New ways to provide community aged care services

Taylor, Chris; Donoghue, Jed

doi:10.1111/ajag.12207

Cited by 8 publications

(6 citation statements)

References 3 publications

(2 reference statements)

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“…Elderly services have to be flexible and cost-effective [18]. Belgium, France, Italy, Portugal, Spain, and the United Kingdom have an organizational model in which health and social services are separate.…”

Section: Ethical Values and Digitalizationmentioning

confidence: 99%

Semantic Infrastructure for Service Environment Supporting Successful Aging

Salminen¹,

Sanerma²,

Niittymäki³

et al. 2018

Data Mining

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Demographic changes and the rapid increase of aging people are occurring throughout the world. There is a need for step-by-step developing service environment to support elderly living as old as possible at home. Digital equipment and technology solutions installed at home produce real-time data which can be used for predictive and optimized service creation. New technology solutions have to be tested at home environments to get certainty of usability, flexibility, and accessibility. The implementation of new digitalization has to happen according to ethical rules taking into account the values of elderly people. The data gathered through digital equipment is used in optimizing service processes. However, service process misses common ontology and semantic infrastructure to use the gathered data for service optimization. The service environment and semantic infrastructure, which could be used in social and health care, are introduced in this article.

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Section: Ethical Values and Digitalizationmentioning

confidence: 99%

Semantic Infrastructure for Service Environment Supporting Successful Aging

Salminen¹,

Sanerma²,

Niittymäki³

et al. 2018

Data Mining

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show abstract

“…Client‐centred care and service have increased well‐being of personnel and quality of care (Gridley, Books, & Glendinning, ; McCance et al, ; McCormack et al, ; Turjamaa, ; Turjamaa, Hartikainen, & Pietilä, ; Turpin, McWilliam, & Ward‐Griffin, ). Client centredness is also a factor of health policy decision‐making, where the client and his or her well‐being are at the centre when designing funding and service structures and making health policy decisions (Carvalho et al, ; Kringos et al, ; Landers et al, ; Manville, Klein, & Brainbridge, ; Taylor & Donoghue, ).…”

Section: Introductionmentioning

confidence: 99%

Home care services for older persons. The views of older persons and family members: A realistic evaluation

Sanerma

Paavilainen

Åstedt‐Kurki

2019

Int J Older People Nursing

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Aims and objectives:The aim of the present study was to evaluate client-centred care in older persons' home care services from the perspective of older persons and family members. The following research questions were addressed: How do home care older persons and family members perceive client-centered care in their home care services? What kind of social mechanisms are realized when home care services are implemented? Background: Several older persons are dependent on home care services for their continued living at home. The fundamental value and best practice of home care is the client-centred care in services. Method: The research method was realistic evaluation. Six families with six older person clients of home care and seven family members were interviewed. In the present study, the interview contained three themes (1) content and services of the home care, (2) activities and practices of the home care and (3) development of client centredness in home care. Research data were analysed with deductive content analysis. Results: Home care service should be based on analysis of older person's individual life situation. Social mechanisms such as interaction, participation, trust and adaptation are realised in implementation of home care services. The most significant outcomes of client-centred service were timely availability of services, safe care relationship and continuity of care, ability to influence on own services and appropriate price of services. Significant factors in quality of service were unhurriedness, kindness and competence of professionals. Implication for practice: Social mechanisms, such as participation, trust, adaptation and interaction, should be taken in account in care relationship in home care. Client centredness and methods for evaluating it should be defined in practical work.Client-centeredness competence should also be included in all stages of professional education of home care. K E Y W O R D Sclient-centred care, family members, home care services, older persons, realistic evaluation

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“…Despite recommendations on addressing EOL care outside of acute care settings that respect patient preferences to die at home and support informal caregivers, many patients still spend their last days in an acute hospital . Most western health systems do not appear ready for widespread community supported palliative care, as illustrated by previously reported barriers; the absence of skilled EOL workforce outside specialist health‐care facilities; substantial out‐of‐pocket costs of residential aged care; and the lack of infrastructure to meet demand in countries with universal health care has resulted in long waiting lists for eligibility assessment . Failures in organisations to support advanced care planning in partnership with patients, along with ineffective communication will continue to prevent optimal and safe EOL care for the frail older adults.…”

Section: Discussionmentioning

confidence: 99%

End‐of‐life priorities of older adults with terminal illness and caregivers: A qualitative consultation

Lewis

Harrison

Hanly

et al. 2019

Health Expectations

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Background As older adults approach the end‐of‐life (EOL), many are faced with complex decisions including whether to use medical advances to prolong life. Limited information exists on the priorities of older adults at the EOL. Objective This study aimed to explore patient and family experiences and identify factors deemed important to quality EOL care. Method A descriptive qualitative study involving three focus group discussions (n = 18) and six in‐depth interviews with older adults suffering from either a terminal condition and/or caregivers were conducted in NSW, Australia. Data were analysed thematically. Results Seven major themes were identified as follows: quality as a priority, sense of control, life on hold, need for health system support, being at home, talking about death and competent and caring health professionals. An underpinning priority throughout the seven themes was knowing and adhering to patient's wishes. Conclusion Our study highlights that to better adhere to EOL patient's wishes a reorganization of care needs is required. The readiness of the health system to cater for this expectation is questionable as real choices may not be available in acute hospital settings. With an ageing population, a reorganization of care which influences the way we manage terminal patients is required.

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New ways to provide community aged care services

Cited by 8 publications

References 3 publications

Semantic Infrastructure for Service Environment Supporting Successful Aging

Semantic Infrastructure for Service Environment Supporting Successful Aging

Home care services for older persons. The views of older persons and family members: A realistic evaluation

End‐of‐life priorities of older adults with terminal illness and caregivers: A qualitative consultation

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