Introduction. Challenges in long-term care in Europe

Pavlova, Milena; Tambor, Marzena; Praznovszky, Lena; Golinowska, Stanisława; Groot, Wim

doi:10.4467/20842627oz.19.013.11970

Cited by 22 publications

(29 citation statements)

References 38 publications

(50 reference statements)

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“…To verify the quality of care offered by LTCIs, many types of assessments have been developed and applied to guide the choices of residents or the investments by local governments (Spasova et al 2018;Scheffelaar et al 2019;Milte et al 2019;Wagner et al 2020;Sion et al 2020), and the use of multiple dimensions and indicators for assessment is recommended (Gilissen et al 2017;Dyer et al 2019).…”

Section: Introdutionmentioning

confidence: 99%

Quality of care in long-term care institutions: A scoping review of literature

Vieira

Martins

Ferreira

et al. 2021

RSD

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This review sought to answer the question “What theoretical models have been used to define and evaluate the quality of care provided to older adults in long-term care institutions?” The employed study methodology followed the recommendations of the Joanna Briggs Institute Reviewers Manual. Using MESH terms and keywords such as “elderly,” “long-term care,” and “theoretical,” four electronic databases (i.e., PubMed, Scopus, Web of Science, and LILACS) were searched for articles in Portuguese, English, and Spanish, without a time frame restriction. Titles and abstracts were independently screened by two reviewers, followed by a full-text review. A total of 1,211 articles met our inclusion criteria, 80 were selected for full reading, and 21 were included for qualitative synthesis. The theoretical models cited in the studies included the multidimensional model (n = 10); the structure, process, and results model (n = 8); a theory centered on the person (n = 2); and one centered on the work environment (n = 1). Few articles used a conceptual model as the basis for assessing long-term care institutions, which is important for the construction of instruments and indicators that assess the quality of care.

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Section: Introdutionmentioning

confidence: 99%

Quality of care in long-term care institutions: A scoping review of literature

Vieira

Martins

Ferreira

et al. 2021

RSD

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“…The number of older adults who are unable to live independently due to healthcare needs is increasing rapidly, which poses serious difficulties for health services and social policies due to the high costs associated with their daily care [4]. Indeed, in Europe, one of the EU's key priorities is to deliver better health and social care outcomes, whereby having high quality and fit-for-purpose care homes is fundamental for providing high quality, safe and efficient social care [5]. Within this, there are two key aspects: maintenance of an active lifestyle, due to the positive effect on the well-being of the residents [6]; and maintenance of resident autonomy, which is a universal right that must be guaranteed by care facilities [7].…”

Section: Introductionmentioning

confidence: 99%

“…Within this, there are two key aspects: maintenance of an active lifestyle, due to the positive effect on the well-being of the residents [6]; and maintenance of resident autonomy, which is a universal right that must be guaranteed by care facilities [7]. Therefore, nursing and care homes must identify the best strategies to promote an active lifestyle of their residents whilst also maintaining their autonomy [5].…”

Section: Introductionmentioning

confidence: 99%

Effects of 1 Year of Lifestyle Intervention on Institutionalized Older Adults

Magistro

Carlevaro

Magno

et al. 2021

IJERPH

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The socio-economic and health consequences of our ageing population are well documented, with older adults living in long-term care facilities amongst the frailest possessing specific and significant healthcare and social care needs. These needs may be exacerbated through the sedentary behaviour which is prevalent within care home settings. Reducing sedentary time can reduce the risk of many diseases and improve functional health, implying that improvements in health may be gained by simply helping older adults substitute time spent sitting with time spent standing or in light-intensity ambulation. This study identified the impact of 1 year of lifestyle intervention in a group of older adults living in a long-term care setting in Italy. One hundred and eleven older adults (mean age, 82.37 years; SD = 10.55 years) participated in the study. Sixty-nine older adults were in the intervention group (35 without severe cognitive decline and 34 with dementia) and 42 older adults were in the control group. Data on physical functioning, basic activities of daily living (BADL) and mood were collected 4 times, before, during (every four months) and after the 1 year of intervention. The lifestyle intervention focused on improving the amount of time spent every week in active behaviour and physical activity (minimum 150 min of weekly activities). All participants completed the training program and no adverse events, related to the program, occurred. The intervention group showed steady and significant improvements in physical functioning and a stable situation in BADL and mood following the intervention in older adults with and without dementia, whilst the control group exhibited a significant decline over time. These results suggest that engagement in a physical activity intervention may benefit care home residents with and without dementia both physically and mentally, leading to improved social care and a reduced burden on healthcare services.

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“…Home care services support community-dwelling older adults in coping with (instrumental) activities of daily living ((I)ADLs) and may also include nursing care. To respond to people’s preferences (European Commission, 2007) and to balance public funding constraints, home care services have been given political priority over residential care in many countries (Spasova et al, 2018). Major changes in home care also relate to the (quasi-)marketization of services, client or customer orientation and support for informal carers (Bode et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Major changes in home care also relate to the (quasi-)marketization of services, client or customer orientation and support for informal carers (Bode et al, 2012). While drivers and aims of reforms appear to be similar, LTC policies still differ substantially across Europe (Spasova et al, 2018), reflecting different welfare structures, values and traditions that account for the diverse qualities and characteristics of LTC systems.…”

Section: Introductionmentioning

confidence: 99%

Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis

Trukeschitz¹,

Hajji²,

Kieninger

et al. 2021

Journal of European Social Policy

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European countries have developed a range of long-term care (LTC) policy responses to support the increasing share of older people. However, little is known about the effectiveness of LTC services and benefits, particularly their impact on older peoples’ quality of life (QoL). This paper investigates the role of personal, care service and environmental characteristics on the effects of home care services on QoL across England, Finland and Austria. We used data from surveys conducted in England, Finland and Austria. In total, 811 older adults were included in the analysis. OLS regression including main effects and country-specific interactions was used to explore variation in gains in long-term care service-related quality-of-life (LTC-QoL). Explanatory variables were derived from the production of welfare framework and comprised home care service user socio-demographics, needs indicators, social support and environmental variables and characteristics of home care service provision. In all three countries, LTC-QoL gains increased with needs, indicating that home care services perform well, with additional gains declining the higher the needs. Also, better process quality contributed to LTC-QoL improvements in all three countries. In addition, the availability of informal care, social contact, financial household situation and living alone, were associated with changes in LTC-QoL only in one or two of the countries. Home care services increased service users’ QoL in all three European countries. The increase in QoL, however, varied across the countries. The results also provide insights into the benefits and limits of home care service provision and areas for future improvements. JEL: I31, I38, J14

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Introduction. Challenges in long-term care in Europe

Abstract: Przygotowanie do wydania elektronicznego finansowane w ramach umowy 637/P-DUN/2019 ze środków Ministerstwa Nauki i Szkolnictwa Wyższego przeznaczonych na działalność upowszechniającą naukę.

Cited by 22 publications

References 38 publications

Quality of care in long-term care institutions: A scoping review of literature

Quality of care in long-term care institutions: A scoping review of literature

Effects of 1 Year of Lifestyle Intervention on Institutionalized Older Adults

Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis

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