a cash-for-care (CfC) scheme devised by the government to keep the care provision of disabled older people within the family sphere. Overall, this paper contributes to the ongoing debates on the distribution of aged care responsibilities by conceptualizing the proposed solution as semi-familialized care–namely, a set of alternative strategies to overcome the aged care challenges families face in Turkey. The main pillars of this proposal are much greater involvement of the state in aged care, together with some support services and entitlements granted to the family caregivers.
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Ngocha-Chaderopa, Nyemudzai Esther, and Bronwyn Boon. "Managing for quality aged residential care with a migrant workforce." Journal of Management & Organization 22, no. 1 (June 8, 2015): 32–48. http://dx.doi.org/10.1017/jmo.2015.17.
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AbstractGiven the growing demand for aged residential care facilities in Western industrialised economies, the adequate staffing of these facilities is a growing concern. Increasingly migrant care workers are being employed to fill the local labour shortfall. In this paper we present findings of a qualitative study exploring how managers of aged residential care facilities work to ensure consistent delivery of quality care through their migrant care workers. The issues raised by the 16 managers cluster around three themes: communication and language barriers; racism by residents, families and managers; and underemployment of tertiary qualified migrant care workers. In addition to issues of quality care delivery, concerns around migrant employee well-being are seen to be difficult to avoid.
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Keelan, Karen, Suzanne Pitama, Tim Wilkinson, and Cameron Lacey. "Indigenous peoples’ experiences and preferences in aged residential care: a systematic review." AlterNative: An International Journal of Indigenous Peoples 17, no. 2 (March 25, 2021): 175–82. http://dx.doi.org/10.1177/11771801211004773.
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Although the demand for aged residential care increases, low use of aged residential care by Indigenous people raises questions about unrecognised barriers to health care. The objectives of this systematic literature review are to (a) examine current scientific literature that reports older Indigenous people’s experiences in aged residential care and (b) describe critical factors that shape Indigenous people’s preferences in aged residential care settings. We conducted a systematic review of studies using an online search of the literature. A total of 6,233 citations were retrieved, and 45 studies examined in full-text. Eight studies met the study inclusion criteria. Indigenous older people were found to be younger, had higher prevalence of complex health conditions, and were less likely to receive dental and mental health services on admission to aged residential care. Their preferences for care were more likely to be evident in aged residential care facilities where the Indigenous composition of staff reflected the Indigenous makeup of its residents.
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Moskos, Megan, and Linda Isherwood. "‘The wrong sex’? Understanding men’s representation in the Australian aged care sector." Journal of Industrial Relations 61, no. 1 (February 2019): 105–28. http://dx.doi.org/10.1177/0022185618811862.
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With projected future demand severely outstripping the current workforce size, it is crucial for the Australian aged care sector to develop strategies to encourage non-traditional workers (such as men) into the sector. Yet despite some recent progress, there is still surprisingly little empirical evidence about how to attract and retain men into gender atypical occupations such as aged care. This article offers an in-depth and innovative investigation into male aged care workers, their experience of the work and future employment plans. Using a mixed methods design, this article combines the findings from an analysis of the Australian National Aged Care Workforce Census and Survey with the findings arising from 51 in-depth interviews conducted with male aged care workers. The integration of these findings allows us to understand the determinants of men’s representation in the aged care sector so that workforce strategies and policies can be generated about how the sector can best attract and retain male workers to meet current and future skill shortages.
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Hussein, Shereen. "The Global Demand for Migrant Care Workers: Drivers and Implications on Migrants’ Wellbeing." Sustainability 14, no. 17 (August 25, 2022): 10612. http://dx.doi.org/10.3390/su141710612.
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Background: Demographic changes across the globe create increasing demands for care labour mobility. The contribution of migrant workers to the long-term care (LTC) systems is not confined to the western world or countries that have already completed their ageing transitions; they also play an essential role in maintaining the care systems in countries with emerging ageing populations. Despite the increased demand for LTC services, such jobs remain unattractive with difficult working conditions and insecure prospects in most European countries and are only emerging in the Middle East. This paper explores factors affecting the demand for care mobility, reflecting on the experience of some OECD countries with already aged populations and countries in the Middle East, which are currently transitioning into aged populations. Methods: Conducting a statistical review of key ageing and LTC indicators, combined with a narrative review of relevant literature, the analysis considers the increased demand on migrant care labour. Drawing on a case study of the UK, where the immigration system is being reformed post-Brexit, we utilise In-depth interviews with 27 migrants working in LTC in the UK (2018–2020) to explore impacts on care workers’ wellbeing. Results: The findings show that both sets of countries draw on migrant workers as an essential source for LTC workforce supply to maintain and enhance the wellbeing of those receiving care in host societies. Meanwhile, care mobility creates care gaps in home countries, adversely affecting migrant workers’ wellbeing. Interview analysis with migrant care workers in the UK showed that such a process adversely affects migrants’ material and emotional wellbeing. Conclusion: The ability of migrants to move and work in different countries is shaped by several intersecting systems, including the host country’s immigration and welfare regimes. Migrants working in LTC are predominantly women who are usually motivated to work in care due to financial and social needs and usually maintain caring responsibilities across borders. Migrants employ their agency to navigate complex entry systems, settlement, or cross-border mobility to provide LTC in both formal and informal contexts. The implications on migrants’ wellbeing are considerable and should be addressed within a context of increased global mobility linked to ageing populations.
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Hales, Caz, Isaac Amankwaa, Lesley Gray, and Helen Rook. "Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan." Nursing Praxis Aotearoa New Zealand 36, no. 3 (November 2020): 24–36. http://dx.doi.org/10.36951/27034542.2020.012.
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Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.
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G, Liotta. "Integrating Social and Health Care Needs Assessment to Meet the Demand for Care of the Elderly in Italy: A National Cross-Sectional Study." Gerontology and Geriatric Medicine 8, no. 1 (March 2, 2022): 1–6. http://dx.doi.org/10.24966/ggm-8662/100118.
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Background: To size the demand for care generated by the population aged >75 years in Italy the authors conducted a secondary analysis of data stemming from the third wave of the European Health Interview Survey (EHIS- wave3), carried out in Italy in 2019, based on a harmonized questionnaire at European level.
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Tian, Meng, Wenjuan Zhong, and Jia Guo. "Survey on demand of the aged people for college volunteers in home nursing care service." BIO Web of Conferences 8 (2017): 01016. http://dx.doi.org/10.1051/bioconf/20170801016.
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He, Alex Jingwei, and Kee-lee Chou. "What Affects the Demand for Long-Term Care Insurance? A Study of Middle-Aged and Older Adults in Hong Kong." Journal of Applied Gerontology 39, no. 4 (March 26, 2018): 413–22. http://dx.doi.org/10.1177/0733464818766598.
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Despite the potential of private insurance in financing long-term care (LTC), its coverage remains rather limited. This study is built on a comprehensive framework to examine the demand for LTC insurance in Hong Kong, a rapidly aging Asian society. A telephone survey was conducted in 2016 to collect data that formed a sample of 1,474 middle-aged and older adults. Multivariate analysis reveals more nuanced characteristics of Hong Kong middle-aged and older adults who tend to show a demand for LTC insurance, including: (a) being younger, better educated, relatively high status, and financially literate; (b) living with children but reluctant to be a burden on the family; (c) being in a better financial situation and able to afford premiums; and (d) anticipation of LTC needs and dependence, and a preference for formal care. This study offers preliminary evidence to understand the demand structure of the LTC insurance market in an Asian society.
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Pabiś, Małgorzata, and Dorota Kuncewicz. "The Needs of the Elderly in Health Care – Contexts." Pielegniarstwo XXI wieku / Nursing in the 21st Century 15, no. 4 (December 1, 2016): 53–59. http://dx.doi.org/10.1515/pielxxiw-2016-0038.
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Abstract Aim. The objective of the study was presentation of the needs of the elderly in the context of changes of these needs conditioned by the demographic processes. Analyses also covered the projected demographic changes and a wider context, e.g. social and cultural.Material and methods. Statistical, demographic and medical data were analyzed by the methods of descriptive statistics with particular consideration of the population aged over 65. Analyses also covered the relevant literature concerning problems of the elderly. On account of the wide thematic range, the content was selected concerning seniors’ health needs and the development of their changes; subsequently, the effects of these changes were analyzed with particular emphasis on the population aged over 65.Results. The development of changes concerning the Polish population aged over 65 within five analysed years (2011-2015) showed an upward tendency (by 14.12%). It is estimated that this tendency will continue within the next 35 years (2015-2050). In 2015, the percentage of the population aged over 65 was 15.81%, while in 2020 and 2050 it is projected to be 18.87% and 32.69% respectively. The ultimate demand for health care is affected not only by the demography and morbidity - related factors, but also by social and cultural ones. The lack of acceptance for the process of ageing, old age and death does not build space for culture, in which care of the elderly is a natural part of life. Increasingly more often, for various reasons, the family does not undertake care of an elderly person. The lack of consideration of these reasons, their complexity and therefore, the lack of attempts to change them, may result in an increased demand for an institutional care.
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Shaji, K. S., and Amit Dias. "Dementia care in India: a progress report." International Psychiatry 3, no. 4 (October 2006): 9–10. http://dx.doi.org/10.1192/s174936760000494x.
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According to the 2001 census, India is home to more than 76 million people aged 60 years and over. This age-group, currently only 7.4% of the population, is expected to grow dramatically in the coming few decades. Analysis of the census data shows substantial variation in the rate of demographic ageing across India: at present, 10.5% of Kerala's population is older than 60 years, while in Dadra and Nagarhaveli this proportion is only 4%. Regions with more favourable health indicators seem to be ageing faster and the demand for specialist services will soon be evident in such places. There is a growing realisation that the care of older people with disabilities makes enormous demands on their carers. Terms such as ‘dementia’ and ‘Alzheimer's disease’ are now better understood. This was not the case when the Alzheimer's and Related Disorders Society of India (ARDSI) initiated awareness programmes. However, dementia remains a largely hidden problem in those disadvantaged parts of India where poverty and illiteracy remain prevalent.
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Nilsson, Angie, Louise Young, and Felicity Croker. "Preparing dental graduates to provide care for frail and care-dependent older patients: An educational intervention." Focus on Health Professional Education: A Multi-Professional Journal 22, no. 2 (July 30, 2021): 23–38. http://dx.doi.org/10.11157/fohpe.v22i2.419.
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Introduction: Australia’s population is living longer and retaining more of their dentition. While the demand for oral health services in residential aged-care facilities increases, there is a call for further inclusion of gerodontology in the undergraduate dental curriculum. This qualitative study explored the attitude of dental students to providing oral health care to older people using a pilot gerodontology curriculum as an intervention during a final-year clinical placement in Hobart, Tasmania.Methods: Focus groups with undergraduate dental students on clinical placement were conducted in 2018 prior to and after implementation of a pilot gerodontology curriculum. The qualitative data was thematically analysed.Results: Two focus groups were conducted with a total of 18 dental students. The main themes included: applied practical learning in aged care, unpreparedness for managing frail older patients, lack of confidence with the process of gaining consent from people with dementia, barriers to providing care to older people and interactions with residents and staff of residential aged-care facilities. Conclusions: This study highlighted the barriers for dental students providing care to older people. There is a need to evaluate how gerodontology is currently taught in the undergraduate dental curriculum to better prepare the dental workforce to respond effectively and more confidently to the growing population of dentate older people in residential aged-care facilities.
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Zhao, Rongrong, Houxiu Zhou, and Jingci Zhu. "Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 58 (January 2021): 004695802110201. http://dx.doi.org/10.1177/00469580211020196.
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The objective of this study is to investigate the factors associated with the willingness for old-aged care and the demands for health care among elders, which might provide a reference for the establishment of health care strategies. A cross-sectional study was conducted via questionnaires among 1553 randomly selected residents aged 65 or older from Chongqing, China during 2016. Data of demographics, and demands for old-age care and health care services were collected. Descriptive analysis was used to examine the characteristics of the respondents. A chi-squared test and multiple logistic regression were performed to explore the relevant factors associated with the preference of old-age care among older people in Chongqing. We found that 85.4% of the respondents were willing to select home-based care: family old age care (55.9%), and its combination form for old-age care: family old age care plus community old age care (29.5%) old age care. Multivariable logistic regression analysis showed that willingness to choose family old age care for old-age care was associated with lower monthly income, more children, worse commercial insurance, better health status, and shorter distance to their children. Most older adults had the demands for health-related services, including regular check-up, regular health seminars, establishment of health files. Hospital was the most acceptable provider for care services, and there was a preference for long-term care and emergency call among the elders. The majority of older Chinese prefer the family old age care and its combination form with community old age care for old-age care, and demand for a variety of health-related services. Home- and community-based care with sound and perfect medical and health mechanism should be the main pattern of old-age care system in China.
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Yue, Lou, and Mee-Ok Choi. "Cosmetic Use and Skin Care Behavior According to Monthly Income of Middle-aged Chinese Women." Journal of the Korean Society of Cosmetology 28, no. 6 (December 31, 2022): 1339–47. http://dx.doi.org/10.52660/jksc.2022.28.6.1339.
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With the development of the Chinese economy and changes in cultural life, middle-aged women's desire for a healthy and beautiful life has increased, and interest in skin care has continued to increase.Pay more attention to skin care to look more attractive. In addition, investment in skin care is increasing as professional women's participation in society increases and demand for appearance. In this study, middle-aged women in their 30s and 50s living in Liaoning Province of China, were studied to find out the differences in cosmetics use and skin care behavior depending on their monthly income. A total of 205 middle-aged residents of Shenyang, Tieling and Dandong were surveyed. All 185 of them were used as the final analysis materials except for 20 inattentive or missing answers. Frequency analysis was conducted to find out the general characteristics of the survey subjects, cosmetics use, and skin care, and a case care test was conducted to find out the difference between cosmetics use management and skin care according to monthly income. This study used the SPSSWIN 21.0 program, and all empirical analyses were verified at a significance level of 5%. People with high monthly incomes have a high demand for cosmetics, and low-income middle-aged women have a lower desire to use cosmetics than working women due to a lack of income. Prices are an important factor in the cosmetics purchase process, indirectly affecting consumers' desire to buy cosmetics, and low-income middle-aged women are less willing to use cosmetics than working women because they cannot buy expensive cosmetics due to lack of income. Economic income is the basic factor that affects women's consumption behavior in beauty direction, and the basis for economic factors is that the amount of skin care expenditure of high-income people is larger depending on monthly income and facial skin care investment. Therefore, this study aims to investigate the differences in cosmetics use and skin care behavior according to monthly income for middle-aged women in their 30s to 50s living in various occupations in Shenyang, Tiering, and Dandong of China.
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Luo, Liqiong. "Analysis of Coupling Coordination Degree between Big Health Industry and Pension Service." Journal of Healthcare Engineering 2022 (March 12, 2022): 1–6. http://dx.doi.org/10.1155/2022/6427024.
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With the aging of the population, the problem of providing for the aged has been paid more and more attention. The big health industry and old-age care services will complement and promote each other in terms of industrial factors, industrial layout, and policy linkage and form a coupling effect in this process. Hospital services and pension services are professional property service formats, and they are also the exploration achievements of the property management industry in implementing the supply-side structural reform, transformation, upgrading, and development and are indispensable forces for the property management industry to participate in building a better life. The health and happiness of the elderly is an important symbol of social civilization and progress, and it is also an important content of implementing the Healthy China Action. The pension industry serving the healthy life of the aged population will form a huge demand for the big health industry, and its development will drive the big health industry. Based on the background of the big health system, this paper analyzes the current situation and crux of the development of aged care services in China and puts forward ways to improve the quality of aged care services by optimizing the effective supply of aged care services, improving the environment of aged care services, and strengthening the precise supervision of aged care services.
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Li, Mingyang, Yibin Ao, Shulin Deng, Panyu Peng, Shuangzhou Chen, Tong Wang, Igor Martek, and Homa Bahmani. "A Scoping Literature Review of Rural Institutional Elder Care." International Journal of Environmental Research and Public Health 19, no. 16 (August 19, 2022): 10319. http://dx.doi.org/10.3390/ijerph191610319.
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Under circumstances of pervasive global aging combined with weakened traditional family elder care, an incremental demand for institutional elder care is generated. This has led to a surge in research regarding institutional elder care. Rural residents’ institutional elder care is receiving more attention as a major theme in social sciences and humanities research. Based on 94 articles related to rural institutional elder care, this study identified the most influential articles, journals and countries in rural institutional elder care research since 1995. This was done using science mapping methods through a three-step workflow consisting of bibliometric retrieval, scoping analysis and qualitative discussion. Keywords revealed five research mainstreams in this field: (1) the cognition and mental state of aged populations, (2) the nursing quality and service supply of aged care institutions, (3) the aged care management systems’ establishment and improvements, (4) the risk factors of admission and discharge of aged care institutions, and (5) deathbed matters regarding the aged population. A qualitative discussion is also provided for 39 urban and rural comparative research papers and 55 pure rural research papers, summarizing the current research progress status regarding institutional elder care systems in rural areas. Gaps within existing research are also identified to indicate future research trends (such as the multi-dimensional and in-depth comparative research on institutional elder care, new rural institutional elder care model and technology, and correlative policy planning and development), which provides a multi-disciplinary guide for future research.
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Giacomin, Karla Cristina, Yeda Aparecida Oliveira Duarte, Ana Amélia Camarano, Daniella Pires Nunes, and Daniele Fernandes. "Care and functional disabilities in daily activities – ELSI-Brazil." Revista de Saúde Pública 52, Suppl 2 (January 29, 2019): 9s. http://dx.doi.org/10.11606/s1518-8787.2018052000650.
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OBJECTIVE: To investigate the prevalence of demand and provision of care for the Brazilian population with functional disabilities in activities of daily living. METHODS: This is a quantitative and descriptive study using baseline data from ELSI-Brazil (Brazilian Longitudinal Study of Aging), a cohort study with a representative sample of the Brazilian population aged 50 years or older (n = 9,412). We considered the demand for care from the self-report of having some difficulty to perform at least one activity of daily life (eating, bathing, going to the toilet, dressing, moving in a room [ambulation], and transferring from chair [transfer]). Care supply was measured by having some help to perform the activity of daily living. RESULTS: Approximately a quarter of the individuals evaluated (23.2%) reported difficulty in at least one activity of daily living, especially regarding transfer and dressing. Age, schooling, and number of chronic diseases were significantly associated with the difficulty in activities of daily living. Among those who reported difficulty, 35.1% received help of others and 11.8% did not receive (lack of care). The activities with greater lack of care were bathing (13.3%) and transfer (11.7%), which reveals an undignified survival condition. Care remains a family (94.1%) and female (72.1%) issue; despite the important changes that have taken place in society, there is still a lack of care policies. Of the total caregivers, 25.8% reported stopping working or studying to perform this role and only 9.2% were paid (hired ones or family members). CONCLUSIONS: The ELSI-Brazil results reveal the expressive care demand of the Brazilian population aged 50 years or older with functional disabilities on activities of daily living and the lack of care policies aimed at this public.
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Yu, Jiawei, and Jun Yang. "Optimization of Bed Demand for Elderly Care Services Based on Leslie Matrix." Journal of Physics: Conference Series 2224, no. 1 (April 1, 2022): 012121. http://dx.doi.org/10.1088/1742-6596/2224/1/012121.
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Abstract With the deepening of the aging process and the weakening of the family’s ability to care for the aged, urban residents will have an increasing demand for elderly care service institutions in the future. Therefore, it is necessary to optimize the prediction of the demand for elderly service beds. In the paper, an optimization method of Leslie matrix is proposed to predict the future trend of the total population and aging by comprehensively considering factors such as birth rate and mortality rate, and analyze and predict the demand scale of elderly service beds according to the distribution of urban and rural areas and economic divisions. Based on the AHP model, the business opportunities for elderly service beds will be transformed into a quantitative evaluation model to analyzing the return rate of pension service investment in different regions. The simulation experiment shows that increasing the total number of elderly care institutions and improving them can effectively solve the insufficient number of elderly service beds.
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Hu, Bo, Peter Shin, Eun-jeong Han, and YongJoo Rhee. "Projecting Informal Care Demand among Older Koreans between 2020 and 2067." International Journal of Environmental Research and Public Health 19, no. 11 (May 24, 2022): 6391. http://dx.doi.org/10.3390/ijerph19116391.
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Background: The number of Korean older people receiving informal care is expected to rise sharply due to aging population. This study makes projections of demand for informal care in community-dwelling older people aged 65 and over in Korea until 2067. Method: The study drew on data collected from waves 4–6 of the Korean Longitudinal Study of Aging (2012–2016, n = 12,975). Population data published by Statistics Korea and data from the Long-term Care Insurance Statistical Yearbook for Korea were also used. A macro-simulation model was built to make the projections. Results: The number of older people receiving informal care will increase from 0.71 million in 2020 to 2.2 million in 2067. Demand for informal care from adult children or relatives is projected to rise by 257%, much faster than the increase in demand for spousal care (164%). The estimates are sensitive to alternative assumptions about future mortality rates, fertility rates, patterns of migration, and the prevalence of functional disabilities in the population. Conclusion: Demand for informal care in Korea will rise substantially in the coming decades, and the increase will be uneven for different groups of care users. Our analyses are not only relevant to the long-term care system for the general older population but also have profound implications for intensive users of long-term care in Korea. The findings highlight the importance of accurate identification of unmet needs in the population and timely delivery of government support to older people and their informal caregivers.
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Zhou, Liping, Yenan He, and Jian Zhang. "A Study on the Influencing Factors of the Demand for Home-Based Elderly Care Based on the Logistic Regression Model." Scientific and Social Research 4, no. 3 (March 10, 2022): 19–28. http://dx.doi.org/10.26689/ssr.v4i3.3647.
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As the most basic and extensive way of providing for the aged, the demand for home-based elderly care is becoming more diversified and complex. Based on the questionnaire surveys carried out in the east, central, and west of China in recent years, along with the research results of experts and scholars, this paper selects 14 independent variables from four dimensions: personal factors, family factors, social factors, and government factors. Using SPSS 19.0, a multiple logistic regression analysis is carried out, and six factors that have significant impact on the demand for home-based elderly care have been screened out, in hope to provide some reference for practical workers in the design of home-based elderly care.
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Boyd, Wendy, Sandie Wong, Marianne Fenech, Linda Mahony, Jane Warren, I.-Fang Lee, and Sandra Cheeseman. "Employers’ perspectives of how well prepared early childhood teacher graduates are to work in early childhood education and care services." Australasian Journal of Early Childhood 45, no. 3 (June 29, 2020): 215–27. http://dx.doi.org/10.1177/1836939120935997.
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With an unprecedented number of children in early childhood education and care in Australia, demand for early childhood teachers is increasing. This demand is in the context of recognition of the importance of the early years and increasing requirements for more highly qualified early childhood teachers under the National Quality Framework. Increasingly, evidence shows the value-added difference of university-qualified teachers to child outcomes. Within Australia there are multiple ways to become an early childhood teacher. Three common approaches are a 4-year teaching degree to teach children aged birth to 5 years, children aged birth to 8 years, or children aged birth to 12 years. There is, however, no evidence of how effective these degree programmes are. This paper presents the perspectives of 19 employers of early childhood teachers in New South Wales regarding how well prepared early childhood teacher graduates are to work in the early childhood sector in Australia. Although participants noted the strengths of new graduate early childhood teachers, they also identified several areas in which they were less well prepared to teach in the early years.
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PICKARD, LINDA. "A growing care gap? The supply of unpaid care for older people by their adult children in England to 2032." Ageing and Society 35, no. 1 (August 22, 2013): 96–123. http://dx.doi.org/10.1017/s0144686x13000512.
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ABSTRACTA key feature of population ageing in Europe and other more economically developed countries is the projected unprecedented rise in need for long-term care in the next two decades. There is, however, considerable uncertainty over the future supply of unpaid care for older people by their adult children. The future of family care is particularly important in countries planning to reform their long-term care systems, as is the case in England. This article makes new projections of the supply of intense unpaid care for parents aged 65 and over in England to 2032, and compares these projections with existing projections of demand for unpaid care by older people with disabilities from their children. The results show that the supply of unpaid care to older people with disabilities by their adult children in England is unlikely to keep pace with demand in future. By 2032, there is projected to be a shortfall of 160,000 care-givers in England. Demand for unpaid care will begin to exceed supply by 2017 and the unpaid ‘care gap’ will grow rapidly from then onwards. The article concludes by examining how far this unpaid ‘care gap’ is likely to be met by other sources of unpaid care or by developments in new technology and examines the implications of the findings for long-term care policy.
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Zhang, Xiaoxiang, and Qianfan Xu. "Research on Time Bank’s Mutual-support Old-aged Care Mode Based on Blockchain Technology." E3S Web of Conferences 251 (2021): 01068. http://dx.doi.org/10.1051/e3sconf/202125101068.
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With the development trend of aging and low fertility in China, disability and dementia increase year by year in the elderly population. The demand of long-term life care service for the elderly with disability and dementia brings great challenges to the service supply and funds of the traditional endowment insurance model. However, with the application of blockchain technology, the Time Bank’s mutual-support old-aged care mode can better solve the above problems. First, the author uses SWOT analysis to comprehensively analyze the advantages, difficulties, opportunities and challenges of the Time Bank’s Mutual-support for the Aged mode in China, then the blockchain technology is applied to this mode, finally the corresponding optimization scheme and suggestions are put forward.
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Song, Aijia, and Zhaoqi Peng. "Using Trend Extrapolation Model to Predict the Needs of Elderly Care Talents in Beijing Institutions." E3S Web of Conferences 233 (2021): 01168. http://dx.doi.org/10.1051/e3sconf/202123301168.
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2020-2050 is a period of rapid development of China's population aging, and it is also a critical period for the country to actively respond to population aging. Under the background of the combination of medical care and nursing, institutional elderly care services, as an important branch of the multi-level elderly care service system, have become the main battlefield of the integrated medical and elderly care policy. Therefore, institutional care talents for the aged have also become a key link in improving the quality of life of the elderly population. This paper using trend extrapolation model to predict the needs of elderly care talents in institutions in Beijing, including nursing staff who provide basic living care and professional medical staff who provide services such as rehabilitation, medical treatment, nutrition, and psychological consultation. The results show that, in 2050, the demand for institutional elderly nursing staff in Beijing will exceed 150,000, and the demand for institutional elderly medical staff will reach about 20,000.
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Lallo, Carlo, Marta Pasqualini, and Cecilia Tomassini. "Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal." International Journal of Environmental Research and Public Health 19, no. 19 (October 6, 2022): 12796. http://dx.doi.org/10.3390/ijerph191912796.
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Italian Long-Term Care is considered largely inadequate, and the recent COVID-19 pandemic has dramatically exposed its limitations. Public Home Care Services in particular were revealed as under-financed and unable to cover the potential demand for care from the older population. But does the type of municipality and its geographic location play a role in creating or mitigating unmet demand? This is the first study addressing this research question in Italy. Our hypothesis is that older people’s care preferences and care possibilities may vary between small, medium and metropolitan areas, as will the organisation, funding and availability of services, and the combination will influence (unmet) demand for public home care services. In this paper, using nationally representative survey data collected by the Italian National Statistical Institute in 2003 and 2016, we investigate changes and differences in the use of public and private home care services among people aged 75 or older in Italy by size of the municipality. Our results reveal inequalities in service use between Northern and Southern areas of the country and in particular between metropolitan areas, medium and small municipalities. Such differences reinforce post-pandemic calls for new investment and changes in the design of the Italian Long-Term Care system.
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Fetherstonhaugh, Deirdre M., Jo-anne Rayner, Elizabeth Beattie, Ann Harrington, Yun-Hee Jeon, Wendy Moyle, Deborah Parker, and Chris Toye. "BUILDING CAPACITY TO CARE FOR OLDER PEOPLE! HOW IS CARE OF THE OLDER PERSON TAUGHT IN AUSTRALIAN SCHOOLS OF NURSING?" Innovation in Aging 3, Supplement_1 (November 2019): S3. http://dx.doi.org/10.1093/geroni/igz038.007.
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Abstract As the Australian population ages the demand for nursing care which focuses on responding to the needs of the older person will increase. Few newly graduated Registered Nurses (RNs) currently enter the aged care workforce and few select a career in caring for older people; yet older people are the largest patient group in most health care environments. This research, conducted by the Australian Hartford Consortium of Gerontological Nursing Excellence (Aus-HCGNE), explored how care of the older person is currently taught in Australian schools of nursing (SoN). The interview guide included questions about: whether care of the older person is taught in separate subjects or integrated across the curriculum; academics’ qualifications; subject content; and aged care clinical placements. The head of each of the 33 Australian schools of nursing was contacted, invited to participate and asked to nominate the appropriate academics (undergraduate/curriculum co-ordinators) who would be the most appropriate person to participate in the interview. These academics were then contacted, written informed consent was obtained, interviews were scheduled and completed. This research is timely given the current Royal Commission into Aged Care Quality and Safety in Australia, one focus of which is nurses in residential aged care in respect to numbers, education and competence. This research will be completed by mid-2019. The results will be fed back to SoN to inform the development of their curricula and the preparation of future RNs who will undoubtably need to be expert in the care of older people across the health sector.
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Wang, Zhenyu, Hanchun Wei, and Zhihan Liu. "Older Adults’ Demand for Community-Based Adult Services (CBAS) Integrated with Medical Care and Its Influencing Factors: A Pilot Qualitative Study in China." International Journal of Environmental Research and Public Health 19, no. 22 (November 11, 2022): 14869. http://dx.doi.org/10.3390/ijerph192214869.
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Introduction: The number of older people in China who require formal care is increasing. In response, China is creating a service delivery mode of health and social care combination for older people—community-based adult services (CBAS) integrated with medical care—in some provincial capital cities, such as Changsha. However, the needs of most older people for this service delivery mode are not well understood. Aim: To assess older people’s awareness of and demand for CBAS integrated with medical care and to determine influencing factors. Methods: Semi-structured guideline interviews were conducted with 20 older people (aged 65+ years) from two communities at different economic development levels and from a nursing home in Changsha, China. Interviews were analyzed using qualitative content analysis. Results: The specific needs that older adults expect from CBAS integrated with medical care involve daily care, primary care, self-management guidance, rehabilitation therapy services, and mental health services. Contrary to expectations, most interviewees showed low awareness of and demand for CBAS integrated with medical care. Individual, family, and community factors influence older people’s demand, as do exogenous variables such as gender and number of children. Discussion: The influencing mechanism of older people’s demand for CBAS integrated with medical care is complex and multifaceted. To implement and promote CBAS integrated with medical care, attention should be given to older people’s individual needs, family backgrounds and community environment improvement. Furthermore, improving awareness of integrated care and increasing ageing-in-place opportunities for more older adults is essential and urgent.
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Jiang, Fangyuan, Wan-Sok Jang, and Young-Hwan Pan. "Interaction Design Based on Big Data Community Home Care Service Demand Levels." Applied Sciences 13, no. 2 (January 7, 2023): 848. http://dx.doi.org/10.3390/app13020848.
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Most of the contemporary models for meeting the majority of the needs of middle-aged and elderly people are community-based, in-home care. Therefore, this paper designs an Interaction model that can meet the need for a rich spiritual and cultural life of the elderly at home. First, the questionnaire content of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) sampling method was designed based on the content of community-based home care services. Then, using the CLHLS sampling method, the survey results of the home care group were collected to form a community of big data consisting of four types of home care service needs. Finally, the Interaction book model was designed based on the hierarchy of service needs obtained from Abraham Maslow’s hierarchy of needs classification method. The experimental results showed that the mean values of the target population’s ratings for the presentation and interface aesthetics of the Interaction mode were 4.34 and 4.19, respectively, the mean value for improving the learning effectiveness of the home-bound population was 4.57, and the mean value for their overall satisfaction was 4.31. It proves that the Interaction model is ideal for practice and can meet the learning needs of the elderly, at-home population from different service demand levels, thus solving the problem of education for the elderly.
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Qian, Siyu, Ping Yu, and David Hailey. "Nursing staff work patterns in a residential aged care home: a time–motion study." Australian Health Review 40, no. 5 (2016): 544. http://dx.doi.org/10.1071/ah15126.
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Objective Residential aged care services are challenged by an increasing number of residents and a shortage of nursing staff. Developing strategies to overcome this challenge requires an understanding of nursing staff work patterns. The aim of the present study was to investigate the work processes followed by nursing staff and how nursing time is allocated in a residential aged care home. Methods An observational time–motion study was conducted at two aged care units for 12 morning shifts. Seven nurses were observed, one per shift. Results In all, there were 91 h of observation. The results showed that there was a common work process followed by all nurse participants. Medication administration, documentation and verbal communication were the most time-consuming activities and were conducted most frequently. No significant difference between the two units was found in any category of activities. The average duration of most activities was less than 1 min. There was no difference in time utilisation between the endorsed enrolled nurses and the personal carers in providing nursing care. Conclusion Medication administration, documentation and verbal communication were the major tasks in morning shifts in a residential aged care home. Future research can investigate how verbal communication supports nursing care. What is known about the topic? The aging population will substantially increase the demand for residential aged care services. There is a lack of research on nurses’ work patterns in residential aged care homes. What does this paper add? The present study provides a comprehensive understanding of nurses’ work patterns in a residential aged care home. There is a common work process followed by nurses in providing nursing care. Medication administration, verbal communication and documentation are the most time-consuming activities and they are frequently conducted in the same period of time. Wound care, physical review and documentation on desktop computers are arranged flexibly by the nurses. What are the implications for practitioners? When developing a task reallocation strategy to improve work efficiency, effort can be put into tasks that can be arranged more flexibly.
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Hibbert, Peter D., Louise K. Wiles, Ian D. Cameron, Alison Kitson, Richard L. Reed, Andrew Georgiou, Len Gray, et al. "CareTrack Aged: the appropriateness of care delivered to Australians living in residential aged care facilities: a study protocol." BMJ Open 9, no. 6 (June 2019): e030988. http://dx.doi.org/10.1136/bmjopen-2019-030988.
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IntroductionThe aged population is increasing rapidly across the world and this is expected to continue. People living in residential aged care facilities (RACFs) represent amongst the sickest and frailest cohort of the aged population, with a high prevalence of chronic conditions and complex comorbidities. Given the vulnerability of RACF residents and the demands on the system, there is a need to determine the extent that care is delivered in line with best practice (‘appropriate care’) in RACFs. There is also a recognition that systems should provide care that optimises quality of life (QoL), which includes support for physical and psychological well-being, independence, social relationships, personal beliefs and a caring external environment. The aims ofCareTrack Agedare to develop sets of indicators for appropriate care and processes of care for commonly managed conditions, and then assess the appropriateness of care delivered and QoL of residents in RACFs in Australia.Methods and analysisWe will extract recommendations from clinical practice guidelines and, using expert review, convert these into sets of indicators for 15 common conditions and processes of care for people living in RACFs. We will recruit RACFs in three Australian states, and residents within these RACFs, using a stratified multistage sampling method. Experienced nurses, trained in theCareTrack Agedmethods (‘surveyors’), will review care records of recruited residents within a 1-month period in 2019 and 2020, and assess the care documented against the indicators of appropriate care. Surveyors will concurrently assess residents’ QoL using validated questionnaires.Ethics and disseminationThe study has been reviewed and approved by the Human Research Ethics Committee of Macquarie University (5201800386). The research findings will be published in international and national journals and disseminated through conferences and presentations to interested stakeholder groups, including consumers, national agencies, healthcare professionals, policymakers and researchers.
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Li, Jintao, Yan Dai, Cynthia Changxin Wang, and Jun Sun. "Assessment of Environmental Demands of Age-Friendly Communities from Perspectives of Different Residential Groups: A Case of Wuhan, China." International Journal of Environmental Research and Public Health 19, no. 15 (July 26, 2022): 9120. http://dx.doi.org/10.3390/ijerph19159120.
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Age-friendly communities (AFCs) are an important measure for fostering active aging. The key to achieving an age-friendly living environment is to construct or renovate it according to the residents’ demands. To date, very few studies have attempted to delve into the AFCs’ environmental demand from different groups’ perspectives. Based on the theory of place attachment, the aim of this paper is to explore the demand diversity of different groups for the AFC environment. This study employs the nonparametric test and the Ordinal Priority Approach (OPA) to investigate the demands from the residents’ perspectives, and is enhanced by incorporating experts’ opinions. The empirical analysis shows that residents have a high level of demand for the physical environment (indoor and outdoor) and social environment (community services and social participation). At the same time, experts advocate the importance of using digital technologies to support people aged 45–65 who have higher requirements for a community environment than older adults. The findings also show that other backgrounds, such as gender, living arrangements, and year of the community establishment, lead to different demands. However, the impact of residents’ education level, occupation, income, and self-care ability on the environmental demands is low. Based on the research findings, the paper provides some practical suggestions for the future design and development of AFCs.
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Lee, Euehun, and Karen M. Gibler. "Preferences for Korean seniors housing." Journal of Property Investment & Finance 22, no. 1 (February 1, 2004): 112–35. http://dx.doi.org/10.1108/14635780410525171.
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The Republic of Korea is experiencing demographic, economic, and cultural changes that may create demand for seniors housing in the coming decades. The population is rapidly ageing; pension income is becoming more prevalent; and attitudes are changing about co‐residence. More people are expressing interest in housing that allows for privacy and independence from family members. These changes indicate potential demand for alternatives such as seniors housing. To help specify demand models for seniors housing in South Korea, a survey of urban residents aged 50 and older is presented to identify preferences among those who are planning to live in seniors housing. Results indicate higher income, healthy South Koreans are more likely to plan to live in seniors housing. They are interested in housing that provides personal care, home care, social, and security services, without the financial and physical maintenance burden of a traditional home.
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OSAKAYA, Yosiyuki. "DEMAND ESTIMATION OF MEDICAL, HEALTH CARE AND SOCIAL WELFARE FACILITIES FOR THE AGED IN MURORAN, NOBORIBETSU AND DATE." AIJ Journal of Technology and Design 5, no. 8 (1999): 201–6. http://dx.doi.org/10.3130/aijt.5.201_7.
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Baker, Jannah, Helena Britt, and Christopher Harrison. "GP services in Australia: presentation profiles during usual practice hours and after-hours periods." Australian Journal of Primary Health 26, no. 2 (2020): 117. http://dx.doi.org/10.1071/py19169.
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After-hours general practitioner (GP) services can reduce emergency department demand, which is currently increasing in Australia. Understanding GP after-hours care may assist in service planning. From April 2014 to March 2015, 986 GPs recorded 38275 consultations with start and finish times in the Bettering the Evaluation and Care of Health (BEACH) study, a national, cross-sectional, representative study of GP activity. GP and patient characteristics and the content of encounters in usual-hours and after-hours were compared. Significantly more after-hours than usual-hours encounters were with: GPs aged 60+ years; in metropolitan practices; and practices with 10+ GPs. Patients seen after-hours were more often: male; aged 15–64 years; new to practice; and less likely to hold a Commonwealth Concession Card. They were more likely to be prescribed antibiotics and less likely to: have chronic problems managed; be referred; receive psycholeptic or psychoanaleptic prescription; and undergo a procedure. Throat symptoms, fever and injury were more common reasons for encounter, while infections and injury were more frequently managed problems after-hours. The patient mix, GP characteristics, problems managed and management actions in after-hours care differ from those in usual-hours care in Australia. This greater understanding of after-hours care is the first step to informed resource allocation to improve the delivery of after-hours primary care.
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Rosato-Scott, Claire, Barbara Evans, Abraham Varampath, Ben Fehnert, and Dani Barrington. "Urinary incontinence in children aged 5 to 12 in an emergency setting: lessons learned in Ethiopia." Waterlines 40, no. 3 (July 1, 2021): 179–91. http://dx.doi.org/10.3362/1756-3488.20-00017.
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This scoping study aimed to be the first to explore the number of children aged 5 to 12 in an emergency setting (Tukaley village, Ethiopia) wetting themselves, and demand for support to manage self-wetting in the home. A survey asked 524 children about their latrine behaviours; and 312 adult caregivers about the latrine behaviours of the children aged 5 to 12 they care for. Few adult caregivers (1 per cent) indicated that children were self-wetting during the day and/or night, and only one child indicated self-wetting (during the day). Yet the survey revealed demand from adult caregivers for household items typically used to manage involuntary self-wetting. This could suggest self-wetting is occurring, but there is a reluctance to disclose it. Given the impact of self-wetting on the lives of children and their adult caregivers, it would be unethical for it not to be considered when developing emergency programmes across sectors including the water, sanitation, and hygiene sector. With further research and modifications to the survey, it could provide greater clarity on the number of children self-wetting and the scale of demand for support to inform emergency programme design.
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Mwakilasa, Magreth Thadei, Conor Foley, Tracy O’Carroll, Rachel Flynn, and Daniela Rohde. "Care Experiences of Older People in the Emergency Department: A Concurrent Mixed-Methods Study." Journal of Patient Experience 8 (January 2021): 237437352110652. http://dx.doi.org/10.1177/23743735211065267.
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The growing population of older people has increased demand to meet their complex healthcare needs, including in emergency departments (EDs). This study explored the experiences of people aged 65+ in Irish EDs, involving secondary analysis of quantitative and qualitative data from the 2019 National Inpatient Experience Survey (NIES). Experiences in the ED and overall hospital experiences were dichotomized as poor to fair or good to very good. Logistic regression was used to model quantitative data. Free text comments relating to EDs were thematically analyzed. Of 12,343 survey participants, 4,442 (39.9%) were aged 65+ years and used the ED. Longer waiting times, completion of the questionnaire by another person either with or on behalf of the patient, and having both a medical card and private health insurance were predictors of poor to fair ED experiences. Patients aged 85+ years were more likely to report good to very good ED experiences. Poor experiences in the ED were associated with poorer overall hospital experiences (odds ratio [OR]: 2.19, 95% confidence interval [CI]: 1.76 to 2.73, p < .001). Thematic analysis revealed that long waiting times and unpleasant waiting conditions, including lack of communication, privacy, and personal care were important challenges encountered in the ED, with some older patients noting their preference for separate ED services. There is a need to reduce waiting times and integrate user perspectives in the planning, organization, and delivery of ED care to improve experiences and quality of care for a growing older population.
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Foster, Hamish, Keith R. Moffat, Nicola Burns, Maria Gannon, Sara Macdonald, and Catherine A. O'Donnell. "What do we know about demand, use and outcomes in primary care out-of-hours services? A systematic scoping review of international literature." BMJ Open 10, no. 1 (January 2020): e033481. http://dx.doi.org/10.1136/bmjopen-2019-033481.
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ObjectiveTo synthesise international evidence for demand, use and outcomes of primary care out-of-hours health services (OOHS).DesignSystematic scoping review.Data sourcesCINAHL; Medline; PsyARTICLES; PsycINFO; SocINDEX; and Embase from 1995 to 2019.Study selectionEnglish language studies in UK or similar international settings, focused on services in or directly impacting primary care.Results105 studies included: 54% from mainland Europe/Republic of Ireland; 37% from UK. Most focused on general practitioner-led out-of-hours cooperatives. Evidence for increasing patient demand over time was weak due to data heterogeneity, infrequent reporting of population denominators and little adjustment for population sociodemographics. There was consistent evidence of higher OOHS use in the evening compared with overnight, at weekends and by certain groups (children aged <5, adults aged >65, women, those from socioeconomically deprived areas, with chronic diseases or mental health problems). Contact with OOHS was driven by problems perceived as urgent by patients. Respiratory, musculoskeletal, skin and abdominal symptoms were the most common reasons for contact in adults; fever and gastrointestinal symptoms were the most common in the under-5s. Frequent users of daytime services were also frequent OOHS users; difficulty accessing daytime services was also associated with OOHS use. There is some evidence to suggest that OOHS colocated in emergency departments (ED) can reduce demand in EDs.ConclusionsPolicy changes have impacted on OOHS over the past two decades. While there are generalisable lessons, a lack of comparable data makes it difficult to judge how demand has changed over time. Agreement on collection of OOHS data would allow robust comparisons within and across countries and across new models of care. Future developments in OOHS should also pay more attention to the relationship with daytime primary care and other services.PROSPERO registration numberCRD42015029741.
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Clarke, Marilyn. "To what extent a “bad” job? Employee perceptions of job quality in community aged care." Employee Relations 37, no. 2 (February 9, 2015): 192–208. http://dx.doi.org/10.1108/er-11-2013-0169.
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Purpose – The purpose of this paper is to explore how community aged care workers evaluate job quality using a job quality framework. Design/methodology/approach – The study uses a qualitative approach. Data were collected using semi-structured interviews and focus groups from a large aged care organisation. Findings – Perceptions of job quality are influenced by individual motivations, match between life-stage and work flexibility, as well as broader community views of the value of this type of work. Intrinsic factors (e.g. autonomy, job content) moderate the impact of extrinsic factors such as pay and job security. Research limitations/implications – The sample is relatively small and the study is based on data from one aged care organisation which may not reflect employment conditions in other organisations. Practical implications – Attraction and retention of community care workers can be improved by addressing factors associated with remuneration (including employment contracts and hours of work) and career structures. Skill and experience-based career structures would help build organisational capacity as well as making these jobs more attractive. Social implications – The demand for community care will continue to increase. Attracting, retaining and managing this workforce will be critical to meeting society’s expectations regarding the future care needs of older people. Originality/value – This research explores an under-researched workforce group in a critical area of aged care management. It highlights two key areas with the potential to improve employee perceptions of job quality and therefore address issues related to attraction, retention, job satisfaction and ultimately organisational performance.
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Imai, Kaori. "Bed-Ridden Elderly in Japan: Social Progress and Care for the Elderly." International Journal of Aging and Human Development 46, no. 2 (January 1, 1998): 157–70. http://dx.doi.org/10.2190/hyaw-jpw6-633u-6hje.
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The demand for health care and social welfare services for the elderly has increased and in Japan, there is a need in the social system to improve the quality of life, especially for those who are disabled. This article directs attention to bed-ridden elderly persons from the standpoint of social problems attending economic development and population changes based on data from Japan, the United States, Sweden, and OECD countries. Compared to the United States, there are more bed-ridden elderly in Japan, and inadequate public resources for caring. Physicians, nurses, care workers, and rehabilitation specialists such as physiotherapist and occupational therapist per 1000 aged sixty-five or over are 89.5 in Japan while 237.4 in Sweden. Japan has the fewest such health and welfare personnel among developed countries. Even with increases in such personnel through the New Gold Plan, future increase in aged population would off-set the effect and the problem of providing care for the elderly remains.
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Robinson, Louise, Julian Hughes, Sarah Daley, John Keady, Clive Ballard, and Ladislav Volicer. "End-of-life care and dementia." Reviews in Clinical Gerontology 15, no. 2 (May 2005): 135–48. http://dx.doi.org/10.1017/s0959259806001833.
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In the UK, research continues to confirm that people with certain chronic illnesses, such as chronic lung disease and cardiac failure, represent the ‘disadvantaged dying’ compared to those with terminal cancer. But what is the situation for people dying with advanced dementia and what is the experience of their carers? Practical guidance for clinicians is scarce. In Standard 7 of the National Service Framework for Older People, which covers mental health, there is mention neither of how care should be provided nor of how patient choice should be ensured for people with dementia at the end of life. In the UK, 5% of the population aged 65 and over and 20% of those aged 80 and over have dementia similar prevalence figures are found in the USA. Current predictions suggest that the number of people with dementia will increase by 40% by 2026 and will double by 2050. The increased demand for end-of-life care for people with dementia will be associated with major social and economic costs, but what is the current standard of such care? How can the quality be improved? And how should future services be configured to cope with this increasing need? In this paper, we review current knowledge around end-of-life care in dementia, discuss the clinical challenges and ethical dilemmas presented to carers, consider the difficulties in delivering such care and suggest practical approaches to improve the quality of such care.
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Lin, Tsui-Fang, and Jennjou Chen. "Effect of Physician Gender on Demand for Pap Tests." Economics Research International 2014 (September 18, 2014): 1–8. http://dx.doi.org/10.1155/2014/647169.
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People’s demand for preventive medical care is one type of investment in health. The aim of this paper is to examine women’s demand for secondary prevention in Taiwan, focusing on the role a physician’s gender plays in women’s inclination to undergo Pap tests. Our estimation results show that regional ratio of female doctors has a positive and significant effect on utilization of Pap tests for the full sample and for women aged below 30. In addition, doctor’s gender matters only in utilization of Pap tests not in other types of preventive healthcare services in Taiwan. We suggest that the government may consider liberalizing medical laws to make it legal for trained female nurses or nurse practitioners to perform Pap tests in order to encourage the utilization of Pap tests, especially in rural and mountain areas. The government may also consider subsidizing the use of cervical cancer vaccines to help females prevent cervical cancer.
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Schmeida, Mary, and Ramona McNeal. "Medicaid Expansion." International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment 2, no. 2 (July 2018): 42–53. http://dx.doi.org/10.4018/ijppphce.2018070103.
Full textAbstract:
U.S. longevity is placing a demand on long-term care services for the impaired and elderly. Medicaid is the primary insurance program in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from costly facilities toward home and community-based care. Not all states choose to expand their Medicaid long-term care program despite the financial incentive, but instead they continue spending on nursing facility care despite the less costly option of community care. This article explores why some states have been reluctant to expand long-term care into the community. Regression analysis and 50 state-level data is used.
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Das, Kavita, Kevin Murray, Rick Driscoll, and S. Rao Nimmagadda. "A comparative study of healthcare and placement needs among older forensic patients in a high secure versus medium/low secure hospital setting." International Psychogeriatrics 23, no. 5 (November 25, 2010): 847–48. http://dx.doi.org/10.1017/s1041610210002231.
Full textAbstract:
It is predicted that there will be a significant growth in the population aged over 65 years in the U.K., from 15.9% in 2000 to 23.3% in 2050, with the fastest growth rate being among the oldest old (United Nations, 2005). In line with such growth, there will be a commensurate increase in the population of older people suffering from psychiatric conditions. This will lead to a demand for increased health care services and the need for reorganization and prioritization of resources channeled into health care for this group.