Long-Term Care: Can Our Society Meet the Needs of Its Elderly?

Kane, Robert L; Kane, Rosalie A.

doi:10.1146/annurev.pu.01.050180.001303

Cited by 26 publications

(19 citation statements)

References 31 publications

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“…3. Urinary incontinence is a particularly distressing and disabling condi tion, and is present in at least 28% of the institutionalized elderly (1,40). There are many causes, but unfortunately few cures.…”

Section: Mortalitymentioning

confidence: 99%

“…The skyrocketing costs of health care for the elderly appear to be due not so much to an increased use (or abuse) of health care services per capita by this segment of the population, but to an increase in the intensity of their medical care (4). Despite this increased access and cost, considerable gaps remain in the availability of appropriate health services to meet major needs of the elderly, such as the care of chronic conditions, mental disorders, dental disease, sensory impairment, preventive care, and supportive services (7,40,(61)(62)(63). This is largely because of the restrictions placed on funding sources for health care services for the elderly, as well as the orientation of medical care in this country to the technology of caring for acute, time limited physical diseases.…”

Section: Utilization Of Health Servicesmentioning

confidence: 99%

“…Although only 5% of the elderly are in nursing homes at any one time, there is a 20% chance of spending some time in a nursing home during each individual's lifetime (40,73). The majority of nursing home residents are fe male (70%), older than 75, and white.…”

Section: Long-te Rm Carementioning

confidence: 99%

“…This has re sulted in a phenomenon termed "spend down"-elderly and their families must impoverish themselves paying out-of-pocket for nursing home care until they qualify for Medicaid reimbursement (40,61,66,73). Many elderly in nursing homes are severly impaired (fable 6).…”

Section: Long-te Rm Carementioning

confidence: 99%

“…Many elderly in nursing homes are severly impaired (fable 6). Several studies suggest that for every elderly nursing home resident there are two or three in the community who are just as impaired (40,66,71,76).…”

Section: Long-te Rm Carementioning

confidence: 99%

See 4 more Smart Citations

Defining the Health Problems of the Elderly

Ouslander¹,

Beck²

1982

Annu. Rev. Public Health

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Section: Mortalitymentioning

confidence: 99%

Section: Utilization Of Health Servicesmentioning

confidence: 99%

Section: Long-te Rm Carementioning

confidence: 99%

Section: Long-te Rm Carementioning

confidence: 99%

Section: Long-te Rm Carementioning

confidence: 99%

See 3 more Smart Citations

Defining the Health Problems of the Elderly

Ouslander¹,

Beck²

1982

Annu. Rev. Public Health

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Opportunities for health services research in the VA with regard to care of the aged

Kane

1981

J Med Syst

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Worth-centred mobile phone design for older users

Renaud

Biljon

2010

Univ Access Inf Soc

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The twenty-first century society fights against an inherent tendency to over-classify and label people. In the case of the aged, despite all efforts, the perception of the helpless, feeble older person still prevails. The truth of the matter is that people over sixty often do not fit this profile. The aged are a heterogeneous group with varying different skills and abilities in many different areas. This paper challenges prevalent mobile phone design decisions that appear to have been made based on the erroneous pre-conception of the incapable elder. Designers currently produce ''senior'' mobile phones that are, at best, inadequate and, at worst, insulting to a sector of society that deserves respect and consideration. Age does indeed influence mobile phone usage, and people over sixty often have specific and special needs, quite apart from agerelated limitations, that predict their use of mobile phones. Most mobile phones designed for older users simply reduce the number of features: the so-called simplification approach. Apart from reducing the effectiveness of the phone, this approach often incorporates the fatal design flaw of using numbers or letters, on speeddial buttons, which requires the user to remember the button-person mappings. In fact, this design rationale reduces the value of the phone to the user. This paper argues that mobile phone design for older users should be worth-centred (Cockton G in Designing worth is worth designing. In: Proceedings of the 4th Nordic conference on human-computer interaction: changing roles. Oslo, Norway, pp [165][166][167][168][169][170][171][172][173][174] 2006) rather than simplificationdriven. The worth-centred approach maximises worth to the user of the phone. This is achieved by maximising effectiveness while accommodating reduced capabilities. To maximise ease of use, and consequent accessibility, features may have to be reduced in an informed way. To facilitate this, a mapping process is proposed whereby user needs are linked to uses of the phone, and then to the features that facilitate these uses. Needs fall into a number of categories, and each category is characterised by a number of different uses, which form a usage space. Features can be linked to one or more usage spaces, and thus be used to support needs. The first step in the conducted research entailed the identification of the needs of the older mobile phone user. Then, it was determined whether these needs were indeed being met by the uses afforded in existing phones. Having concluded that most users' needs were not being met, the next step was to capture data on the needs, limitations and expectations of people over the age of sixty. This was achieved by conducting a series of one-to-one interviews with a number of older mobile phone users and also supervising a participatory design experiment. Using the findings of the analysis, a usage space model is proposed, which serves to align feature inclusion with user needs. Based on this usage space model (the theoretical contribution), a prototype mobil...

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Long-Term Care: Can Our Society Meet the Needs of Its Elderly?

Cited by 26 publications

References 31 publications

Defining the Health Problems of the Elderly

Defining the Health Problems of the Elderly

Opportunities for health services research in the VA with regard to care of the aged

Worth-centred mobile phone design for older users

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