From Hospital to Home Care: Creating a Domotic Environment for Elderly and Disabled People

López, Natalia; Ponce, Sergio; Piccinini, David; Pérez, Elisa; Roberti, Martín

doi:10.1109/mpul.2016.2539105

Cited by 11 publications

(6 citation statements)

References 5 publications

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“…Extensive research has elucidated the many benefits breast milk provides for an infant's growth and development (130)(131)(132)(133). Bioactive agents contained in breast milk, including antimicrobial and immunomodulatory components, have been shown to modulate gastrointestinal and immune function along with gut microbiota composition through a multitude of mechanisms (130,131,133,134).…”

Section: Breastfeedingmentioning

confidence: 99%

The Role of Gut Microbiota and Environmental Factors in Type 1 Diabetes Pathogenesis

et al. 2020

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Section: Breastfeedingmentioning

confidence: 99%

The Role of Gut Microbiota and Environmental Factors in Type 1 Diabetes Pathogenesis

et al. 2020

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“…Family caregivers play an important role in the home care for the disabled elderly, and their knowledge affects the quality of home care [ 41 ]. As primary caregivers, family members should take initiative to learn health knowledge and actively participate in the care training organized by the contracted family doctor, so as to provide high-quality care for the disabled elderly at home.…”

Section: Discussionmentioning

confidence: 99%

The multi-subject cooperation mechanism of home care for the disabled elderly in Beijing: a qualitative research

Zhang

Peng

et al. 2022

BMC Prim. Care

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Background Currently, population aging has been an obstacle and the spotlight for all countries. Compared with developed countries, problems caused by China’s aging population are more prominent. Beijing, as a typical example, is characterized by advanced age and high disability rate, making this capital city scramble to take control of this severe problem. The main types of care for the disabled elderly are classified as home care, institutional care, and community care. With the obvious shortage of senior care institutions, most disabled elderly people are prone to choose home care. This kind of elderly care model is in line with the traditional Chinese concept and it can save the social cost of the disabled elderly to the greatest extent. However, home care for the disabled elderly is facing bumps from the whole society, such as lack of professional medical care, social support and humanistic care, and the care resources provided by a single subject cannot meet the needs of the disabled elderly. Objective Based on the demands of the disabled elderly and their families, this study aims to explore the current status of home care service, look for what kind of care is more suitable for the disabled elderly, and try to find an appropriate elderly care mechanism which could meet the diverse needs of the disabled elderly. Methods A total of 118 disabled elderly people and their primary caregivers were selected from four districts of Beijing by using multi-stage stratified proportional sampling method. A one-to-one and semi-structured in-depth qualitative interview were conducted in the study to find out the health status of the disabled elderly, the relationship between the disabled elderly and their primary caregivers, and utilization of elderly care resources, etc. The views of the interviewees were analyzed through the thematic framework method. All the methods were carried out in accordance with relevant guidelines and regulations. Results The results showed that the average age of 118 disabled elderly is 81.38 ± 9.82 years; 86 (72.9%) are severe disability; 105 (89.0%)are plagued by chronic diseases; the average duration of disability is 5.63 ± 5.25 years; most of disabled elderly have 2 children, but the primary caregiver are their own partner (42, 35.6%), and there is an uneven sharing of responsibilities among the disabled elderly's offspring in the process of home care. The disabled elderly enjoy medical care services, rehabilitation training, daily health care, psychological and other demands. However, the disabled elderly and their families in Beijing face a significant financial burden, as well as physical and psychological issues. The care services provided by the government, family doctors, family members and social organizations fall far short of satisfying the diverse care needs of the disabled elderly. Conclusions In order to effectively provide home care services for the disabled elderly, it is therefore necessary to establish a coordination mechanism of multiple subjects and give full play to the responsibilities of each subject. This study proposes a strengthening path for the common cooperation of multiple subjects, which taking specific responsibilities and participating in the home care for the disabled elderly: (1) The government should give full play to the top-level leading responsibilities and effectively implement people-oriented measures to the disabled elderly. (2) Family doctors strengthen their responsibilities as health gatekeepers and promote continuous health management of the disabled elderly. (3) Family members assume the main responsibility and provide a full range of basic care services. (4) Social forces promote supplementary responsibilities of public welfare and expand the connotation of personalized care services. (5) The disabled elderly should shoulder appropriate personal responsibility and actively cooperate with other subjects.

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“…Family caregivers play an important role in the home care for the disabled elderly, and their knowledge affect the quality of home care [31]. As primary caregivers, family members should take initiative to learn health knowledge and actively participate in the care training organized by the contracted family doctor, so as to provide high-quality care for the disabled elderly in home.…”

Section: Provide Nancial Support High-quality Care and Companymentioning

confidence: 99%

The Multi-Subject Cooperation Mechanism of Home Care for the Disabled Elderly in Beijing: A Qualitative Research

Zhang

Peng

et al. 2022

Preprint

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Background: Currently, population aging has been an obstacle and the spotlight for all countries. Compared with developed countries, problems caused by China’s aging population are more prominent. Beijing, as a typical example, is characterized by advanced age and high disability rate, making this capital city scramble to take control of this severe problem. Moreover, influenced by traditional culture, disabled elderly people prefer to stay at home rather than go to nursing home. Home care for the disabled elderly is facing pushback from the whole society, such as lack of professional medical care, social support and humanistic care, and the care resources provided by a single department cannot meet the needs of the disabled elderly. Therefore, in order to meet the diverse needs of the disabled elderly and improve their quality of life, it is urgent to strengthen joint efforts of the government, society, family members, etc., and establish a collaborative mechanism to provide home-based care resources more efficiently and accurately.Objective: Based on the demands of the disabled elderly and their families, this study aims to explore the current status of homse care service supply process that multiple subjects involved in, and to give some advice on how to build a multi-subject coordination mechanism of home care for the disabled elderly in Beijing.Methods: A total of 118 disabled elderly people and their primary caregivers were selected from four districts of Beijing by using multi-stage stratified proportional sampling method. A one-to-one and semi-structured in-depth qualitative interview study was conducted in the study to find out the health status of the disabled elderly, the relationship between the disabled elderly and their primary caregivers, and utilization of elderly care resources, etc. Thematic framework analysis was utilized, the researchers summarized six aspects to express. All the methods were carried out in accordance with relevant guidelines and regulations.Results: Multiple subjects (such as the society, government, family doctors, family members and the elderly themselves) play a large role in the home care. But there is a lot of space need to improve, including a lack of high levels of interaction. In internal factors, the qualitative research results showed that the average age of 118 disabled elderly is 81.38±9.82 years; 72.9% (86) is severe disability; 89.0% (105)is plagued by chronic diseases; the average duration of disability is 5.63±5.25 years; disease is the principal cause of disability(95, 80.51%); the psychological problems of the disabled elderly are prominent; and the disabled elderly are not aware of the relevant pension policies; most of disabled elderly have 2.56±1.44 children, but the primary caregiver is their own partner (42, 35.6%), and there is an uneven sharing of responsibilities for the disabled elderly among their offspring in the process of home care. In external factors terms, the demands of the disabled elderly in home are not yet met; the disability subsidy is low and not in full coverage. As a result, establishing multi-subject coordination mechanism of home care for the disabled elderly has further to run. Conclusions: In a nutshell, the disabled elderly and their families in Beijing grapple with heavy financial burden, physical and psychological problems; however, the current home care provided by multiple subjects is insufficient and is short of a multi-subject coordination mechanism. Therefore, more home care services should be considered and better cooperation among multiple subjects should be set up for the disabled elderly and their caregivers. Specifically, family members act as the guardians of the disabled elderly, they should take more responsibility for the daily lives’ care, like creating a warm and family-friendly atmosphere and giving more time to stay together and so forth; family doctors should provide professional technical guidance and assist other subjects to participate in the process of home care; the government should establish relevant pension policies, and unveil more incentive policies to encourage more family doctors and social groups to create a concerted effort ; social groups as a supplementary role to provide care services at need and promote the development of the service industry. Multi-subject coordination mechanism represents different subjects bearing respective responsibility for the disabled elderly, reducing the financial burden is the top priority to solve. Keeping consistency in the goals of multiple subjects, expanding the participation and health care service and enhancing cooperation is essential, the cooperation among multiple subjects exert each other’s advantages on home care leading to providing home care resources more efficiently and accurately. Multi-subject coordination mechanism working well and closely ensures a positive future for the disabled elderly.

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From Hospital to Home Care: Creating a Domotic Environment for Elderly and Disabled People

Cited by 11 publications

References 5 publications

The Role of Gut Microbiota and Environmental Factors in Type 1 Diabetes Pathogenesis

The Role of Gut Microbiota and Environmental Factors in Type 1 Diabetes Pathogenesis

The multi-subject cooperation mechanism of home care for the disabled elderly in Beijing: a qualitative research

The Multi-Subject Cooperation Mechanism of Home Care for the Disabled Elderly in Beijing: A Qualitative Research

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