Admission to long-stay residential care and mortality among people with and without dementia living at home but on the boundary of residential care: a competing risks survival analysis

Carter, Laura; O’Neill, Stephen; Austin, Peter C.; Keogh, Fiona; Pierce, Maria; O’Shea, Eamon

doi:10.1080/13607863.2020.1857698

Cited by 6 publications

(2 citation statements)

References 40 publications

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“…Aspell et al (2019) indicate that for those individuals who transferred from the home support scheme into LTRC, having a cognitive impairment and falling were the two biggest driving factors. These results have been supported by findings clearly showing that people with dementia are much more likely to be admitted to LTRC than similar people without dementia (Carter et al, 2020). In addition, in their work examining iHCPs, Carter et al (2019) clearly show GPs, public health nurses, occupational therapy, day centres, and respite care are key components of care packages for these individuals.…”

Section: Scenario 2 -Increased Hours For Recipientsmentioning

confidence: 85%

Demand for the Statutory Home Care Scheme

Walsh¹,

Lyons²

2020

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21st Century Ireland.The Institute was founded in 1960 by a group of senior civil servants led by Dr T. K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland.Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research.The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices.The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicate research findings at regular conferences and seminars.The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.

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Section: Scenario 2 -Increased Hours For Recipientsmentioning

confidence: 85%

Demand for the Statutory Home Care Scheme

Walsh¹,

Lyons²

2020

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“…In 2019, the dominant Home Support Service provided care to around 53,000 people, at a cost of €440 million, while there were only 235 iHCP recipients. 4 In addition, many people purchase home support privately as a substitute for, or complement to, the public home support schemes (Carter et al, 2020).…”

Section: Home Support Servicesmentioning

confidence: 99%

Home Support Services in Ireland: Exchequer and Distributional Impacts of Funding Options

Keane¹,

Lyons²,

Regan³

et al. 2022

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A new statutory scheme for the provision of home support services is currently being developed by the Department of Health. Research has shown that access to home support services varies across the country. The new scheme aims to tackle this issue to ensure equitable access to home support services nationwide and is part of wider reform of Ireland’s health and social care systems as envisaged in the Sláintecare report and Department of Health action plans. Publicly funded home support services in Ireland are currently provided free of charge for recipients, unlike long-term residential or nursing home care, which involves a contribution from residents. In 2019, the HSE’s Older Persons’ Services provided care to 53,000 people at a cost of €440 million. It is anticipated that demand for home support services may increase under the new scheme, for example if unmet demand is met or if the new scheme results in more people being able to remain in their own home, substituting away from long-term residential care. Any increased demand would result in an increased cost, which may also rise as the population ages. This report examines the possible introduction of co-payments for home support services. We focus on the likely Exchequer impact of a range of different funding scenarios along with the distributional, poverty and inequality impacts of such charges. Due to data limitations, and the fact that the majority of home support services are provided to older age groups, we focus on those aged 65 years and over. Regarding co-payments we examine the impact of flat-rate charges for users, regardless of means, as well as co-payments for home support recipients above a variety of income levels. The tapering of payments is also examined to ensure that individuals just over a specific income threshold would see co-payments gradually increasing as their income rises. We also consider the capping of co-payments so that those needing a high number of home support hours would not potentially face very high costs.

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Mortality rate and its determinants among people with dementia receiving home healthcare: a nationwide cohort study

Lai

Tsai

et al. 2023

Intern Emerg Med

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Admission to long-stay residential care and mortality among people with and without dementia living at home but on the boundary of residential care: a competing risks survival analysis

Cited by 6 publications

References 40 publications

Demand for the Statutory Home Care Scheme

Demand for the Statutory Home Care Scheme

Home Support Services in Ireland: Exchequer and Distributional Impacts of Funding Options

Mortality rate and its determinants among people with dementia receiving home healthcare: a nationwide cohort study

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