Journal articles on the topic 'Older people with disabilities Care'
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Kim, Hoolda, and Sophie Mitra. "The Effects of Old Age Care Services and Long-Term Care Insurance: Evidence From Korea." Innovation in Aging 4, Supplement_1 (December 1, 2020): 85. http://dx.doi.org/10.1093/geroni/igaa057.281.
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Abstract Along with a rapidly aging population globally, the need for homecare is on the rise. Such care can be a heavy financial burden on older people and their households. To address this issue, the Korean government initiated two programs: care services for low-income individuals and voluntary long-term care insurance for people age 65+. Although it has been a decade since the implementation of the programs, there is limited evidence on how they affect the economic lives of older people, with and without disabilities. We use the 2008-2018 Korean Longitudinal Study of Aging (KLoSa) that provides detailed information about healthcare and homecare utilization and out of pocket costs for people aged 45 or older. We investigate the economic effects of old age public assistance programs using multivariate linear regression models and a dynamic panel model. The preliminary results indicate that older people with disabilities are more likely to utilize homecare services but do not experience any significant extra costs associated with homecare, implying that old age public assistance programs mitigate the financial burden of homecare for older people.
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Wang, Yuan, and Caiyun Qi. "Multi-Dimensional Accessibility Barriers in Care Services for the Rural Elderly with Disabilities: A Qualitative Study in China." International Journal of Environmental Research and Public Health 18, no. 12 (June 12, 2021): 6373. http://dx.doi.org/10.3390/ijerph18126373.
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This research covers a multi-dimensional investigation into accessibility barriers in care services for older people with disabilities in rural China. In-depth interviews with 13 rural disabled older people in China were conducted using qualitative methods. Based on a welfare pluralism approach, the results showed that in comparison with urban areas, care services for disabled older populations in rural areas are more subject to social barriers. This can be seen in the limited state (lack of resources, rigorous eligibility qualifications, uneven distribution, and irregular implementation); the absent market (low levels of consumption, high cost pressures, self-exclusion, and traditional cultural constraints); absent NGOs and volunteers (difficulties in access for NGOs and volunteers outside the area and formation difficulties of local NGOs and volunteers); as well as low-quality care in households and communities (unprofessional care from the spouse, unsustainable care from children, and unavailable community-based care). A multi-subject support network should be established to remove accessibility barriers to care services for older people with disabilities in rural areas through active intervention and interaction. The results of the research provide insights that will aid in the formulation of future social care service plans and health policies for rural older people with disabilities.
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Cotter, AJE, AV Salvage, JE Meyer, and J. Bridges. "Measuring outcomes of long-term care for older people." Reviews in Clinical Gerontology 8, no. 3 (August 1998): 257–68. http://dx.doi.org/10.1017/s0959259898008387.
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There comes a time in the lives of a minority of older people when the extent of their disabilities makes it impossible for them to continue living in their own homes. When this happens, long-term institutional care may be the only option. Given that most residents in long-term care are over 75 years old and that the numbers in this age group will increase into the next century, we can expect an increase in the number of people requiring long-term care.
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Pickard, Linda, Raphael Wittenberg, Adelina Comas-Herrera, Derek King, and Juliette Malley. "Mapping the Future of Family Care: Receipt of Informal Care by Older People with Disabilities in England to 2032." Social Policy and Society 11, no. 4 (August 2, 2012): 533–45. http://dx.doi.org/10.1017/s1474746412000346.
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Many long-term care systems in economically developed countries are reliant on informal care. However, in the context of population ageing, there are concerns about the future supply of informal care. This article reports on projections of informal care receipt by older people with disabilities from spouses and (adult) children to 2032 in England. The projections show that the proportions of older people with disabilities who have a child will fall by 2032 and that the extent of informal care in future may be lower than previously estimated. The policy implications, in the context of the Dilnot Commission's report, are explored.
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Flood, Bernadette. "Medication use in residential care for older people with intellectual disabilities." Learning Disability Practice 19, no. 7 (August 26, 2016): 24–29. http://dx.doi.org/10.7748/ldp.2016.e1726.
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Lee, Heayon, Yu Rang Park, Hae-Reong Kim, Na Young Kang, Gahee Oh, Il-Young Jang, and Eunju Lee. "Discrepancies in Demand of Internet of Things Services Among Older People and People With Disabilities, Their Caregivers, and Health Care Providers: Face-to-Face Survey Study." Journal of Medical Internet Research 22, no. 4 (April 15, 2020): e16614. http://dx.doi.org/10.2196/16614.
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Background Home Internet of Things (IoT) services and devices have the potential to aid older adults and people with disabilities in their living environments. IoT services and devices can also aid caregivers and health care providers in conveniently providing care to those in need. However, real-world data on the IoT needs of vulnerable people are lacking. Objective The objective of this study is to conduct a face-to-face survey on the demand for IoT services among older people and people with disabilities, their caregivers, and health care providers in a real-world setting and to see if there are any differences in the aspects of need. Methods We conducted a face-to-face survey with 500 participants between January 2019 and March 2019. A total of 300 vulnerable people (200 older adults aged ≥65 years and 100 physically disabled people aged 30-64 years) were randomly sampled from either a population-based, prospective cohort study of aging—the Aging Study of Pyeongchang Rural Area (ASPRA)—or from the outpatient clinics at the Asan Medical Center, Seoul, South Korea. Simultaneously, their caregivers (n=150) and health care providers (n=50) participated in the survey. Detailed socioeconomic status, digital literacy, health and physical function, and home IoT service needs were determined. Among all commercially available IoT services, 27 services were classified into five categories: emergency and security, safety, health care, convenience (information), and convenience (operation). The weighted-ranking method was used to rank the IoT needs in different groups. Results There were discrepancies in the demand of IoT services among the vulnerable groups, their caregivers, and health care providers. The home IoT service category that was required the most by the vulnerable groups and their caregivers was emergency and security. However, health care providers indicated that the safety category was most needed by the older adults and disabled people. Home IoT service requirements differed according to the different types of disabilities among the vulnerable groups. Participants with fewer disabilities were more willing to use IoT services than those with more disabilities. Conclusions Our survey study shows that there were discrepancies in the demand of IoT services among the vulnerable groups, their caregivers, and health care providers. IoT service requirements differed according to the various types of disabilities. Home IoT technology should be established by combining patients’ priorities and individualized functional assessments among vulnerable people. Trial Registration Clinical Research Information Service (CRIS; KCT0004157); https://tinyurl.com/r83eyva
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Higginson, Irene J., and Christina Victor. "Assessment and Screening of Older People: Needs Assessment for Older People." Journal of the Royal Society of Medicine 87, no. 8 (August 1994): 471–73. http://dx.doi.org/10.1177/014107689408700815.
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Assessments of need carried out so far have concentrated on single diseases or interventions rather than care groups or on people who have multiple pathologies. We therefore began a needs assessment for older people in a central London health authority. The health district - then called Parkside - covered 25 square miles in north London and had a resident population of 432 600 people, of which 7% were aged 75 years and over and 2% were aged 85 years and over. Estimates of the number of people with different disabilities and diseases were calculated using data from the General Household Survey, the Office of Population Census Survey (OPCS) Disability Survey or other national or reliable surveys. Although the majority of older people were well - indicating a need for health promotion and disease prevention - we estimated the number of disabled older people in the district was in excess of 25 000, with the most common types of disability being those concerned with locomotion, hearing and personal care. Using data from the OPCS survey we were able to estimate there were 7328 people aged 75 years and over who were in the OPCS top five severity ratings, which would mean that they probably required services. For mental health we estimated there would be approximately 6000 older people suffering from clinically significant depression, 6000 older people suffering from anxiety, and between 2740 and 4441 suffering moderate to severe dementia. A next step is to match an assessment of the prevalence of disease and disability, with an estimate of that being served locally.
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Stevens, Martin. "Commentary on “Assisting individuals ageing with learning disability: support worker perspectives”." Tizard Learning Disability Review 20, no. 4 (October 5, 2015): 223–27. http://dx.doi.org/10.1108/tldr-07-2015-0029.
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Purpose – The purpose of this paper is to explore some of the themes identified by Wark et al.’s paper and to highlight commonalities and differences between the Australian and the UK social and health care regimes. It also points to evidence about other implications for policy and practice of the increasing numbers of people growing older who have learning disabilities. Design/methodology/approach – The commentary analyses some policy and practice documents and identifies a range of other research and commentary on this topic. Findings – Wark et al. have identified areas of importance for supporting older people with learning disabilities, particularly access to suitable and acceptable services and the importance of sufficient support worker time. They also identify gaps in the research on people’s needs and service responses. The commentary also highlights other factors for consideration in work with this group of people, particularly the implementation of personalisation policies in social care and integration between health and social care services. Research limitations/implications – There is a need for further research into developing policy and practice for health and social care for older people with learning disabilities. Some of the evidence supports the case for specialist involvement, particularly by nursing professionals. Originality/value – The paper and this commentary highlight the challenges associated with the increasing number of older people with learning disabilities in contemporary debates about the role of the state and professional specialists.
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Hough, Tanya. "Evaluation Of Residential Services For Older Adults With Intellectual Disabilities/Developmental Disabilities Residing In The Community." Gerontology and Geriatric Medicine 6, no. 6 (December 31, 2020): 1–7. http://dx.doi.org/10.24966/ggm-8662/100076.
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People with intellectual disabilities/developmental disabilities in the United States are living longer in recent decades. People 65 and older are in better health than previous decades due to more awareness of the beneficial effects of a healthy diet, preventative medical care and physical exercise.
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Fosch-Villaronga, Eduard, and Adam Poulsen. "Sex care robots." Paladyn, Journal of Behavioral Robotics 11, no. 1 (January 30, 2020): 1–18. http://dx.doi.org/10.1515/pjbr-2020-0001.
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AbstractThe creation and deployment of sex robots are accelerating. Sex robots are service robots that perform actions contributing directly towards improvement in the satisfaction of the sexual needs of a user. In this paper, we explore the potential use of these robots for elder and disabled care purposes,which is currently underexplored. Indeed, although every human should be able to enjoy physical touch, intimacy, and sexual pleasure, persons with disabilities are often not in the position to fully experience the joys of life in the same manner as abled people. Similarly, older adults may have sexual needs that public healthcare tend to ignore as an essential part of their well-being. We develop a conceptual analysis of how sex robots could empower persons with disabilities and older adults to exercise their sexual rights, which are too often disregarded in society. Our contribution seeks to understand whether sex robots could serve as a step forward in enhancing the care of (mainly but not exclusively) persons with disabilities and older adults. By identifying the potential need to incorporate sex within the concept of care, and by exploring the use of robot technology to ease its materialization, we hope to inform the policy debate around the regulation of robots and set the scene for further research.
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Strydom, Andre, Angela Hassiotis, and Gill Livingston. "Mental Health and Social Care Needs of Older People with Intellectual Disabilities." Journal of Applied Research in Intellectual Disabilities 18, no. 3 (September 2005): 229–35. http://dx.doi.org/10.1111/j.1468-3148.2005.00221.x.
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Li, Laiyou, Ning Sun, Libo Yu, Xiaoxin Dong, Jing Zhao, and Yuchen Ying. "The Needs of Older Adults With Disabilities With Regard to Adaptation to Aging and Home Care: Questionnaire Study." JMIR Rehabilitation and Assistive Technologies 7, no. 2 (October 26, 2020): e16012. http://dx.doi.org/10.2196/16012.
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Background The home environment is an important means of support in home-based care services for older people. A home environment that facilitates healthy aging can help older adults maximize their self-care abilities and integrate and utilize care resources. However, some home environments fail to meet the needs of older adults with disabilities. Objective This paper aimed to study the needs of older adults with disabilities with respect to adaptation to aging, and to analyze the associations of individual factors and dysfunction with those needs. Methods A questionnaire survey was administered to 400 older adults with disabilities from 10 communities in Ningbo City, Zhejiang Province, China. The survey was conducted from August 2018 to February 2019. Results A total of 370 participants completed the survey. The proportion of participants with mild dysfunction was the highest (128/370, 34.59%), followed by those with extremely mild (107/370, 28.92%), moderate (72/370, 19.46%), and severe (63/370, 17.03%) dysfunction. The care needs of older adults with extremely mild and mild dysfunction pertained primarily to resting, a supportive environment, and transformation of indoor activity spaces. The care needs of older adults with moderate dysfunction pertained mainly to resting and renovation of bathing and toilet spaces. Factors influencing the needs of older adults with disabilities were dysfunction (P=.007), age (P=.006), monthly income (P=.005), and living conditions (P=.04). Conclusions The needs of older adults with disabilities varied by the degree of dysfunction, and many factors influenced these needs in the community. These findings may provide a scientific basis for developing community-specific aging-related adaptation services for older adults with disabilities in the future.
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GARCÍA, JESÚS ROGERO, MARÍA-EUGENIA PRIETO-FLORES, and MARK W. ROSENBERG. "Health services use by older people with disabilities in Spain: do formal and informal care matter?" Ageing and Society 28, no. 7 (October 2008): 959–78. http://dx.doi.org/10.1017/s0144686x08007381.
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ABSTRACTAs people grow older in late life, their need for help with the activities of daily living increases. In Spain, those who need such help constitute about 20 per cent of the population aged 65 or more years. Support may be from formal care, informal care or both, and the type has different consequences for care receivers and their social networks. The aim of this paper is to examine the relationship between informal and formal care and the use of health services among older people in Spain. Using a sample of 1,148 respondents aged 65 or more years from the Spanish National Health Survey of 2003, we analysed the association between the sources of care (formal, informal, both, or no care) and the frequency of three types of health-care utilisation: hospitalisation, emergency services and medical consultations. After controlling for sex, age, level of difficulty in the activities of daily living, self-perceived health status, and social class, it was found that older people with disabilities who received neither informal nor formal care were more likely to consult physicians than those who received informal care, but that there were no significant relationships between the type of care and health-services utilisation. The findings provide new information about the consequences of the different types of care of older people with disabilities, and suggest specifically that informal care substitutes for some tasks usually done by health professionals.
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Lai, Poland. "Falling through the care cracks: younger people in long-term care homes." International Journal of Care and Caring 5, no. 4 (November 1, 2021): 701–7. http://dx.doi.org/10.1332/239788221x16308485703616.
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The COVID-19 casualties in long-term care homes (nursing homes) around the world are usually described as our collective failure in care towards older adults. The plight of younger long-term care residents appears to be forgotten in the midst of long-term care tragedies. This article summarises a small number of key informant interviews (conducted in 2017) that shed light on why younger adults reside in long-term care homes in Ontario, Canada. To put it simply, the younger residents have nowhere to go. Diverting younger people with disabilities from long-term care will help alleviate pressures on long-term care systems as respective governments race to reform them.
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Korchagina, Irina I., and Lidia M. Prokofieva. "Long-term care needs assessments: French and Russian experience." POPULATION 23, no. 3 (2020): 59–70. http://dx.doi.org/10.19181/population.2020.23.3.6.
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Social support of older people is given a very great attention. In many countries, older people receive long-term care at home. The long-term care (LTC) is actively developed worldwide over the past 20 years. LTC improves the life quality of older people and people with disabilities. Such system includes medical and social services. Currently, in many OECD countries, from a half to three quarters of older people receive long-term care at home. France is one of those countries in which the social support of older people is given a very great attention. In Russia, long-term care is a task of family. Our country is taking first steps in creation of a long-term care system. It is important to take into account the experience of countries that already have specialized social services for older people with loss of autonomy. A new and important element of the LTC system will be a special scale for determining the level of need for long-term care. Such scale helps to differentiate the needs of each elderly person or person with a disability. This paper analyses the methods of determining the level of need for long-term care, used in France and in Russia and describes the advantages and disadvantages of these methods.
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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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Barnett, K., and R. Schultz. "INNOVATIVE SERVICE DELIVERY MODELS: LESSONS LEARNED IN PROVIDING CARE FOR OLDER PEOPLE AND PEOPLE WITH DISABILITIES." Australian Journal on Ageing 12, no. 3 (August 1993): 9–13. http://dx.doi.org/10.1111/j.1741-6612.1993.tb00600.x.
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Arora, Kanika, Hannah Rochford, Kelli Todd, and Brian Kaskie. "Medicaid managed care in Iowa: Experiences of older adults and people with disabilities." Disability and Health Journal 14, no. 1 (January 2021): 100975. http://dx.doi.org/10.1016/j.dhjo.2020.100975.
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Schoufour, Josje D., Heleen M. Evenhuis, and Michael A. Echteld. "The impact of frailty on care intensity in older people with intellectual disabilities." Research in Developmental Disabilities 35, no. 12 (December 2014): 3455–61. http://dx.doi.org/10.1016/j.ridd.2014.08.006.
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Spencer-Lane, Tim. "Lost in a Legal Maze: Community Care Law and People with Mental Health Problems: The Law Commission’s Review of Adult Social Care Law." International Journal of Mental Health and Capacity Law, no. 19 (September 8, 2014): 139. http://dx.doi.org/10.19164/ijmhcl.v0i19.250.
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In June 2008, the Law Commission published its Tenth Programme of Law Reform, which includes a project to review adult social care law in England and Wales. Adult social care impacts on a wide range of individuals, including older people, people with learning disabilities, physically disabled people, people with mental health problems and carers. This article considers the particular problems and challenges that community care law presents for people with mental health problems and how the Law Commission’s review proposes to address this.
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Gething, Lindsay. "Growing Older with an Intellectual Disability." Australian Journal of Rehabilitation Counselling 6, no. 2 (2000): 57–66. http://dx.doi.org/10.1017/s1323892200000892.
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Both the life expectancy and numbers of older people with intellectual disabilities are growing. Until recently, ageing with a disability had not been a major consideration for Australian policy makers and service providers. The situation was similar in countries such as the United States of America and United Kingdom where, unlike aged care, disability policy and practice had not evolved to meet needs. Ageing with long standing disability has now been specified by the Australian government as a priority area. This paper reports results of consultations held with consumers, their organisations, service providers and government in order to explore quality of life and service provision issues for people with long standing disabilities. It reports these issues and uses themes emerging from consultations to structure previously published information specifically related to ageing with an intellectual disability. Seven broad themes are discussed which relate to: life experiences; attitudes, skills and knowledge of consumers; attitudes skills and knowledge of community and service providers, the nature of service provision; the ageing of family care givers; financial security; and ageing in place. It is concluded that disadvantages and barriers experienced throughout life influence well being and quality of life in old age.
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Karon, Sarita, Cleanthe Kordomenos, Molly Knowles, and Micah Segelman. "Utilization and Expenditures of High-Need, High-Cost Older Adults With Disabilities." Innovation in Aging 5, Supplement_1 (December 1, 2021): 156. http://dx.doi.org/10.1093/geroni/igab046.601.
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Abstract The factors that lead people to have high needs for care can vary greatly, with implications for the best approaches to serving their needs. One high need group of interest is older adults with disabilities and multiple comorbidities. There is variation in need within this group. Of particular interest is the subset that is both high need and high cost (HNHC). We present work describing Medicare and Medicaid utilization and expenditures for this high need group and the HNHC subset. Over 7.6 million people were identified as high need; 13.6% of them also were defined as HNHC. Patterns of utilization differed between these groups, with the HNHC group more likely to use inpatient care and nursing home care, but less likely to use community-based long-term services and supports. These findings have implications for the development of care models that might best meet the needs of this population.
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Banks, Lena Morgon, Timothy O’Fallon, Shaffa Hameed, Sofoora Kawsar Usman, Sarah Polack, and Hannah Kuper. "Disability and the achievement of Universal Health Coverage in the Maldives." PLOS ONE 17, no. 12 (December 21, 2022): e0278292. http://dx.doi.org/10.1371/journal.pone.0278292.
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Objective To assess access to general and disability-related health care among people with disabilities in the Maldives. Methods This study uses data from a case-control study (n = 711) nested within a population-based, nationally representative survey to compare health status and access to general healthcare amongst people with and without disabilities. Cases and controls were matched by gender, location and age. Unmet need for disability-related healthcare is also assessed. Multivariate regression was used for comparisons between people with and without disabilities. Results People with disabilities had poorer levels of health compared to people without disabilities, including poorer self-rated health, increased likelihood of having a chronic condition and of having had a serious health event in the previous 12 months. Although most people with and without disabilities sought care when needed, people with disabilities were much more likely to report difficulties when routinely accessing healthcare services compared to people without disabilities. Additionally, 24% of people with disabilities reported an unmet need for disability-related healthcare, which was highest amongst people with hearing, communication and cognitive difficulties, as well as amongst older adults and people living in the lowest income per capita quartile. Median healthcare spending in the past month was modest for people with and without disabilities. However, people with disabilities appear to have high episodic healthcare costs, such as for disability-related healthcare and when experiencing a serious health event. Conclusions This study found evidence that people with disabilities experience unmet needs for both disability-related and general healthcare. There is therefore evidence that people with disabilities in the Maldives are falling behind in core components relevant to UHC: availability of all services needed, and quality and affordability of healthcare.
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Zitikytė, Kristina. "Employment at 55+: Do We Want to work Longer in Lithuania?" Ekonomika 99, no. 1 (May 7, 2020): 50–68. http://dx.doi.org/10.15388/ekon.2020.1.3.
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The Lithuanian population is aging, and it causes many difficulties for public finances by increasing expenditures on health care, long-term care, and pensions, and also for the labor market by creating labor shortages. One of the ways to cope with demographic aging is to rise the employment rate of older people. According to Eurostat, the employment rate of the elderly aged 55–64 years increased from 49.6 percent in 2005 to 68.5 percent in 2018 in Lithuania and it is higher than the average employment rate of older workers in European Union, which was 58.7 percent in 2018. This paper focuses on older people in Lithuania, aged 55 and over, trying to answer a question whether the elderly in Lithuania willingly work or try to find alternatives such as receiving long-term social insurance benefits. The research findings show that the activity of older people in the labor market grows, and even the share of people with disabilities staying in the labor market increases. However, this analysis also shows that older people are more under risk to lose their job during an economic crisis, and this suggests that trying to find work alternatives can be closely related to one’s economic situation. Moreover, health problems remain one of the main factors limiting the activity of older people in the labor market. It is also noticeable that some labor force reserves exist among people with disabilities and this supposes that creating better adapted working conditions for older and disabled workers in Lithuania could probably contribute to meeting the needs of an aging workforce.
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Wu, Danxian, Xiaolu Gao, Zhifei Xie, and Zening Xu. "Understanding the Unmet Needs among Community-Dwelling Disabled Older People from a Linkage Perspective." International Journal of Environmental Research and Public Health 18, no. 2 (January 6, 2021): 389. http://dx.doi.org/10.3390/ijerph18020389.
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One of the challenges in response to population aging is to meet needs for elderly care among older people especially for those who want to age in their homes or communities. However, disabled older people have more challenges due to their restricted mobility to access care resources than non-disabled ones. We propose a new framework based on the changing relationship between older people and their environment, in which resource linkage in elderly care utilization is emphasized. We conducted a survey with 139 participants (i.e., older people age 60 years or over with different level of disabilities) in three types of neighborhoods in Beijing, China. By conducting a decision tree analysis under the Person-Environment Link (P-E Link) model, we (1) characterized unmet needs for elderly care (activities of daily living (ADL) and instrumental activities of daily living (IADL) assistance) among community-dwelling disabled older people; (2) found disabled older people had more unmet needs for both ADL and IADL assistance because of a lack in linkages to care resources than non-disabled ones; and (3) characterized the linkages to care resources for better supporting disabled older people to age in place, including family support, social connection, and spatial environment. Our findings help improve the Anderson behavioral model by characterizing enabling environments, which highlights that not only the availability of enabling resources but also linkages to these enabling resources play an important role in meeting needs for care among disabled older people. Our findings can also inform improvements in policy design that are targeted to reduce elderly care inequalities.
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Graham, Robert, and Isha Karmacharya. "COMMUNITY-BASED ORGANIZATIONS CONTRACTING WITH HEALTH CARE PARTNERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH." Innovation in Aging 6, Supplement_1 (November 1, 2022): 74. http://dx.doi.org/10.1093/geroni/igac059.297.
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Abstract Community Based Organizations (CBOs), such as Area Agencies on Aging, play a vital role in their communities by offering a range of services that address the health-related social needs of older adults and people with disabilities. As health care entities (HCEs) become more aware of the effects of unmet social needs on health outcomes, there has been a significant increase in the number of HCEs contracting with CBOs to provide a wider range of services and care coordination for older adults and people with disabilities. Using findings from four waves of the national Aging and Disability Business Institute’s CBO-Health Care Contracting Survey (2017–2021), presenters will describe trends in CBO/HCE contracting, including increased diversification of partnerships with health care payers and providers, services provided, and populations served. Results suggest that more CBOs are forming integrated networks to improve contracting with HCEs, and that assessment for SDOH is the most common service.
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Wicki, Monika T. "Physical and mental health of older people with disabilities in residential homes in Switzerland." SAGE Open Medicine 9 (January 2021): 205031212110005. http://dx.doi.org/10.1177/20503121211000530.
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Objectives: People with disabilities are underserved in terms of health care and prevention, and special health conditions exist among older people with intellectual disabilities. The Swiss Health Survey only covers people over the age of 15 years living in private households. Therefore, this study aims to assess the health status of older persons living in residential facilities for adults with disabilities. Methods: A cross-sectional survey with written questionnaires was conducted in six cantons in Switzerland to capture context factors and the physical health status of persons aged between 50 and 65 years in residential homes in Switzerland. The survey collected data on physical and mental health from 241 persons aged 50–65 years living in residential homes for people with disabilities. This was compared with data from the 2012 Swiss Health Survey comprising a sample of 2261 persons of the same age with chronic morbidities living in their own apartments. Results: Regarding their health, 94.1% of the survey respondents rated it as being very good, good or moderate. Although higher limitations on activities of daily living, higher levels of psychological distress and lower energy and vitality were reported by all respondents, a lower level of health issues was assessed than in the sample of persons with chronic morbidities living in their own apartment. Conclusion: Low energy and vitality, high limitations on activities of daily living, high psychological distress, high obesity rates and the assessment of health issues and pain should be specifically addressed in residential homes for people with disabilities.
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Naruse, Takashi, Masakazu Hatsushi, and Junichi Kato. "Experiences of Disabled Older Adults in Tokyo’s Adult Day Care Centers during COVID-19—A Case Study." International Journal of Environmental Research and Public Health 19, no. 9 (April 28, 2022): 5356. http://dx.doi.org/10.3390/ijerph19095356.
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The COVID-19 pandemic resulted in social isolation among elderly people with disabilities. Adult daycare (ADC) is an important community care option for socialization among people with disabilities. However, their experiences with ADC remain underexplored. Thus, this study investigated the experiences of community-dwelling disabled elderly with ADC from the perspective of socialization. Four older women from Tokyo with disabilities, availing of one ADC service, were interviewed across two sessions between November 2020 and January 2021. The transcribed interviews and field notes were analyzed qualitatively. This yielded eight categories: two pertaining to context (“restricted social interaction outside of ADC”, “feeling simultaneously grateful and ashamed of oneself as a recipient of care services”), and six pertaining to experience with ADC (“take a catastrophic defensive posture in situations where one’s perception of value is shaken”, “express oneself positively to justify one’s daily life”, “have trouble knowing what to do”, “put oneself in a shaded exchange relationship”, “examine the value of elderly people in need of care in society”, and “savor regular contact with others”). Ensuring the use of ADC as a safe place for interaction while considering pandemic-related needs is important to develop policy and practical responses to restricted socialization during COVID-19.
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Chance, Patrick SG. "The mental health needs of older people with learning disability." Reviews in Clinical Gerontology 15, no. 3-4 (August 2005): 245–53. http://dx.doi.org/10.1017/s0959259806001936.
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The term ‘older people with learning disability’ refers to a highly heterogeneous group of people. By definition, they all have delayed or abnormal early development, together with significant intellectual and functional impairments, but they differ considerably in terms of cause, developmental profile, nature and degree of impairments and their social and personal backgrounds. Overall, people with learning disabilities make up only a small minority of the population, however it is well recognized that they have increased overall health care needs, including mental health needs. It has been estimated there are 210 000 people living in England and Wales who have a severe or profound learning disability: only 25 000 (12%) of these are older people aged over 60 years. Of the 1.2 million people with mild or moderate learning disability, 265 000 (21%) of these are older people over the age of 60. Life expectancy seems to be influenced by severity of learning disability, the age profile of the mild to moderate learning-disabled population being much more closely matched to that of the general population. As a result of this differential mortality, across the spectrum of disability there is a reduced level of learning disability with advancing age, and older people with learning disabilities, when considered as a group, have higher levels of functional ability (and reduced levels of challenging behaviour) than the younger group.
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Cheng, Tsai-Jung, Yi-Min Hsu, Tung-Han Tsai, Ming-Yu Chen, Shwu-Feng Tsay, and Shwn-Huey Shieh. "Factors Affecting the Competence of Nursing Assistants in Taiwan Long-Term Care Institutions." International Journal of Environmental Research and Public Health 17, no. 24 (December 15, 2020): 9413. http://dx.doi.org/10.3390/ijerph17249413.
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With the increasing number of people with disabilities caused by an aging global population, the need for long-term care is gradually increasing. Nursing assistants (NAs) are the primary providers of direct care services to older adults with disabilities, whose knowledge, skills, and beliefs affect the quality of care provided. This study aimed to investigate the influential factors affecting NAs’ current competences. A total of 255 NAs’ valid questionnaires were collected from 20 long-term care institutions in Taiwan through convenience sampling. The questionnaire comprised dimensions of demographics and care competence. The study results indicated that NAs had the greatest care competence in the domain of recognition of patient rights (4.64 ± 0.54 points). The multiple regression indicated that age, religion, job category, disability care experience, the receiving of performance bonuses, and the receiving of year-end bonuses significantly affected the level of care competence (p < 0.05). With the aforementioned findings, the results of this study serve as references for the government in employing long-term care NAs and developing management policies. Training programs for NAs should be developed to improve the quality of care provided to older adults with disabilities.
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Martinez-Martin, Ester, Felix Escalona, and Miguel Cazorla. "Socially Assistive Robots for Older Adults and People with Autism: An Overview." Electronics 9, no. 2 (February 21, 2020): 367. http://dx.doi.org/10.3390/electronics9020367.
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Over one billion people in the world suffer from some form of disability. Nevertheless, according to the World Health Organization, people with disabilities are particularly vulnerable to deficiencies in services, such as health care, rehabilitation, support, and assistance. In this sense, recent technological developments can mitigate these deficiencies, offering less-expensive assistive systems to meet users’ needs. This paper reviews and summarizes the research efforts toward the development of these kinds of systems, focusing on two social groups: older adults and children with autism.
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Chen, Lei, Kathryn Kietzman, and Rebecca Allen. "Disparities in Financial Strain for Older Adults and People With Disabilities in California." Innovation in Aging 5, Supplement_1 (December 1, 2021): 353. http://dx.doi.org/10.1093/geroni/igab046.1372.
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Abstract This study examines disparities in the experience of financial strain among older adults and people with disabilities by age, gender, race/ethnicity, poverty, and disability type. People with disabilities refer to those who report cognitive impairment, difficulties performing activities of daily living (ADLs) and/or instrumental activities of daily living (IADLs). Financial strain includes challenges that participants incurred during the last 12 months in acquiring food, housing, health care, or income. This study uses the data from the 2019 California Long-Term Services and Supports (LTSS) survey that was merged with data from the omnibus California Health Interview Survey (CHIS) (N=1097). This is the most comprehensive population-level dataset to examine LTSS needs, unmet needs, and uses of LTSS in California. Initial findings show that 50% of participants report spending less on food, while 40% report cutting down on saving for retirement, receiving and borrowing money from others, and experiencing a decline in household income. More than 20% note that they could not make rent or mortgage payments, had debt due to medical bills, and had to spend less on prescription medications or medical care. We also find significant disparities in financial strain by age, gender, poverty, and disability type; however, no significant disparities by race/ethnicity. This study is among the first to examine disparities in various financial strain types for people who need LTSS in California. The findings have policy implications for the Master Plan for Aging (MPA), which serves as a blueprint to build environments that promote an age-friendly California.
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Anderson, Wayne, and Gretchen Alkema. "Implications of Disability for Functional Trajectory, Service Use, and Expenditures." Innovation in Aging 5, Supplement_1 (December 1, 2021): 156. http://dx.doi.org/10.1093/geroni/igab046.599.
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Abstract People with disabilities face a diverse array of health care and support needs. These needs can vary by disability type, degree, and timing of the advent of functional limitations. These differences have implications for needed health care service use and related expenditures. The symposium will open with a Centers for Disease Control and Prevention-sponsored analysis of adult disability-associated health care expenditures, both nationally and by U.S. state, in total, by per adult, by per adult with disability, and by payer, to illustrate the contribution and variation of these expenditures to individual states and the health care system. We will next present a U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Planning and Evaluation effort to identify onset and patterns of reduced functional ability at end of life for older adults with and without dementia as related to other comorbidities. The last paper will present a Commonwealth Foundation study on older adults with functional disabilities and multiple chronic conditions, comparing those with high health care needs versus the subset of those people who are also high cost. Patterns of utilization differed between these two groups, and by state. These findings have implications for the development of care models that might best meet people’s needs. Our discussant will respond to the studies’ findings and discuss the important role that efforts to understand the nature of disability and functional status and the scale and scope of service use and costs have for people with disabilities.
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Hoppania, Hanna-Kaisa, Anna Mäki-Petäjä-Leinonen, and Henna Nikumaa. "(Un)equal Treatment? Elderly care and disability services for people with dementia in Finland." European Journal of Social Security 19, no. 3 (September 2017): 225–41. http://dx.doi.org/10.1177/1388262717728604.
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The rights of older people to care have become a major political and legal issue with the ageing populations of many European and OECD countries. Finland is an interesting case in this respect because in 2013, extensive new legislation was passed there concerning the rights of the older population to access care services. This article describes the context in which the ‘Act on Supporting the Functional Capacity of the Older Population and on Social and Health Services for Older Persons’ (980/2012 Elderly Care Act) was drafted, and what the Act aims to accomplish. It argues that while the Act is ambitious and symbolically significant, it remains unsatisfactory in practice. This is the case especially for people with dementia, who end up being disadvantaged. We compare the Elderly Care Act with other relevant legislation, in particular legislation pertaining to disability services, and estimate the significance of the law from the perspective of older people with dementia. We also discuss the situation in Finland in relation to the global situation of people with dementia as the UN Convention on the Rights of Persons with Disabilities was recently ratified in Finland. We show that disability legislation, rather than elderly care legislation, should be the framework through which the right to services should be secured for people with dementia.
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Ordway, Anne. "Transforming Cultural Ideas of Aging and Disability to Improve Policy and Practice." Innovation in Aging 4, Supplement_1 (December 1, 2020): 645. http://dx.doi.org/10.1093/geroni/igaa057.2217.
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Abstract Aging and disability are normative processes that extend across the lifespan. However, ageism and ableism are incorporated into many of our practices, programs, and policies—devaluing the lives of older adults and people aging with disabilities and ultimately preventing their full participation in society. Ageism and ableism are closely connected. For example, both systems identify impairment as an individual and social liability. As recent studies have demonstrated, this has real world implications for the quantity and quality of health care requested, delivered, and received by both older adults and people with disabilities. In this session, we discuss the connections between these two forms of oppression and present recent work by researchers in both fields and the FrameWorks Institute that shows how to transform our cultural ideas of aging and disability and development more inclusive policies and services. Part of a symposium sponsored by the Lifelong Disabilities Interest Group.
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Giraldo-Rodríguez, Liliana, Dolores Mino-León, Juana Catalina Murillo-González, and Marcela Agudelo-Botero. "Factors associated with environmental barriers of people with disabilities in Mexico." Revista de Saúde Pública 53 (March 28, 2019): 27. http://dx.doi.org/10.11606/s1518-8787.2019053000556.
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OBJECTIVE: To examine the associations between sociodemographic, health and disabilityrelated factors and the perception of environmental barriers outside the home environment by individuals with permanent disabilities in Mexico. METHODS: In this cross-sectional, population-based study, we used data from the 2010 National Survey of Perceptions of Disability in the Mexican Population of 2,041 participants older than 18 with permanent disability. The perceptions of barriers take into consideration the challenges of getting around and using transportation outside the home environment. The covariates consisted of sociodemographic, health-related and disability-related factors. Multivariate logistic regression was used. RESULTS: The perception of environmental barriers outside the home environment was associated with being a woman, living in an urban area, speaking an indigenous language, experiencing emotional symptoms, having walking/movement, visual or self-care disabilities, having severe/extreme disability, having disability caused by illness, using physical devices, and receiving assistance and care in the home environment. CONCLUSIONS: This information is valuable for the design of public policies and programs that promote the participation of individuals with permanent disabilities, a high-priority issue in low- and middle-income countries.
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Mu, Ting-Yu, Ri-Xiang Xu, Jia-Yi Xu, Die Dong, Zhi-Nan Zhou, Jia-Ning Dai, and Cui-Zhen Shen. "Association between self-care disability and depressive symptoms among middle-aged and elderly Chinese people." PLOS ONE 17, no. 4 (April 11, 2022): e0266950. http://dx.doi.org/10.1371/journal.pone.0266950.
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Objective In the context of an increased focus on geriatric depression in recent years, this study examined the associations between different types of self-care disability, the number of self-care disabilities, and depressive symptoms among middle-aged and elderly Chinese people. Method The data for this study were extracted from the follow-up survey (conducted in 2018) of the China Health and Retirement Longitudinal Study (CHARLS). The sample comprised 10808 participants aged 45 years and older. The Activities of Daily Living (ADL) scale and the Center for Epidemiological Studies Depression (CESD-10) Scale were used to assess self-care disability and depressive symptoms, respectively. Result The prevalence of depressive symptoms and self-care disability among the surveyed residents was 45.1% and 23.4%, respectively. Overall, there was a significant positive association between self-care disability and depressive symptoms. Participants who reported having a self-care disability in relation dressing, bathing, transferring in and out of bed, using the toilet, and controlling urination and defecation were found to have a significantly higher risk of depressive symptoms. In addition, participants with a greater cumulative quantity of self-care disabilities had a higher risk of depressive symptoms, and higher CESD-10 scores. Conclusion Self-care disability is a risk factor for depressive symptoms among middle-aged and elderly Chinese people. A positive correlation between the number of self-care disabilities and the risk of depressive symptoms was found.
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Green, Helen, and Nigel Beail. "Evaluating a service against the Good Practice Standards for Dementia and People who have Learning Disabilities." FPID Bulletin: The Bulletin of the Faculty for People with Intellectual Disabilities 9, no. 2-3 (September 2011): 83–88. http://dx.doi.org/10.53841/bpsfpid.2011.9.2-3.83.
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The increasing population of older people with a learning disability (LD) has led to a growth in the rates of dementia in this population. This paper presents an evaluation of the provision and quality of dementia care currently provided in one locality where health and social care providers are co-terminus.A self-assessment checklist containing 15 best practice standards for care of people with LD and dementia was published by the British Psychological Society and the Royal College of Psychiatrists (Dodd et al., 2009).Each standard can be rated using a traffic light system of green, amber or red depending how well the local service meets the best practice standard. Interviews were held with 15 staff from LD and older adult’s services to examine how well the currently provided LD dementia care met with the standards set out in the checklist. Two standards were rated green, eleven were rated amber and two were rated red. A number of recommendations are made on the basis of these findings and are detailed in the report. The most important of these for changing the care provided are:The development of a multi-agency dementia strategy and care pathway for people with LD.The need for baseline dementia assessments for people with DS at 30 years of age.An investigation into the potential errors in Social Services’ database.
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Jenkins, Robert. "Older people with learning disabilities Part 2: accessing care and the implications for nursing practice." Nursing Older People 17, no. 1 (March 2005): 32–35. http://dx.doi.org/10.7748/nop2005.03.17.1.32.c2360.
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Dibner, Andrew S. "Recycling: Two big ideas in the care of older adults and other people with disabilities." American Journal of Orthopsychiatry 80, no. 4 (2010): 525–29. http://dx.doi.org/10.1111/j.1939-0025.2010.01055.x.
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Schaap, Feija D., Geke J. Dijkstra, Sijmen A. Reijneveld, and Evelyn J. Finnema. "Use of dementia care mapping in the care for older people with intellectual disabilities: A mixed‐method study." Journal of Applied Research in Intellectual Disabilities 34, no. 1 (August 18, 2020): 149–63. http://dx.doi.org/10.1111/jar.12794.
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Wakeham, Scott, Sally Heung, Janet Lee, and Cheryl A. Sadowski. "Beyond equality: Providing equitable care for persons with disabilities." Canadian Pharmacists Journal / Revue des Pharmaciens du Canada 150, no. 4 (July 2017): 251–58. http://dx.doi.org/10.1177/1715163517710957.
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Background: Almost 14% of Canadians have a disability, and older adults are most commonly affected. People living with disabilities have challenges accessing health care services, including medications and other services provided in pharmacies. Methods: A literature review was conducted regarding disability and pharmacy services. Resources regarding accessibility were also incorporated. Results: A number of organizations provide guidance on caring for those with disabilities. A primary concern for these vulnerable individuals relates to being invisible or overlooked by the health care system. There are also the stresses of physical, communication and attitudinal barriers. Pharmacists may be unaware of these barriers and may actually be contributing to them. To understand their patients’ accessibility needs, pharmacists can consider physical and nonphysical barriers and engage in education, advocacy and communications training to improve their patient-centred care for individuals with disabilities. Discussion and Conclusion: Pharmacists can improve the care of individuals with disabilities by learning more about accessibility. Within the community pharmacy environment, there are physical and nonphysical interventions that pharmacists can implement to ensure that patient-centred care is prioritized.
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Scales, Kezia, and Kezia Scales. "THE HEALTH OF THE DIRECT CARE WORKFORCE: EVIDENCE AND IMPLICATIONS ACROSS LONG-TERM CARE." Innovation in Aging 6, Supplement_1 (November 1, 2022): 157. http://dx.doi.org/10.1093/geroni/igac059.624.
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Abstract Direct care workers play a key role in supporting the health and wellbeing of older adults and people with disabilities across care settings—yet their own health risks are largely overlooked. The four papers in this symposium address this critical knowledge gap. First, McCall and colleagues will present a comparative analysis of the health status, health insurance coverage, and healthcare experiences of direct care workers across long-term care using National Health Interview Survey data. Next, Lee et al. will present the trends and characteristics of occupational injuries and illnesses among California’s long-term care workers from 2019 to 2020 using California Workers’ Compensation data, assessing the impact of COVID-19 on their occupational health. Sterling will characterize the physical and mental health of the direct care workforce before and during COVID-19 using data from the CDC's Behavioral Risk Factor Surveillance Survey, as well as drawing on qualitative and survey-based studies of unionized, agency-employed home care workers in New York. Sterling will also present findings from a pilot feasibility study of an intervention aimed at improving home care workers’ well-being. Finally, Quinn et al. will synthesize findings on home care workers’ occupational hazards—including needlesticks, musculoskeletal strain, violence and infections—and examine how preventing these risks can improve safety for both workers and clients. The discussant will draw out themes and implications from across these complementary studies, highlighting the importance of safeguarding direct care workers’ health as a key step toward improving care quality and outcomes for older adults and people with disabilities.
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Tuttle, Denis, Jiranan Griffiths, and Anuchart Kaunnil. "Predictors of caregiver burden in caregivers of older people with physical disabilities in a rural community." PLOS ONE 17, no. 11 (November 4, 2022): e0277177. http://dx.doi.org/10.1371/journal.pone.0277177.
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Caring for an aging society is a problem facing many countries including Thailand. This cross-sectional study investigated caregiver burden and related predictive factors among 69 caregivers who had older family members with physical disabilities. Burden Scale, World Health Organization Quality of Life-Bref Thai (QOL), Patient Health Questionnaire-9 (PHQ), Barthel Activity of Daily Living Index (ADL), and Lawton-Brody Instrumental Activities of Daily Living Scale (IADL) assessments were used in addition to demographic data. Thirteen caregivers (18.8%) reported no caregiver burden, 30 (43.5%) reported low-moderate burden, 21 (30.4%) reported moderate-high burden and 5 (7.2%) reported high burden. Using Fisher’s Exact Test the factors found to be significantly associated to caregiver burden were: categorical age of the caregiver (p = .000), education level of the caregiver (p = .002), relationship to the care recipient (p = .009), categorical income level of the caregiver (p = .041), QOL of the caregiver (p = .001) and ADL status of the care recipient (p = .003). Forward stepwise linear regression model revealed three factors which were PHQ score (β = .543, p < .000), ADL score (β = -.341, p = .001) and hours of care/week (β = .227, p = .017). Future studies should focus on interventions that impact depression levels, independence with activities of living and hours of care per week.
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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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Alhalafi, Abdullah, Maysoon Al-Amoud, Reema Aldahman, Eman Abd-Ellatif, and Doaa Omar. "The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City." Open Access Macedonian Journal of Medical Sciences 9, B (September 3, 2021): 975–82. http://dx.doi.org/10.3889/oamjms.2021.6632.
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BACKGROUND: The burden of disability among the older population is increasing as older people grow with significant social and economic negative impacts. AIM: This study examines functional disability and its associated risk factors among older Saudi citizens attending primary health-care centers (PHCCs) in Riyadh city. METHODS: This descriptive cross-sectional study was carried out on 504 older Saudi citizens aged ≥60 years who attended a PHCC in Riyadh city between December 2019 and May 2020. Interviewer-administered questionnaire was used to assessing the disability in activities of daily living (ADL) and instrumental activities of daily living (IADL) using the Katz Index and Lawton scale. RESULTS: The prevalence of ADL and IADL disability among participants was 24.6% and 58.5%, respectively. Smoking (p = 0.019), dyslipidemia (p = 0.018), rheumatoid arthritis (p = 0.028), history of falls (p = 0.014), and an emergency visit (p = 0.049) were risk factors associated with ADL disability. Predictors of IADL disability were advanced age (p = 0.004), being female (p = 0.029), and the need for a caregiver (p = 0.000). The need for homecare was positively associated with ADL dependency (p = 0.008) and IADL dependency (p = 0.003). Furthermore, regular physical activity was a protective factor against ADL functional disabilities (p = 0.002) and IADL functional disabilities (p = 0.000). CONCLUSION: This study found a high prevalence of ADL and IADL disability among elderly Saudis. Disability was associated with several sociodemographic and health status factors. The findings of this study highlight the priority of effective and targeted preventive interventions for disability.
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Boeva, Aleksandra, and Christian Diemt. "Introducing the Emergency Button Service in Skopje as an innovative care model for older people and people with disabilities." International Journal of Integrated Care 22, S3 (November 4, 2022): 113. http://dx.doi.org/10.5334/ijic.icic22302.
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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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Fabius, Chanee. "From Care Manager to Researcher: Addressing Health Disparities in Long-Term Services and Supports." Innovation in Aging 5, Supplement_1 (December 1, 2021): 317. http://dx.doi.org/10.1093/geroni/igab046.1238.
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Abstract Racial and socioeconomic disparities are prevalent in long-term services and supports (LTSS). There is a need for innovative research with practical application informing aging and disability policies to reduce health care disparities for older adults and people with disabilities using LTSS. This presentation will provide an overview of the career trajectory of Dr. Chanee Fabius, whose research agenda is informed by applied care management experience, where she helped older adults remain at home and delay the need for nursing home care. She will also present findings from work that (1) examines networks of care used by older adults (e.g., paid care and/or support from family and unpaid caregivers) and how they vary by race and socioeconomic status and (2) describes the effect of LTSS utilization on quality of life and health service utilization across diverse groups of older adults.
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Sánchez, Veralia Gabriela, Ingrid Taylor, and Pia Cecilie Bing-Jonsson. "ETHICS OF SMART HOUSE WELFARE TECHNOLOGY FOR OLDER ADULTS: A SYSTEMATIC LITERATURE REVIEW." International Journal of Technology Assessment in Health Care 33, no. 6 (2017): 691–99. http://dx.doi.org/10.1017/s0266462317000964.
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Background:The University College of Southeast Norway has an on-going project to develop a smart house welfare system to allow older adults and people with disabilities to remain in their homes for as long as they wish in safe, dignified, living conditions.Objectives:This article reviews reported ethical challenges to implementing smart houses for older adults.Methods:A systematic literature review identified twenty-four articles in English, French, Spanish, and Norwegian, which were analyzed and synthesized using Hofmann's question list to investigate the reported ethical challenges.Results:Smart houses offer a promising way to improve access to home care for older adults and people with disabilities. However, important ethical challenges arise when implementing smart houses, including cost-effectiveness, privacy, autonomy, informed consent, dignity, safety, and trust.Conclusions:The identified ethical challenges are important to consider when developing smart house systems. Due to the limitations of smart house technology, designers and users should be mindful that smart houses can achieve a safer and more dignified life-style but cannot solve all the challenges related to ageing, disabilities, and disease. At some point, smart houses can no longer help persons as they develop needs that smart houses cannot meet.