Exploring shared options in funding long-term care for older people

Davey, Judith A.

doi:10.1046/j.1365-2524.1998.00111.x

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…Our findings are only preliminary, but they provide further evidence supporting the importance of the effects of the levels of care needs for frail persons using in-home services. Given the pressures to reduce public spending on care of frail persons and a growing desire for in-home services for the elderly, the emphasis on caring for elderly people in their own homes has gained momentum across social welfare systems in the developed world 24 , 25 , 26 ) . In-home services for frail persons are intended to improve the quality of services for improvement or maintenance of the level of care needs, though it is not yet known whether frail persons and their families are able to be appropriate judges of which providers and which kind of in-home services will provide the best type of care.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Utilization of In-home Services and the Changes in Levels of Care Needs of Frail Persons(2002-2004): Results of a Two-year Follow-up Study

Kim¹,

Shiwaku²

2012

J Rural Med

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Objectives: Despite the increasing utilization of in-home services, the assessment of in-home services used by those that have certified levels of care needs has been limited to the actual changes in individual outcomes. The purpose of the present study was to determine factors affecting how the utilization of in-home services could have sustained and/or improved or deteriorated the care needs levels of frail persons. We also examined the effect of in-home services used in the lower level of care needs subgroup and the higher level of care needs subgroup during a two-year period.Subjects and Methods: We used longitudinal data from Izumo City of those individuals with certified levels of care needs to analyze the changes in care need levels in Izumo City between 2002 to 2004. In 2002, 2,651 persons had certified levels of care needs. All permanent residents of care facilities, at care needs level 5 in 2002, those who died since 2002 and people who could not be traced during the two-year follow-up period were excluded. The remaining data from 1,788 frail persons were ultimately analyzed. We arbitrarily divided the changes in care needs levels into two categories: sustained/improved and deteriorated. The care needs levels were also stratified into a lower level of care needs subgroup and a higher level of care needs subgroup at the baseline. Simple statistical analysis and binary logistic regression analysis were used to analyze factors that were thought to be related to in-home service utilization data to predict changes in care needs levels.Results: Approximately 63.3% of the respondents had a sustained or improved care needs level, and 36.7% of the respondents showed deteriorated of care needs levels. In the lower level of care needs subgroup, utilization of home help/bathing (OR=2.59) was associated with significant sustained/improved care needs levels. In the higher level of care needs subgroup, day care service (OR=0.90) and short stay services (OR=0.87) were significantly related to deteriorated care needs levels, respectively.Conclusions: This study shows that home help/bathing care in the lower level of care needs subgroup was a significant predictor of sustained/improved levels of care needs for frail persons but that short stay services and day care services in the higher level of care needs subgroup have a negative impact on sustained/improved levels of care needs. Our results suggest that utilization of home help services can prevent deterioration of these levels of care needs in frail persons.

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Section: Discussionmentioning

confidence: 99%

The Effect of Utilization of In-home Services and the Changes in Levels of Care Needs of Frail Persons(2002-2004): Results of a Two-year Follow-up Study

Kim¹,

Shiwaku²

2012

J Rural Med

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“…There is a growing demand for long‐term care facilities such as residential care and nursing homes. Consequently, policy‐makers throughout the West are faced with the question of how long‐term care for dependent elderly people is to be funded (Davey 1998).…”

Section: Introductionmentioning

confidence: 99%

Continuity of care for patients on a waiting list for institutional long-term care

Caris-Verhallen¹,

Kerkstra²

2001

Health &Amp; Social Care in the Community

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The aim of this study was to examine patients' satisfaction with continuity of care while on a waiting list for residential care or nursing home care. Two hundred and seventy-eight patients participated in the study, all living in the community setting of two cities in the Netherlands. These patients were positively assessed and on a waiting list for admission in a nursing home or a residential home. The respondents were interviewed by telephone, using a structured questionnaire. From the results, it appeared that people waiting for residential care are in general over 80 years of age and dependent on help for their daily activities. They used several types of home care facility, such as home help services, home nursing and meals on wheels. Patient satisfaction was moderately high as regards the supply of substitute care and the length of time it took to receive a home care package. There was dissatisfaction, however, with the coordination of care and the amount of information on procedures regarding the waiting list. Patients on the waiting list also reported a lack of guidance in case of problems and would not know where to turn to if their situation became more severe. The establishment of a service desk to provide information or real help in these circumstances is recommended.

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Xie

Chaussalet

Thompson

et al. 2002

Health Care Management Science

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This paper describes a modelling study of a multidisciplinary review panel which is responsible for matching levels of long-term care to the needs of older people. The study aims to understand the decision making process of the review panel and to predict placement decisions based on an applicant's attributes. Data were collected from cases notes presented to the London Borough of Merton review panel. A model predicting placement of an individual to residential home, nursing home or long-stay nursing care was built using logistic regression. and correctly predicts 78% of placement decisions. The model can be used as a means of checking the consistency of the review panel's placement decisions.

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Exploring shared options in funding long-term care for older people

Cited by 5 publications

References 4 publications

The Effect of Utilization of In-home Services and the Changes in Levels of Care Needs of Frail Persons(2002-2004): Results of a Two-year Follow-up Study

The Effect of Utilization of In-home Services and the Changes in Levels of Care Needs of Frail Persons(2002-2004): Results of a Two-year Follow-up Study

Continuity of care for patients on a waiting list for institutional long-term care

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