An ecological study on the relationship between supply of beds in long-term care institutions in Italy and potential care needs for the elderly

Damiani, Gianfranco; Colosimo, Simona C; Sicuro, Lorella; Burgio, Alessandra; Battisti, Alessandra; Solipaca, Alessandro; Baldassarre, Giordana; Crialesi, Roberta; Milan, Giulia; Tamburrano, Tiziana; Ricciardi, Walter

doi:10.1186/1472-6963-9-174

Cited by 15 publications

(15 citation statements)

References 17 publications

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“…The demographic shift towards an aging population with a higher prevalence of chronic diseases not only increases the demand for elder care in both the quality and variety of health services; it also puts pressure on healthcare systems. The development and use of information and communication technologies (HICTs) could help reduce costs and improve the quality of care and thereby rise up to the challenge of satisfying the increasing demand for healthcare in an aging population [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Readiness to accept health information and communication technologies: A population-based survey of community-dwelling older adults

Abolhassani

Santos-Eggimann

Santschi

et al. 2019

International Journal of Medical Informatics

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Introduction: The development of health information and communication technologies (HICTs) could modify the quality and cost of healthcare services delivered to an aging population. However, the acceptance of HICTs-a prerequisite for users to benefit from them-remains a challenge. This population-based study aimed to 1) explore the acceptance of HICTs by community-dwelling older adults as well as the factors associated to the overall acceptance/refusal of HICTs; 2) identify the factors associated with confidentiality (i.e., access to data allowed to physicians only versus to all caregivers) in the subgroup of older adults willing to accept HICTs. Methods: A total of 3,195 community-dwelling 69-83 year-old members of the Lausanne cohort 65+ were included. In 2017, participants filled out a 9-item questionnaire to assess their acceptance of HICTs ("yes without reluctance"; "yes but with reluctance"; "no"). A bivariate analysis was conducted to examine gender and age differences in the acceptance of HICTs. A multivariable logistic regression was performed to model 1) accepting all or rejecting all HICTs items; 2) willing to share HICTs items with physicians only versus all caregivers. Results: The answer "acceptance without reluctance" ranged from 26.4% to 70.4% across HICTs and was the most frequent answer to six out of nine HICT items. For every HICT item, the acceptance rate decreased across age categories in women. Overall, 20.2% accepted all the HICTs without reluctance and 9.9% rejected them all. Older age and a lower level of education were significantly associated with both accepting all HICTs without reluctance (OR=0.78 and OR=0.65, respectively) and rejecting all HICTs (OR=1.54 and OR=2.89, respectively). Women and participants with health vulnerability (depressive symptoms, difficulty in activities of daily living (ADLs)) were less likely to accept data accessibility to non-physicians.

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Section: Introductionmentioning

confidence: 99%

Readiness to accept health information and communication technologies: A population-based survey of community-dwelling older adults

Abolhassani

Santos-Eggimann

Santschi

et al. 2019

International Journal of Medical Informatics

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“…Globally, health care organizations displayed an elevated concern regarding mechanisms to cope with an aging population (Caley and Sidhu, 2011). This trend explains the increasing demand of long-term care services (Damiani et al, 2009) such as elderly care centers (ECC) (Kembel et al, 2012). It has been estimated that older persons spend approximately 19-20 hr/d indoors, and many spend all their time indoors in ECC.…”

Section: Please Scroll Down For Articlementioning

confidence: 99%

Biological Air Contamination in Elderly Care Centers: Geria Project

Aguiar

Mendes

Pereira

et al. 2014

Journal of Toxicology and Environmental Health, Part A

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Indoor air quality (IAQ) affects health particularly in susceptible individuals such as the elderly. It has been estimated that the older population spends approximately 19-20 h/d indoors, and the majority of the elderly spend all of their time indoors in elderly care centers (ECC). Older individuals may be particularly at risk of exposure to detrimental effects from pollutants, even at low concentrations, due to common and multiple underlying chronic diseases that increase susceptibility. This study, aimed to assess the impact of indoor biological agents in 22 ECC located in Porto, was conducted during summer and winter from November 2011 to August 2013 at a total of 141 areas within dining rooms, drawing rooms, medical offices, and bedrooms (including the bedridden). Air sampling was carried out with a microbiological air sampler (Merck MAS-100) and using tryptic soy agar for bacteria and malt extract agar for fungi. The results obtained were compared with the recently revised Portuguese standards. In winter, mean fungi concentration exceeded reference values, while bacteria concentrations were within the new standards in both seasons. The main fungi species found indoors were Cladosporium (73%) in summer and Penicillium (67%) in winter. Aspergillus fumigatus, Aspergillus niger, and Aspergillus flavus, known potential pathogenic/toxigenic species, were also identified. Although the overall rate and mean values of bacteria and fungi found in ECC indoor air met Portuguese legislation, some concern is raised by the presence of pathogenic microorganisms. Simple measures, like opening windows and doors to promote air exchange and renewal, may improve effectiveness in enhancing IAQ.

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“…The campus continuum approach aligns with the WHO strategic objectives and with recent directions in Western Europe and in Scandinavia, where care for older people has been moving away from developing stand-alone LTCH bed capacity and towards more community-based or home care provision encouraging informal family support, implementing direct payments and integrating housing, health and social care services (42,43,44). Campuses that offer mixed-income housing also align with the Canadian National Housing Strategy priorities around a growing need to offer: affordable housing options with supports for those in greatest need, social housing sustainability, options for northern housing, sustainable housing for diverse communities, and a balanced supply of housing that leverages the blending of housing types to offset costs for social and affordable rental properties (45).…”

Section: Introductionmentioning

confidence: 99%

Seniors’ Campus Continuums: Local Solutions for Broad Spectrum Seniors Care

Morton-Chang

Majumder

Berta

2019

Preprint

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Background As demand and desire to “age-in-place” grows within an aging population, challenges exist to realizing this wish. Changing demographics and new areas of need have governments nationally and internationally calling for more focused attention on integrative approaches to health and well-being. Seniors’ Campus Continuums seek bridge the “divide” between health and social care for residents and local community. This paper investigates factors that influence Campus evolution, ongoing functioning, and ability to offer wrap around care for older adults wishing remain in their own home and community. Methods This research uses a comparative case study approach across multiple bounded cases to explore how Seniors’ Campus Continuums operating in various contexts integrate health, housing and social care around older adults living on the campus and in the local community. Six seniors’ campuses from across Ontario offering four physically co-located components – mixed independent housing options, internal community supports to residents, external community supports to the broader community, and a long-term care home – were studied and compared. Results Eight factors that promote or impede Seniors’ Campus Continuum evolution, design and function, and ability to provide wrap-around care to older adults with progressive needs are identified including: i. historical legacies; ii. windows of opportunity; iii. organizational structure and capacity; iv. intentional physical and social design; v. campus services mix, amenities and partnerships; vi. policy rigidities and enablers; vii. human resources shortages and innovation; viii. funding limitations and opportunities. Together these factors describe opportunities to optimize care on many levels. Conclusion Seniors’ Campus Continuums offer creative boundary-spanning approaches to address a variety of needs while taking into account local contexts. At an individual level, campuses increase access to a range of care supports and housing options to benefit seniors’ health and wellbeing. At an organizational level, they offer consistency and coordination of care, improved economies of scale, and rich environments for training/research, education and volunteering. At a system level, they offer potential to help people avoid ending up in the “wrong places.” This study fills a gap in evidence-based research around understanding of this integrative model and offers lessons learned for future development.

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An ecological study on the relationship between supply of beds in long-term care institutions in Italy and potential care needs for the elderly

Cited by 15 publications

References 17 publications

Readiness to accept health information and communication technologies: A population-based survey of community-dwelling older adults

Readiness to accept health information and communication technologies: A population-based survey of community-dwelling older adults

Biological Air Contamination in Elderly Care Centers: Geria Project

Seniors’ Campus Continuums: Local Solutions for Broad Spectrum Seniors Care

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