Author: Williamson, H. et al. Published: 2016
This article illustrates lived experience of receiving LTSS in a managed care model from the family caregiver perspective. In-depth semi-structured interviews were completed with 16 caregivers in four US states with Medicaid managed LTSS (MLTSS). The themes include the importance of the family caregiver as supported and active partners in the provision of MLTSS, the family caregiver experiences with care coordination and access to services in MLTSS, and the family caregivers’ overall impression of MLTSS. Results indicate caregiver advocacy is critical to coordinating needed MLTSS and family support services help caregiver’s maintain their vital role in the MLTSS system.
To read more visit Journal of Policy and Practice.
Authors: Benbow, S. M. & Bhattacharyya, S. Published: 2016
The older adult population is increasing across the world. It is estimated that 40% of people over 65 years old and over two thirds (69%) of over 85 year old have a long term condition and a high percentage of those will experience mental health problems including depression, delirium or cognitive impairment. This briefing paper highlights the importance of older people’s mental health issues for their health and wellbeing and advocates for parity of esteem between physical and mental health across health and social care sectors. The paper highlights the vitality of “triply” integrated services to provide seamless care i.e. integration between health and social care, primary and specialist care. The authors also note that services should not only be person-centred but “relationship centred”, which means involving peoples’ families and ensuring continuity of care in professional relationships.
To read more visit: British Medical Association or click here.
Authors: Roulstone, A. (eds) Published: 2016
The question of technology and disability has provoked an array of academic debate which share the objective of enhancing social or bodily function. Diverse models of disability attempt to locate the role technology plays in disabled people’s lives and how it can enhance the human condition. The book describes the myriad ways in which technology (low/high, cheap/expensive, tangible/virtual) can aid choices in daily living and independence for disabled people. The authors advocate to be cautious about the claims made of technology and of its ability to improve the lives of disabled people as industry, professional and early adopter enthusiasm may detract from the limits of a given technology.
To read more visit Springer.
Authors: Muresan, C. et al. Published: December 2015
This study is a cross-national comparison regarding the relationship between norms of filial obligation and actual giving of care and financial support in several Central and Eastern European (CEE) countries as compared to Western Europe (WE). The authors examine to what extent norms of filial obligation are consistent with helping behaviour, whether the responsiveness to norms varies by country context, and whether CEE countries differ from societies benefiting from more generous public support to ageing people. The data used in this article come from the Generation and Gender Programme. The authors illustrate that actual support to ageing parents is not more prevalent in CEE than in WE countries, even if norms of filial obligations are more strongly expressed in CEE. However, the connection between filial responsibility and instrumental care is stronger in CEE, while the connection between financial help and norms of filial obligation is stronger in WE.
To read more visit ProQuest.
Authors: Harrington, C. et al. Published: November 2015
The marketization and privatization of nursing home care has grown in many countries along with expenditures. Using documents and government reports, this study explored the following three research questions about nursing homes in California, Ontario, England, and Norway: (1) the contextual and privatization differences; (2) payment methods and trends in revenues and expenditures for direct care, administration, and profits; and (3) the financial reporting and accountability systems?
The findings illustrated that administrative costs were high especially in for-profit companies, except in Norway’s municipal nursing homes. Profit margins were generally not reported or under reported, but high margins were found in for-profits and chains where reports were available. Contrary to the hypothesis that financial transparency and accountability would increase with privatization, only California and the U.S. had developed detailed public financial reporting, although these reports could be improved. Ontario required detailed financial reporting except for administration and profits and the information was not publicly available. England and Norway had no public systems for financial reporting. None of the locations had cost controls on administration and profits, except for Medicaid administration controls in California.
Authors: Burau, V. et al. Published: March 2016
This paper examines the fundamental ideas underpinning the policies of marketization, using the ‘What’s the problem?’ approach by Carol Bacchi. The central question is how the market was discursively framed as the solution to the perceived problems of three different systems of elder care, and how such processes are similar or different across the three countries. The analysis includes two extreme types of elder care systems, the Nordic public systems in Denmark and Finland, and the Southern European family-based model in Italy. In all three countries, marketization is presented as a solution which builds on, rather than challenges dominant ideas of care. Conceptually, in addition to its institutions, it is crucial to understand the ideas behind the marketization of elder care. Ideas emerge as a key leverage for making policies and practices of marketization acceptable and which decision makers and other influential political/societal actors use in policy and public debates. The importance of ideas is further underlined by the fact that they do not necessarily relate to the institutions of elder care systems in a linear way.
To read more visit Social Policy and Administration.
Authors:: Maarse, J.A.M. and Jeurissen, P.P. Published: February 2016
As of 2015 a major reform in LTC is taking place in the Netherlands. An important objective of the reform is to reign in expenditure growth to safeguard the fiscal sustainability of LTC. Other objectives are to improve the quality of LTC by making it more client-tailored. The reform consists of four interrelated pillars: a normative reorientation, a shift from residential to non-residential care, decentralization of non-residential care and expenditure cuts. The article gives a brief overview of these pillars and their underlying assumptions.
To read more visit Health Policy.
Author: Peter Lloyd-Sherlock Published: January 2016
This paper sets out a number of issues related to the translation of research into evidence and policy for long-term care (LTC) in low and middle income countries (LMICs). It assesses the role research can play in problem definition, including establishing the scale of long-term care demand in LMICs and identifying potential negative consequences of policy inaction. It also assesses the role that research can play in identifying and evaluating solutions to the problem, in the form of suitable policies and interventions. The paper demonstrates that the capacity for research to influence long-term care policy is very limited and it calls for the establishment of an adequately resourced global institutional hub to support research in this area and to promote knowledge-sharing between academics and policy-makers.
To read more visit Population Horizons.
Authors: Chapman, A. & Yeandle, S. Published: January 2016
This Policy Brief is based on a policy-practice workshop ‘Advances in telecare: new solutions for carers and older people’, held at Queen’s University Belfast on 9 June 2015. The brief includes an overview of four presentations at the workshop covering a study of telecare, older people and those caring for them in England (Sue Yeandle); on a telemonitoring scheme in Northern Ireland’s health and social care system (Soo Hun); on the use of GPS systems in occupational therapy to support people living with dementia (Karen Walls); and on Carers UK’s work to support effective implementation of technology (Steve Peebles).
To read more please visit ARK website.
Editors: Gori, C., Fernandez, J.L. & Wittenberg, R.
Published: December 2015
The book brings together evidence from over 15 years of care reform to examine changes in long-term care systems occurring in OECD countries. It discusses and compares key changes in national policies and examines the main successes and failures of recent reforms. Finally, it suggests possible policy strategies for the future in the sector.
To read more visit Policy Press.