Reforming foodservice in elderly care: National actions and local outcomes

Abstract

National actions such as soft governance and benchmarking appear largely to determine local level outcomes. However, conditions for adapting these measures vary between municipality groups. While efficiency enhancing trends were prominent, questions remain whether national actions should be expanded beyond performance to also examine their consequences.

National survey in elderly care on the process of adopting a new regulation aiming to prevent and treat malnutrition in Sweden

“…In the present study, these aspects were also identified as the main facilitating items for succeeding in the adoption of new routines. However, conditions seem to differ between Swedish municipality groups and distinctions have also been confirmed in previous studies (Skinnars Josefsson, Nydahl, Persson, & Mattsson Sydner, ), for example, in city municipalities clinical dieticians have a more prominent position than in urban or rural. This is also reflected in the present study in which clinical dieticians were considered to have a strong driving role, especially in city municipalities.…”

Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international 5-COOP study

“…Moreover, in Japan, meal preparation can also be part of the duties of paid home helpers. Disparities exist within countries too, as in Sweden, where municipalities are responsible for organising meals-on-wheels and pursue varying policies 20. In contrast, centenarians’ experiences of acute care hospital stays overnight differed little between countries and were similar to other observations made in Europe, Canada and Australia (ranging from 10.9% to 22.1%) 6 10 14 15.…”

Food, nutrition and ageing in the twenty‐first century

“…In a climate of limited resources for health, it is important we consider opportunities for efficient and effective screening mechanisms that allow us to provide targeted resources to support people with malnutrition. It has been well described that dietetic support in this condition improves quality of life for older people, and we see this further supported in programs that address adequate provision of food service in the aged care sector . In order to do this well, we need to ensure the provision of adequate resourcing for this vulnerable population group, and yet Hugo et al .…”

“…It has been well described that dietetic support in this condition improves quality of life for older people, and we see this further supported in programs that address adequate provision of food service in the aged care sector. 25 In order to do this well, we need to ensure the provision of adequate resourcing for this vulnerable population group, and yet Hugo et al 26 report data of reducing resources in the sector, in comparison to increasing expenditure in other institutions and in community. We cannot afford to be complacent about providing adequately for older people living in residential care, ensuring that provision of good food is not only nutritionally adequate, but enjoyable and culturally appropriate.…”