Disabled older people's use of health and social care services and their unmet care needs in six European countries

Bień, Barbara; McKee, Kevin; Döhner, Hanneli; Triantafillou, Judith; Lamura, Giovanni; Doroszkiewicz, Halina; Krevers, Barbro; Kofahl, Christopher

doi:10.1093/eurpub/cks190

Cited by 52 publications

(49 citation statements)

References 23 publications

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“…Functioning in the study group was assessed using EASY-Care Standard 2010 questionnaire recognised as a good tool to evaluate the need of assistance [19, 21]. Of the 7 analyzed areas, the greatest need of assistance was found in: Mental health and well-being (100%), Staying healthy (99.0%), Getting around (63.0%), Seeing, hearing and communicating (47.5%).…”

Section: Resultsmentioning

confidence: 99%

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Is independence of older adults safe considering the risk of falls?

et al. 2017

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BackgroundFalls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults’ functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group.MethodsThe study included 506 – older adults. The study group included patients from GP clinics and members of two senior centers. The study duration was 12 months. Our study tools included EASY- Care Standard 2010 questionnaire, Abbreviated Mental Test Score (AMTS), Index Barthel, Instrumental Activities of Daily Living Scale (IADL), Geriatric Depression Scale (GDS), Timed Up and Go (TUG).ResultsThe study included 357 (70.6%) female and 149 (29.4%) male subjects. The mean age of the study group patients was 75.7 years ± 8.0. Most of the older adult subjects were independent in both basic (Index Barthel) and instrumental (IADL) activities. Gait fluency evaluated in TUG scale found slow and unsteady gait in 33.7% of the subjects. 27.5% of the subjects used mobility aids when walking. In the Risk of falls scale, 131 subjects (25.89%) were at risk of falls. According to logistic regression the main risk of fall determinants (p <0.05) in the study group were: age, previous falls, feet problems, lack of regular care, impaired vision, urinary incontinence, pain, sleeping disorders, and lowered mood.ConclusionsRisk of falls increases in people less independent in terms of basic and complex life activities and in people with depression. Most of the risk factors can be modified. It is necessary to develop a standard procedure aimed at preventing falls in the elderly.

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Section: Resultsmentioning

confidence: 99%

“…3 or more points is understood as risk of falls. EASY-Care Standard 2010 tool has been subject to psychometric evaluation during previous studies [19, 21]. …”

Section: Methodsmentioning

confidence: 99%

Is independence of older adults safe considering the risk of falls?

et al. 2017

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“…hospitals, day care centres, nursing homes) or at home by employed caregivers have been described as formal care (Schulz, ; Wimo et al, ). In contrast, care covered by close relatives, spouse, friends or a resident worker has been termed as informal (Bien et al, ; Wimo et al, ). However, the division between formal and informal care does not overlap with that of paid and unpaid care provision, and does not depend solely on the licenced, registered or qualification status of caregivers (Lyon & Glucksmann, ).…”

Section: Introductionmentioning

confidence: 99%

“…as informal (Bien et al, 2013;Wimo et al, 2002). However, the division between formal and informal care does not overlap with that of paid and unpaid care provision, and does not depend solely on the licenced, registered or qualification status of caregivers (Lyon & Glucksmann, 2008).…”

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confidence: 99%

A survey on the training needs of caregivers in five European countries

et al. 2020

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Aim This survey explored caregivers’ perceived training needs in 5 European countries (United Kingdom, Greece, Bulgaria, Poland and Italy). Background Training can enhance the professional capacity of caregivers; however, caregivers’ training needs within Europe have not been examined recently. Methods A survey conducted in 2015 captured data from 550 caregivers using a convenience sampling strategy, through a structured questionnaire and additional open‐ended items and by conducting statistical and content analysis. Results The results indicated basic nursing skills and specialization, as well as training in psychology‐related skills like time management, emotion regulation, communication and advanced health care systems as the emerging training needs. There were some country differences in specific training need areas. Conclusions It was concluded that training in basic nursing skills and specialization in nursing specific conditions, in advanced health care systems and in psychology‐related skills could add to the professional capacity of European caregivers employed in health and social care. Implications for nursing management The findings inform about employed caregivers’ training needs in Europe, which may contribute in the provision of quality care and organisational efficiency in health and social care.

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“…While the level of care received by an older person might be expected to map onto their need for care (due to, e.g., functional limitation and frailty), there are many factors that can disrupt this mapping resulting in unmet need for care in a significant minority of older people [24–26]. Unmet need can have serious consequences for an older person including increased mortality risk [27] and also prevent them from participating fully in society.…”

Section: Introductionmentioning

confidence: 99%

Living on the Edge: Social Exclusion and the Receipt of Informal Care in Older People

Dahlberg

McKee

2016

Journal of Aging Research

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Older people have been identified as being at risk of social exclusion. However, despite the fact that care is commonly required in later life and the majority of that care is provided by informal carers, a connection between social exclusion and informal care-receipt has rarely been considered. The aim of this study was to examine how informal care-receipt is related to social exclusion. A face-to-face questionnaire survey on social exclusion and informal care-receipt was carried out among older people (n = 1255) living in Barnsley, United Kingdom. Multivariable analyses examined the association between social exclusion and categories of informal care-receipt: care-receiver; assurance-receiver; nonreceiver with no need; and nonreceiver with need. Compared to being a nonreceiver with no need, participants were more likely to be care-receivers or assurance-receivers if they had higher levels of social exclusion. The highest level of social exclusion, however, was found in nonreceivers with need. Despite a lack of informal care and support, formal practical support and personal care were also low in this latter group. Findings are discussed in relation to the conceptualisation of care-receipt and how contact with medical services could be an opportunity for identification and appropriate referral of nonreceivers with need.

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Disabled older people's use of health and social care services and their unmet care needs in six European countries

Cited by 52 publications

References 23 publications

Is independence of older adults safe considering the risk of falls?

Is independence of older adults safe considering the risk of falls?

A survey on the training needs of caregivers in five European countries

Living on the Edge: Social Exclusion and the Receipt of Informal Care in Older People

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