Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis

Trukeschitz, Birgit; Hajji, Assma; Kieninger, Judith; Malley, Juliette; Linnosmaa, I.; Forder, Julien E.

doi:10.1177/0958928720974189

Cited by 3 publications

(3 citation statements)

References 37 publications

(48 reference statements)

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“…The influence of the quality of care on the quality of life of beneficiaries is under constant monitoring, and the involvement of older persons and families in the care process is a constant measure for the quality of services delivered (at home or in a setting), as well as for the quality of life of beneficiaries. The process of service delivery becomes an important indicator for outcomes in terms of satisfaction with quality of life of beneficiaries [ 11 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life of Older Persons: The Role and Challenges of Social Services Providers

Ghenţa¹,

Matei²,

Mladen-Macovei³

et al. 2022

IJERPH

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Considering the growing number of older persons, ensuring the quality of life of them, as well as the social services designed for this population category, has become more and more important. Especially in the case of dependent older persons, social services are essential components, as they contribute to a better quality of life. The aim of this paper was to examine the perspectives of social services providers for older persons with respect to their role and the challenges encountered in ensuring the quality of life of older beneficiaries. In order to answer our objectives, we employed a qualitative methodology, using the focus group method to collect information from social services providers (both residential and home care). Multiple factors are related to a good quality of life in old age: some are related to individual characteristics, while others are related to the provision of services. The provision of quality social services that adequately respond to the needs of beneficiaries contributes to increasing the degree of independence and maintaining the physical and mental health of dependent older persons.

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Section: Discussionmentioning

confidence: 99%

Quality of Life of Older Persons: The Role and Challenges of Social Services Providers

Ghenţa¹,

Matei²,

Mladen-Macovei³

et al. 2022

IJERPH

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“…Data), we refer to the time of introduction of changes in country-specific informal care policies whenever possible. Trukeschitz et al [9] describe more generally the LTC systems in these three countries.…”

Section: Support For Informal Carers In Austria England and Finlandmentioning

confidence: 99%

“…Empirical evidence on the comparative performance of LTC systems can result in best practice models that national and local policy makers can utilise to improve the effectiveness and cost-effectiveness of services and support systems. While such information on the performance of healthcare systems in European countries is increasingly available [5][6][7][8], similar information on the performance of LTC services and support systems for informal carers is very limited [9,10].…”

Section: Introductionmentioning

confidence: 99%

Quality of life outcomes for informal carers of long-term care service users in Austria, England and Finland

Linnosmaa,

Nguyen,

Jokimäki

et al. 2024

Qual Life Res

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Purpose The provision and funding of long-term care (LTC) for older people varies between European countries. Despite differences, there is limited information about the comparative performance of LTC systems in Europe. In this study, we compared quality of life (QoL) of informal carers of home care service users in Austria, England and Finland. Methods Informal carers were surveyed in Austria, England and Finland. The study data (n = 835) contained information on social care-related quality of life (SCRQoL) associated with the ASCOT-Carer measure, and characteristics of carers and care recipients from each country. We applied risk-adjustment methods using a fractional regression model to produce risk-adjusted SCRQoL scores for the comparative analysis. In a sensitivity analysis, we applied multiple imputation to missing data to validate our findings. Results We found that the mean values of the risk-adjusted SCRQoL of informal carers in England were 1.4–2.9% and 0.3–0.5% higher than in Finland and Austria, and the mean values of the risk-adjusted SCRQoL of carers in Austria were 0.8–2.7% higher than in Finland. Differences in the mean values of the country-specific risk-adjusted SCRQoL scores were small and statistically non-significant. English informal carers were less healthy and co-resided with care resipients more often than carers in Austria or Finland. Conclusion Small differences between the risk-adjusted SCRQoL scores between Austria, England and Finland are consistent with the observation that the countries provide different types of support for informal carers. Our results help local and national decision-makers in these countries to benchmark their informal care support systems.

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Acts of negotiation: toward a grounded theory of nursing practice in chronic wound care in Austria

Drgac,

Himmelsbach

2023

BMC Health Serv Res

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Background Demographic change and the rise of diabetes mellitus are leading to a projected increase in the prevalence of chronic wounds. People suffering from chronic wounds experience significant losses in their health-related quality of life. Health systems struggle to meet the needs of these persons, even in high-income countries. This paper explores wound nurses’ perspectives on their professional practice in Austria. They play a key role as they do much of the treatment work, contribute to advancing the field, and enable interprofessional coordination. Their perspectives enable insights into how a health system provides care for elderly and chronically ill people. Methods We used the Constructivist Grounded Theory framework to analyse transcripts of 14 semi-structured qualitative interviews with nurses who work in different treatment settings. Results We identified three themes. Firstly, the interviewees characterise working with patients as a balancing act between offering enough support to build a trustful relationship while protecting themselves against the overwhelming situation of caring for a chronically ill person. Secondly, the interviewees compensate for nonexistent care pathways by building informal networks with doctors, which requires delicate relationship work. Thirdly, the study participants must prove their competence in every new professional encounter. Their need for professional autonomy clashes with the traditional doctor-nurse hierarchy. Based on these insights, we propose a grounded theory that conceives of nursing practice in terms of ‘acts of negotiations’. Conclusion Our results demonstrate that wound nurses in Austria operate in an institutional environment whose outdated imagination of the nursing role is at odds with the care demands that arise from a growing number of elderly and chronically ill people. We detailed the ‘acts of negotiation’ nurses deploy to compensate for this situation. We identify areas for policy intervention to strengthen the autonomy of wound nurses, including access to statutory health insurance billing.

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Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis

Cited by 3 publications

References 37 publications

Quality of Life of Older Persons: The Role and Challenges of Social Services Providers

Quality of Life of Older Persons: The Role and Challenges of Social Services Providers

Quality of life outcomes for informal carers of long-term care service users in Austria, England and Finland

Acts of negotiation: toward a grounded theory of nursing practice in chronic wound care in Austria

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