The use of the waiting list in a fair selection of patients for nursing home care

Meiland, Franka; Danse, J A C; Hoos, A. M.; Wendte, J. F.; Gunning-Schepers, L.J.

doi:10.1016/0168-8510(96)00830-5

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…According to a meta‐analysis, the three strongest factors affecting admittance to a US nursing home were as follows: cognitive loss, need for help with three or more of life's daily functions, and previous admittance to a nursing home (Gaugler et al ., ). Another study showed that in addition to need, the length of the waiting period could depend on the patient's wishes, the patient's sex, and the workload of the nursing staff (Meiland et al ., ). Other factors identified in studies were the need for advanced care, the involvement of the patient's family, a patient's dementia‐related behaviors, and the need for more assistance (Buhr et al ., ).…”

Section: Discussionmentioning

confidence: 97%

Patient safety and falls: A qualitative study of home care nurses in Norway

Berland

Gundersen

Bentsen

2012

Nursing & Health Sciences

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This study explored patient safety and falls, based on the experiences of home care nurses. Four focus group interviews were conducted with 20 home care nurses. The data were analyzed by content analysis. This study identified the following four themes: (i) patient safety was not viewed as primary prevention; (ii) the lack of investigation into causes of falls; (iii) the frailty of older people who can no longer live at home independently and safely; and (iv) patient autonomy versus patient safety. In this study, we showed that home care nurses felt that healthcare personnel were more concerned with the treatment of falls, rather than fall prevention. In addition, home care nurses rarely focused on falls before they occurred. The patient's autonomy was placed before patient safety. This study illustrates that home care nurses might be more aware of fall prevention in clinical practice. Additional research is recommended to shed more light on this topic.

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Section: Discussionmentioning

confidence: 97%

Patient safety and falls: A qualitative study of home care nurses in Norway

Berland

Gundersen

Bentsen

2012

Nursing & Health Sciences

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“…As a result of the increasing demand for nursing home care several problems have arisen. When health care resources are scarce, waiting lists may be used as a means of rationing in order to enhance the fair allocation of resources by selection of patients (Meiland et al . 1996).…”

Section: Resultsmentioning

confidence: 99%

A comparative study of the financing, provision and quality of care in nursing homes. The approach of four European countries: Belgium, Denmark, Germany and the Netherlands

Meijer¹,

Campen²,

Kerkstra³

2000

Journal of Advanced Nursing

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A comparative study of the financing, provision and quality of care in nursing homes. The approach of four European countries: Belgium, Denmark, Germany and the Netherlands As result of an increase in the numbers of frail elderly people, most European countries are facing problems with the financing and provision of services by nursing homes. At the same time, the expectations of quality of these services continue to rise. The main question investigated in this study was that of how countries approach the problems of financing and service provision by nursing homes and, at the same time, attempt to increase the quality levels in these institutions. The study was conducted in Belgium, Denmark, Germany and the Netherlands. A study was made of the relevant literature and questionnaires were sent to experts in each country. The four countries are addressing the problems of financing and sufficient service provision by controlling the use of nursing home services. In addition, financial problems are approached by extending co-payments, encouraging cheaper forms of care and putting pressure on nursing homes to operate at lower costs. Problems in the provision of care are addressed by applying more selective admission criteria and offering alternative forms of care outside the nursing home. As a result nursing home beds are used for those with the greatest care-dependency. Nursing home services are adjusted to rising quality expectations by offering a greater range of provision, decreasing the number of residents per room, improving comfort and improving the training of nursing staff. Another way to increase the quality of care is to separate the housing and service functions. Many nursing homes nowadays collaborate intensively with other facilities for the elderly to cope with all these problems and changes. The workload for nursing home staff has increased because of the increasing care-dependency of residents, the demand for higher quality of services and the financial problems.

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“…The influence that care providers had in selecting clients often led to "cream skimming," namely, providers were tempted to select those patients who they expected to be the least costly (Feldstein, 1988;Meiland, Danse, Hoos, Wendte, & Gunning-Schepers, 1996). At the same time, client organizations lobbied for a one-entry system for long-term care services, resulting in a separation between needs assessment and care provision (Commissie modernisering ouderenzorg, 1994).…”

Section: Introductionmentioning

confidence: 99%

Variation in Long-Term Care Needs Assessors’ Willingness to Support Clients’ Requests for Admission to a Residential Home

et al. 2006

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The authors found random effects of the level of needs assessors are negligible, of the level of agencies small though statistically significant, clients receiving largest relative share of the variance. The amount of care already present appeared most important in the decision. Needs assessors were willing to support their clients' wishes only when they were clearly motivated. Policy implications considering the tension between clients' preferences and equity are discussed.

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The use of the waiting list in a fair selection of patients for nursing home care

Cited by 9 publications

References 4 publications

Patient safety and falls: A qualitative study of home care nurses in Norway

Patient safety and falls: A qualitative study of home care nurses in Norway

A comparative study of the financing, provision and quality of care in nursing homes. The approach of four European countries: Belgium, Denmark, Germany and the Netherlands

Variation in Long-Term Care Needs Assessors’ Willingness to Support Clients’ Requests for Admission to a Residential Home

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