Exploring the impact of austerity-driven policy reforms on the quality of the long-term care provision for older people in Belgium and the Netherlands

Janssen, David; Jongen, Wesley; Schröder‐Bäck, Peter

doi:10.1016/j.jaging.2016.05.003

Cited by 24 publications

(27 citation statements)

References 12 publications

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“…Europe's recent economic recession has led to structural changes in health services [1]. Many European countries have been subject to austerity measures as a result of the economic crisis, which have added pressure to health systems [2]. A report of the World Health Organisation (WHO) analysing the economic crisis and health between 2007 and 2013 claims that cutting the cost of health professionals has been the price that has been paid for making savings in healthcare [3].…”

Section: Introductionmentioning

confidence: 99%

Evolution of Job Satisfaction and Burnout Levels of Emergency Department Professionals during a Period of Economic Recession

Fontova-Almató

Soler

Salleras-Duran

et al. 2020

IJERPH

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Satisfaction at work has been found to be a predictive factor of permanency. On the other hand, burnout has been associated with financial loss. The purpose of this study was to analyse the levels of satisfaction and burnout of professionals in a hospital emergency department and make a comparison with results from the same service during the economic recession in 2012. An analytical, cross-sectional and descriptive study was undertaken during two time periods into the levels of satisfaction and burnout of the professionals of an emergency department. Consequently, 146 replies were received. The percentage of professionals who considered their salary to be unsatisfactory in 2012 diminished in comparison with 2018 (p = 0.034), while job stability was considered more satisfactory in 2018 (p = 0.039) and the timetable in 2018 as more unsatisfactory (p = 0.009). With regards to burnout, it was observed that in 2018 the score for depersonalisation had fallen (p = 0.029) in comparison with 2012. An improvement in the level of satisfaction is observed in 2018, and more positive scores have also been found in the depersonalisation subscale in 2018. An inverse association was observed between depersonalisation in 2018 and overall satisfaction.

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Section: Introductionmentioning

confidence: 99%

Evolution of Job Satisfaction and Burnout Levels of Emergency Department Professionals during a Period of Economic Recession

Fontova-Almató

Soler

Salleras-Duran

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Partly due to increasing resource constraints in professional healthcare, some governments are turning to informal caregivers such as volunteers to supplement professional healthcare by providing increased shares of palliative care (Arno, Levine, & Memmott, 1999;Astrain, 2018;Fast, Keating, Derksen, & Otfinowski, 2004;Help the Hospices, 2006Janssen, Jongen, & Schröder-Bäck, 2016;Knickman & Snell, 2002;Triantafillou et al, 2010). Volunteers have a long history of supporting palliative care and have played an important role since the early days of the palliative care movement.…”

Section: Introductionmentioning

confidence: 99%

The involvement of volunteers in palliative care and their collaboration with healthcare professionals: A cross‐sectional volunteer survey across the Flemish healthcare system (Belgium)

Vanderstichelen

Cohen

Wesemael³

et al. 2020

Health Soc Care Community

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Volunteers occupy a specific space in the delivery of palliative care (PC), addressing specific aspects of care and providing a link between professional healthcare providers and informal care. Engaging and empowering these volunteers can be an important strategy to deliver more integrated and comprehensive PC. Insights into current actual volunteer involvement and collaboration across different healthcare services providing generalist and specialist PC is lacking. This study aims to describe volunteers’ involvement in the organisation of PC, collaboration with professionals and how they evaluate this. A cross‐sectional postal survey of volunteers was conducted between June and November 2018 using a written questionnaire. A two‐step disproportionately stratified cluster randomised sample of 2,273 registered volunteers was taken from different strata of healthcare organisations providing care for people with serious illnesses in the Flemish healthcare system (Belgium). Overall response was 35% (15%–60% for individual strata). About 67% of volunteers were often to always informed about the organisation of patient care and 48% felt the organisation often to always takes their opinion into account, while a minority report having decision rights (18%) or autonomy (24%). For some, their organisation failed to inform (17%), consult (27%), take into account their opinion (21%), give them decision rights (20%) or autonomy (16%) over certain aspects of patient care provision often enough. Overall, volunteer–professional collaboration was low, and mostly limited to information sharing. Dedicated PC volunteers collaborated extensively with nurses, often involving task coordination (46%). Ambiguity regarding tasks, agreements and/or rules (15%) and lack of information exchange (14%) were the most cited barriers to volunteer–professional collaboration. Many volunteers were open to stronger involvement in the organisation of care in PC services. Collaboration with professionals seemed lacking in width and depth. Particularly, nursing home volunteers indicated a desire and large potential for more involved and collaborative roles in PC provision.

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“…They may take up several roles ranging from administrative and fundraising to providing companionship and support (Emanuel et al, 1999;Handy & Srinivasan, 2004;Wilson et al, 2005), and can positively influence the quality of care for both terminally ill people and those close to them by reducing stress and offering practical and emotional support and providing a link to the community (Block et al, 2010;Burbeck et al, 2014;Luijkx & Schols, 2009;McKee, Kelley, Gulrguis-Younger, MacLean, & Nadin, 2010;Morris et al, 2012). Faced with increasing resource constraints in professional healthcare, some governments are turning to informal care to make up a greater proportion of care provision (e.g., through volunteerism) (Arno, Levine, & Memmott, 1999;Astrain, 2018;Fast, Keating, Derksen, & Otfinowski, 2004;Help the Hospices, 2006;Janssen, Jongen, & Schröder-Bäck, 2016;Knickman & Snell, 2002;Triantafillou et al, 2010). Volunteers can provide palliative, direct patient care in both dedicated palliative care and in generalist palliative care (i.e., palliative care provided by regular professional caregivers such as the hospital specialist, general practitioner, home-care nurses, nursing home staff) providing psychosocial, signalling (e.g., being an intermediary, communicating needs to professional caregivers, etc.)…”

Section: Introductionmentioning

confidence: 99%

Volunteer involvement in the organisation of palliative care: A survey study of the healthcare system in Flanders and Dutch-speaking Brussels, Belgium

Vanderstichelen

Cohen

Wesemael³

et al. 2018

Health Soc Care Community

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Ageing populations increasingly face chronic and terminal illnesses, emphasising the importance of palliative care and quality of life for terminally ill people. Facing resource constraints in professional healthcare, some governments expect informal caregivers like volunteers to assume a greater share of care provision. We know volunteers are present in palliative care and perform many roles, ranging from administration to providing companionship. However, we do not know how involved they are in the organisation of care and how healthcare organisations appraise their involvement. To address this, we provide an extensive description of the involvement of volunteers who provide direct patient palliative care across the Flemish healthcare system in Belgium. We conducted a cross‐sectional postal survey of 342 healthcare organisations in Flanders and Brussels in 2016, including full‐population samples of palliative care units, palliative day care centres, palliative home‐care teams, medical oncology departments, sitting services, community home‐care services, and a random sample of nursing homes. Volunteer involvement was measured using Sallnow and Paul's power‐sharing model, which describes five hierarchical levels of engagement, ranging from being informed about the organisation of care to autonomy over certain aspects of care provision. Response was obtained for 254 (79%) organisations. Volunteers were often informed about and consulted regarding the organisation of care, but healthcare organisations did not wish for more autonomous forms of volunteer involvement. Three clusters of volunteer involvement were found: “strong involvement” (31.5%), “restricted involvement” (44%), and “uninvolved” (24.5%). Degree of involvement was found to be positively associated with volunteer training (p < 0.001) and performance of practical (p < 0.001) and psychosocial care tasks (p < 0.001). Dedicated palliative care services displayed a strong degree of volunteer involvement, contrary to generalist palliative care services, suggesting volunteers have a more important position in dedicated palliative care services. A link is found between volunteer involvement, training, and task performance.

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Exploring the impact of austerity-driven policy reforms on the quality of the long-term care provision for older people in Belgium and the Netherlands

Cited by 24 publications

References 12 publications

Evolution of Job Satisfaction and Burnout Levels of Emergency Department Professionals during a Period of Economic Recession

Evolution of Job Satisfaction and Burnout Levels of Emergency Department Professionals during a Period of Economic Recession

The involvement of volunteers in palliative care and their collaboration with healthcare professionals: A cross‐sectional volunteer survey across the Flemish healthcare system (Belgium)

Volunteer involvement in the organisation of palliative care: A survey study of the healthcare system in Flanders and Dutch-speaking Brussels, Belgium

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