Eligibility for long-term care in The Netherlands: development of a decision support system

Campen, Crétien van; Gameren, Edwin van

doi:10.1111/j.1365-2524.2005.00546.x

Cited by 15 publications

(15 citation statements)

References 8 publications

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“…Most studies provided information on more than one of the four domains distinguished ('policy & regulation', 'financing', 'organisation & service delivery' and 'clients & informal carers') [8,9,11-16,18,19,21,23,25,26,28-31,34,35,37-41,44,47-51,55,57,58,60-62,64,67,69,71,76-81]; close to one-third focused on only one of them. For most countries information was available for each of the four domains, but the amount of information per domain differed considerably.…”

Section: Resultsmentioning

confidence: 99%

“…A large number of studies focused on the supply side of the home care system [8-13,15,17-20,22-25,27,30,31,33,41,45,47-50,53,55,59,61,65-68,70-72,76,77], or sought to explain the differences between receivers and non-receivers of home care [29,32,34,38-40,42,44,46,51,57,58,64,73,75,79-81]. Several studies focused on the relationship between formal home care provision and informal care [28,29,32,34,38,39,42,44,46,51,54,57,58,64,69,73,75,79-81].…”

Section: Resultsmentioning

confidence: 99%

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Home care in Europe: a systematic literature review

Genet

Boerma

Kringos

et al. 2011

BMC Health Serv Res

368

383

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BackgroundHealth and social services provided at home are becoming increasingly important. Hence, there is a need for information on home care in Europe. The objective of this literature review was to respond to this need by systematically describing what has been reported on home care in Europe in the scientific literature over the past decade.MethodsA systematic literature search was performed for papers on home care published in English, using the following data bases: Cinahl, the Cochrane Library, Embase, Medline, PsycINFO, Sociological Abstracts, Social Services Abstracts, and Social Care Online. Studies were only included if they complied with the definition of home care, were published between January 1998 and October 2009, and dealt with at least one of the 31 specified countries. Clinical interventions, instrument developments, local projects and reviews were excluded. The data extracted included: the characteristics of the study and aspects of home care 'policy & regulation', 'financing', 'organisation & service delivery', and 'clients & informal carers'.ResultsSeventy-four out of 5,133 potentially relevant studies met the inclusion criteria, providing information on 18 countries. Many focused on the characteristics of home care recipients and on the organisation of home care. Geographical inequalities, market forces, quality and integration of services were also among the issues frequently discussed.ConclusionsHome care systems appeared to differ both between and within countries. The papers included, however, provided only a limited picture of home care. Many studies only focused on one aspect of the home care system and international comparative studies were rare. Furthermore, little information emerged on home care financing and on home care in general in Eastern Europe. This review clearly shows the need for more scientific publications on home care, especially studies comparing countries. A comprehensive and more complete insight into the state of home care in Europe requires the gathering of information using a uniform framework and methodology.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Home care in Europe: a systematic literature review

Genet

Boerma

Kringos

et al. 2011

BMC Health Serv Res

368

383

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show abstract

“…van Gameren and Woittiez 2005;Kadushin 2004;van Campen and van Gameren 2004). An association between the use of home nursing and the need for help in dealing with illnesses is quite expected, because home nursing aims at caring for illnesses and pain, while home help is focused on assistance with ADL functions.…”

Section: 4mentioning

confidence: 99%

Home-care clients’ need for help, and use and costs of services

2008

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The aims of the study were to describe (1) the need for help as well as the use and costs of services of home help and/or home nursing (home care) and (2) to identify the variables associated with the use and costs of health and social care services. A total of 721 Finnish home-care clients were interviewed in 2001. The need for help was assessed by basic and instrumental activities of daily Living (ADL) and in terms of pain and illness, rest and sleep, psychosocial well-being and social and environment variables. The Anderson-Newman model was used to study predictors of use of services, including visits of home-care personnel and visits to the doctor, nurse, physiotherapist, laboratory and hospital. Weekly costs of services were calculated. Data were analyzed using multivariate analyses. The clients had poor functional ability and they needed help at least once a week with, on average, 6 out of 15 ADL functions, and 5 out of 13 items relating to pain and illnesses, rest and sleep, psychosocial well-being and social and environment items. The enabling and need variables, particularly the variables ''living alone'' and ''perceived need for help'', were important predictors for the use of services. Social care constituted more than half of the average weekly costs of municipalities. The perceived need for help with basic ADL was associated with higher costs. To ensure the quality of life among home-care clients while keeping costs reasonable is a challenge for municipalities.

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“…The other stream of research focuses on the demand. See Portrait [19], Van Campen and Woittiez [23], Van Campen and Van Gameren [21,22] and Jörg [11] for analysis of the Netherlands, and Norton [18] for a review on the US. The difference between use and demand is particularly important in the Netherlands because of the existing lack of supply of services.…”

Section: Literaturementioning

confidence: 99%

Transitions Between Care Provisions Demanded by Dutch Elderly

Gameren

Woittiez

2005

Health Care Manage Sci

Self Cite

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Age positively effects the probability of a reassessment if initially care at home was assessed. Living alone, access to informal care, and applications initiated by professionals increase transition probabilities. Also initial applications for care at home due to dementia are more likely to be followed by a quick reassessment. The results can aid assessment agencies to set validity terms of assessments, and in planning future supply of services.

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Eligibility for long-term care in The Netherlands: development of a decision support system

Cited by 15 publications

References 8 publications

Home care in Europe: a systematic literature review

Home care in Europe: a systematic literature review

Home-care clients’ need for help, and use and costs of services

Transitions Between Care Provisions Demanded by Dutch Elderly

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