Providing alternatives to long‐stay hospital care for frail elderly patients: Is it cost‐effective?

Challis, David

doi:10.1002/gps.930071102

Cited by 11 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The costs of residential and nursing accommodation may be met from private assets or insurance, voluntary or charitable provision, state resources or any combination of these. The potential institutional care costs posed by growing numbers of older people with dementia are seen as a major economic problem in industrialized countries (Challis, 1992;Kavanagh et al, 1992;Rice et al, 1993;Hugman, 1994) and also increasingly in the developing world (Prince, 1997).…”

Section: Policy Considerationsmentioning

confidence: 99%

EUROCARE: a cross-national study of co-resident spouse carers for people with Alzheimer's disease: I—factors associated with carer burden

Schneider

Murray

Banerjee

et al. 1999

Int. J. Geriat. Psychiatry

241

View full text Add to dashboard Cite

Section: Policy Considerationsmentioning

confidence: 99%

EUROCARE: a cross-national study of co-resident spouse carers for people with Alzheimer's disease: I—factors associated with carer burden

Schneider

Murray

Banerjee

et al. 1999

Int. J. Geriat. Psychiatry

241

View full text Add to dashboard Cite

“…Local authorities were instructed to make public their de®nition of eligible need which, the Audit Commission counselled, should be based on priorities (1992: 31). Pilot case management systems developed in Kent suggested that social services departments' priorities were to identify those people whose vulnerability put them at risk of entering institutional care but who could continue to be supported in a less dependent setting with home-based services (Challis 1992). Effective targeting depended on controlling access to care management in a way which maintained budgetary discipline whilst ensuring the most vulnerable received substantial services.…”

Section: New Assessment and Care Management Systemsmentioning

confidence: 99%

Needs Assessment, Street‐level Bureaucracy and the New Community Care

1999

View full text Add to dashboard Cite

In the wake of the Seebohm reforms of the personal social services, a number of studies were carried out in the 1970s to explore the role of frontline professionals in identifying and meeting social need. A common ®nding was that social workers behaved like``street-level bureaucrats'', using their discretionary authority defensively to manage an otherwise overwhelming workload. In the 1990s, top-down assessment and care management systems were put in place as part of community care reforms. Their aim was to reduce the scope of professional discretion so as to standardize responses to need and control demand according to resources available. In this paper, the authors consider the success of new systems in controlling``bottom-up'' decision-making by drawing on a recent empirical study of needs assessment practice in three types of social work team. They point out that the assessment practice of those teams facing the highest bombardment rates was most obviously criteria-driven, reinforced by the use of new technology. Rather than creating informal stereotypes to manage demand, social workers could mobilize legitimate forms of rationing to protect their time and other resources. Yet the sense of professional identity, the level of frontline autonomy, and the ways in which this was exercised, varied across the different types of team. The authors conclude, therefore, that the scope of discretionary space available to frontline staff in social services departments, and the practices to which it gives rise, are empirical questions only adequately addressed by methodologies able to connect with``bottom-up'' decision-making.

show abstract

“…Poor caregiver QOL would increase health care costs and create economic problems for caregivers ( Challis, 1992 ). A number of studies have illustrated that qualified health care services may ameliorate a number of cancer-related problems and improve well-being and the quick recovery of patients ( Parlee, 1999 ; Glajchen et al, 1995) .…”

Section: Introductionmentioning

confidence: 99%

Caregivers’ Quality of Life and Quality of Services for Children with Cancer: A Review from Iran

Sajjadi¹,

Vameghi²,

Ghazinour³

et al. 2013

GJHS

View full text Add to dashboard Cite

Objective:Caregivers of cancer patients are exposed to different types of psychosocial stress which influence their quality of life. The purposes of this study were to assess quality of life in caregivers of children with cancer and to investigate the relationship between the caregivers’ quality of life and quality of services in the social work section.Method:125 caregivers were recruited. Quality of life was measured by the Iranian version of the WHOQOL-BREF questionnaire and data concerning service quality were obtained from the Iranian version of the SERVQUAL questionnaire.Findings:Scores in physical health, psychological status and environmental conditions for caregivers of children with cancer were significantly lower than the general population. There was a negative correlation between the tangible domain of SERVQUAL and the psychological status and environmental conditions of quality of life. The tangible dimension was the only aspect of service quality to predict caregivers’ quality of life regarding psychological status and environmental conditions.Conclusion:Caregivers of children with a disease are care consumers and, like all consumers, they expect good service. Delivering high quality services consistently is difficult but profitable for a service organization. In other words, trying to deliver more appropriate services than patients expect to receive from their social work care is one of the most reliable ways to promote caregivers’ satisfaction and quality of life.

show abstract

Providing alternatives to long‐stay hospital care for frail elderly patients: Is it cost‐effective?

Cited by 11 publications

References 21 publications

EUROCARE: a cross-national study of co-resident spouse carers for people with Alzheimer's disease: I—factors associated with carer burden

EUROCARE: a cross-national study of co-resident spouse carers for people with Alzheimer's disease: I—factors associated with carer burden

Needs Assessment, Street‐level Bureaucracy and the New Community Care

Caregivers’ Quality of Life and Quality of Services for Children with Cancer: A Review from Iran

Contact Info

Product

Resources

About