This article discusses the effects of long-term care facility traits on the maltreatment of older people. Participants in this quantitative, descriptive study were staff working at 24 of the 300 long-term facilities for older people in Israel. Slightly more than half of the sample reported abuse of older residents in the previous 12 months, manifesting in one or more types of maltreatment. High staff turnover was associated with a greater risk of mental or physical neglect, and the total number of maltreatment incidents.
The Brisbane South Centre for Health Services Integration (BSCHSI) initiative used a collocation strategy to integrate local service delivery across three different health organisations. Physical collocation was combined with validated integration strategies to improve organisational operations among five different work teams involving 90 different individuals. Enhanced communication, increased knowledge of collocating groups, and the development of collaboration and partnerships Aust Health Rev 2007: 31(2): 256-266were key positive outcomes. Greater than the tread of mighty armies is an idea whose time has come.Victor Hugo HEALTH SYSTEMS CONFRONT the need to better meet the care requirements of an ageing population with an increasing prevalence of chronic disease. Central to this is more effective integration of acute and community care and, in Australia, integration of state and Commonwealthfunded services. 1,2 In 1995 the Mater Misericordiae Hospital, Brisbane, ("Mater"), a large tertiary adult, paediatric, maternity and private hospital in Brisbane South, commenced a 10-year initiative to forge a shared approach to health care with community providers. By 2003 Mater had developed common datasets and growing e-connectivity between hospital and community providers, numerous integrated care pathways and a culture which valued the importance of hospital/community provider linkage in delivering safe, high quality care. Most of these initiatives were with the Domiciliary Allied Health Acute Care and Rehabilitation Team (DAART), which provided community allied health services across the entire Brisbane South area, and the Mater Centre for In 2000 the opportunity arose to collocate key community services on the hospital campus, further promoting integrated care. Despite an increasing interest in collocation as an integration initiative internationally, and a "gut feeling" that this would enhance health service integration, there was little formal evidence of a positive relationship between collocation and integration, nor of specific collocation strategies to deliver improved care outcomes. 3-5 Taylor and Bernardi described collocation of a public specialist mental health service with private psychiatrists in north Sydney, which demonstrated increased cooperation between sectors, and partially increased consumer choice and private practitioner availability. 3 Kiesler and Cummings recognised that "close proximity among people had beneficial effects on interpersonal relations and group functioning", 4 and both Kiesler and Cummings and Nardi and Whittaker noted the impact of face-to-face communication, shared physical space and frequency of spontaneous, informal communication on the strengthening of social and work ties, and improved information exchange. 4,5 At numerous meetings with interested stakeholders, a draft methodology, evaluation and business plan were developed, and in 2002, the Meeting Needs for Ongoing Care organisations shared a common resource directory and email list. Collocating organisations ...
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