Turning Community Elder Care into a Profession: Insights from Trainees, Developers, Employers and Supervisors

Ben-Harush, Aya; Ayalon, Liat; Shinan-Altman, Shiri

doi:10.3390/ijerph17165867

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…In China, there is a vast gap between the supply and demand of caregivers ( 6 ), which may affect residents' preference for LTCI. Our findings indicate that it is of great necessity for the Chinese government to train and support caregivers ( 70 ) to enable them to deliver adequate and high quality LTC services.…”

Section: Discussionmentioning

confidence: 88%

Preferences for public long-term care insurance among middle-aged and elderly residents: A discrete choice experiment in Hubei Province, China

Jia

et al. 2023

Front. Public Health

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ObjectiveIt is critical to incorporate residents' preferences into the design of long-term care insurance (LTCI). However, little is known about middle-aged and elderly residents' preferences for personalized need-related attributes of LTCI in China. Through a discrete choice experiment (DCE), we aimed to focus on the direct beneficiaries of LTCI and then elicit their preferences for LTCI under a hypothetical scenario of dysfunction.MethodsAttributes and levels were defined through a literature review and two rounds of expert consultations (n = 8). A D-optimal fractional factorial design was used to generate the DCE questionnaire. Face-to-face interviews with middle-aged and elderly residents were conducted in two cities in Hubei Province, China, between November and December 2020. A mixed logit model was utilized for estimation.ResultsFive attributes were identified and incorporated into the DCE questionnaire. A total of 390 participants completed DCE questionnaires. Care facilities, care content, reimbursement rate, caregivers, and annual premium per person all had a significant impact on residents' preferences. Residents had significantly higher preferences for the LTCI scheme with home and community-based care centers (β = 1.40, p < 0.01), multi-level services (β = 0.44, p < 0.01), 90% reimbursement rate (β = 0.37, p < 0.01), and sufficiently trained caregivers (β = 0.26, p < 0.01). Individual characteristics, such as gender, employment, and education level were the factors that drove heterogeneity in preferences for LTCI.ConclusionThis study provides new evidence on the preferences of middle-aged and elderly residents for personalized need-related public LTCI features. The design of the LTCI scheme in China needs to take these findings into account to maximize the utility for direct beneficiaries of LTCI and enhance their enrollment.

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Section: Discussionmentioning

confidence: 88%

Preferences for public long-term care insurance among middle-aged and elderly residents: A discrete choice experiment in Hubei Province, China

Jia

et al. 2023

Front. Public Health

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“…Muramatsu et al [ 24 ] found that home-based and community-based care can effectively improve the mental health level of the disabled older adults. Other studies have shown that the establishment of professional community medical and nursing service institutions can take over the care of the disabled older adults when their families can not take care of them, so as to avoid their worries [ 25 , 26 ]. On the other hand, professional community service institutions can ensure the disabled older adults to seek medical treatment at the first time in case of physical discomfort or emergency, and reduce the treatment risk of the disabled older adults [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Developing Family-Community Interactive program for the disabled older adults at home: a study protocol

Wang,

Niu,

Chen

et al. 2023

BMC Geriatr

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Background With an aging population and the influence of traditional culture, the number of disabled older adults at home is increasing. Meanwhile, their care needs are also increasing. The cooperation between family and community can effectively improve the quality of home care for the disabled older adults. At present, there is a lack of research on the interaction between family and community in home care for disabled older adults. Methods The aim of this study is to determine the experience and demands of the interaction for disabled older adults, family and community, construct an interaction program among disabled older adults, family and community, and improve the quality of life. From may 2022 to July 2022, This study will select disabled older adults families from seven communities in Henan provinces. The researchers, after training, will conduct semi-structured interview to collect research data. According to the integration results of qualitative research, the interactive program is constructed and revised using the Delphi expert consultation method. Then the participants will be selected to accept the intervention of the interactive program and evaluated through questionnaires. Discussion Both family and community play an important role in the care of the disabled older adults at home. There is some evidence indicating the benefits of cooperation between family and community on disabled older adults. This study will take a step further and constructs a interaction program about how to create a positive and interactive home-based older adults care environment. Trial registration Registered in the Chinese Clinical Trial Registry on April 19, 2021, number ChiCTR2100045584.

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“…The collaboration between family caregivers and community professionals' can effectively improve the mental health level of the disabled elderly [22]. Other studies have shown that the establishment of professional community medical and nursing service institutions can take over the care of the disabled elderly when their families can not take care of them, so as to avoid their worries [23,24]. On the other hand, professional community service institutions can ensure the disabled elderly to seek medical treatment at the rst time in case of physical discomfort or emergency, and reduce the treatment risk of the disabled elderly [25].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of the interaction experiences between family caregivers and community nurses for disabled elderly people at home

Guo

Wang

Niu

et al. 2022

Preprint

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Background: Family members are currently the main caregivers of the disabled elderly people at home. With declining health and increasing frailty, caregiving of disabled elderly people becomes a task of family caregivers in conjunction with community nurses. Interaction between family caregivers and community nurses can effectively improve the quality of home care for the disabled elderly people. This study aimed to investigate the interaction experiences between family caregivers and community nurses for disabled elderly people at home.Methods: This research was a qualitative study based on semi-structured interviews. Qualitative data were collected from family caregivers of the disabled elderly and community nurses in Zhengzhou city, Henan Province. Conceptual content analysis and Colaizzi’s method was used to generate qualitative codes and identify themes.Results: A total of 12 interviews were completed, including 7 family caregivers and 5 community nurses. Three themes were identified: 1)Establish a collaborative relationship ; 2)Get professional support; 3) Factors that promote and hinder the interaction.Conclusions: Findings from this study suggested that the interaction between family caregivers and community nurses will be very beneficial, which will reduce the burden of family caregivers and improve the quality of care for disabled elderly people. Providing a new perspective that we can develop and implement intervention to facilitate positive interactions and bring the highest quality of care to older adults with disabilities.

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Turning Community Elder Care into a Profession: Insights from Trainees, Developers, Employers and Supervisors

Cited by 4 publications

References 16 publications

Preferences for public long-term care insurance among middle-aged and elderly residents: A discrete choice experiment in Hubei Province, China

Preferences for public long-term care insurance among middle-aged and elderly residents: A discrete choice experiment in Hubei Province, China

Developing Family-Community Interactive program for the disabled older adults at home: a study protocol

A qualitative study of the interaction experiences between family caregivers and community nurses for disabled elderly people at home

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