Health, Social, and Functional Characteristics of Older Adults With Continuing Care Needs: Implications for Integrated Care

Brown, Cara; Menec, Verena

doi:10.1177/0898264318759856

Cited by 5 publications

(10 citation statements)

References 96 publications

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“…There is growing research available on the importance of developing age-friendly communities in order to increase the possibility of effectively aging in place in an individual's chosen community (e.g. Brown and Menec, 2018). No research to date, however, has specifically examined what makes a community age-friendly from the perspective of persons with ID.…”

Section: Discussionmentioning

confidence: 99%

“…Going beyond such individual initiatives and making an entire community age-friendly is not an easy task. A commitment of local government, strong leadership and partnerships are required to become age-friendly (Brown and Menec, 2018). In order for communities to become age-friendly from the perspective of older persons with ID and/or developmental disabilities, there needs to be a commitment to include diverse groups of older adults, including individuals who are marginalized and vulnerable, in the age-friendly process (Menec, 2017).…”

Section: Towards Age-friendly Communitiesmentioning

confidence: 99%

“…From the perspective of implementing age-friendly initiatives, evaluation research indicates that aligning age-friendly initiatives with other similar initiatives is beneficial (Brown and Menec, 2018). There is a clear synergy between the WHO (2007) concept of age-friendly communities, models of social inclusion for persons with disabilities (e.g.…”

Section: Towards Age-friendly Communitiesmentioning

confidence: 99%

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Age-friendly communities for older persons with intellectual disabilities

Miskimmin

Shooshtari

Menec

et al. 2019

QAOA

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Purpose The life expectancy for persons with intellectual disabilities (ID) has increased significantly, resulting in an increasing number of aging persons with ID. To promote healthy and active aging of persons with ID, discussions on new initiatives to design age-friendly communities have begun at local and international levels. The purpose of this paper, a qualitative research study, is to identify features of an age-friendly community, and facilitators and barriers from the perspectives of older adults with mild ID and their caregivers who live in the city of Winnipeg in Canada. Design/methodology/approach Seven older persons with mild ID were interviewed, and 15 caregivers participated in focus group discussions. All participants were asked questions about features of community living and their experiences in eight broad topic areas (i.e. transportation, housing, social participation, respect and social inclusion, opportunities for community involvement, communication and information, community support and healthcare services, and outdoor spaces and buildings). Findings The results indicated that many of the current features of the city of Winnipeg do not adequately address the needs of aging persons with ID; specifically, participants revealed that issues related to accessibility, social participation, social disrespect and inclusion, and lack of resources were important barriers to independence. Originality/value The findings will increase awareness of the needs of aging persons with ID and inform programme planning, service delivery, coordination of community-based services and policies to support healthy and active aging for this vulnerable population.

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Section: Discussionmentioning

confidence: 99%

Section: Towards Age-friendly Communitiesmentioning

confidence: 99%

Section: Towards Age-friendly Communitiesmentioning

confidence: 99%

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Age-friendly communities for older persons with intellectual disabilities

Miskimmin

Shooshtari

Menec

et al. 2019

QAOA

Self Cite

View full text Add to dashboard Cite

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“…More detailed information on the definitions of these variables and the data collection method are provided elsewhere [36]. Integrated care transition.…”

Section: Foundaɵonal Concepts Of Integrated Carementioning

confidence: 99%

“…For the remaining 18 features, quantitative as well as qualitative data was collected from the 214 charts to derive measurable items. Extraction procedures for the chart review used multiple strategies to ensure data fidelity and were informed by guidelines developed by Gearing and colleagues [21], and Allison and colleagues [35], the details of which have been described elsewhere [36]. See Appendix for detail on the data source in the chart for each feature.…”

Section: Patient Involvement In Care and Care Planningmentioning

confidence: 99%

Measuring Processes of Integrated Care for Hospital to Home Transitions

Brown

Menec

2021

Int J Integr Care

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Measuring the continuing care needs of inpatients in rural China

Liu,

Wang,

et al. 2024

BMC Health Serv Res

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Background International experience shows that the suitability of a high-performance healthcare system for its given purposes is reflected in its ability to provide a continuum of services that match the changing health status of the given population. Although many low- and middle-income countries have sought to bring movement away from hospital-centered and towards patient-centered healthcare, such efforts have often had poor results, and one of the major reasons for this is the inability to accurately identify which inpatients need continuing care and what kind of continuing of care is needed. Objectives To measure and assess the continuing care needs of discharged patients and its influencing factors in rural China. Methods Data were obtained from the hospital database of Medical Center M in County Z from May to July 2022. County Z is a county of 1 million people in central China. The database includes basic patient information, disease-related information, and information on readiness for hospital discharge. Factors related to the need for continuing care were included in the analysis. The Readiness for Hospital Discharge Scale was used to assess the need for continuing care. The statistical data are expressed in terms of both frequency and composition ratio. Finally, linear regression was used to analyze the factors influencing the need for continuing care. Results The analysis included a total of 3,791 patients, 123 of whom (3.25%) had continuing nursing needs. The need of continuing nursing was related to patients’ age group, mode of admission, occupation and major diagnostic categories (P < 0.05). Conclusions Developing continuing care is an important initiative for bridging the fragmentation of health services, and an appropriate supply system for continuing care, interconnected with inpatient services, should be established in rural areas in China as soon as possible. And provide more appropriate care for patients in need.

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Health, Social, and Functional Characteristics of Older Adults With Continuing Care Needs: Implications for Integrated Care

Abstract: High users of health care services were identifiable prior to hospital admission, supporting the use of community-based integrated care approaches.

Cited by 5 publications

References 96 publications

Age-friendly communities for older persons with intellectual disabilities

Age-friendly communities for older persons with intellectual disabilities

Measuring Processes of Integrated Care for Hospital to Home Transitions

Measuring the continuing care needs of inpatients in rural China

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