Search results for "Long-Term Care"

The impact of long-term care needs on the socio-economic deprivation of older people and their families: A scoping review protocol

2021

Abstract BackgroundPopulation ageing, constantly on the increase in all countries worldwide, has long been the object of scientific research from several perspectives, including multi and interdisciplinary approaches. This scoping review aims to investigate the socio-economic consequences of older people’s poor health on their own economic conditions and those of their families. This study aims to: a) map the main concepts that characterise the body of literature pertaining to this issue; b) identify conceptual gaps or unexplored research areas to be addressed; c) delve into the ways of arguing about the difficulties that affect a large number of families with older members to care for, esp…

The long-term use of psychiatric services within the Open Dialogue treatment system after first-episode psychosis

2017

AbstractOpen Dialogue is a family-oriented early intervention model for mental health problems developed in the health district of Western Lapland, Finland. In the present study, the aim was to describe how psychiatric services were used in Western Lapland after decades of first-episode psychosis services, and to analyze how baseline characteristics were related to re-admission rates and the total duration of psychiatric treatment in geographical area where Open Dialogue approaches were developed and efforts made to systematically apply them to all psychiatric treatments. The data were obtained from the medical histories of patients who had first-episode psychosis in 1992–2005 and who lived…

Improving the management of potentially predictable hospital readmissions of the elderly and their quality of life through new icts

2013

3rd International Conference on the Elderly and New Technologies. III Jornadas Internacionales de Mayores y Nuevas Tecnologías. The ageing population is currently beginning to create economic repercussions, as ageing often implies an increase of health expenditure related to, specially, hospital admissions and/or unplanned readmissions and long term care services. The present paper deals with two strategies that could be implemented through the establishment and use of new technologies to avoid these increasing costs: 1) screening tools of health information systems aimed at identifying patients at risk of hospital readmissions or repeated use of health resources; and 2) new icts at elderly…

Risk Preference Heterogeneity and Multiple Demand for Insurance

2010

We examined the relationship between unobserved risk preferences and four insurance purchase decisions: health Medigap insurance, long-term insurance, life insurance and annuity. Standard economic theory assumes that individuals take decision over a set of risky domains according to their own risk preferences which are stable across decision contexts. This assumption of context-invariant risk preference has caused debate in the literature concerning its validity. Using data from the Health and Retirement Study, we exploit latent class analysis to identify conditional on predicted and realized risk how heterogeneity in risk preferences affects multiple insurance demand. Our results provide e…

The care of the informal caregiver's burden by the Spanish public system of social welfare: a review.

2010

Abstract This work analyzes the public social services system developed in Spain to attend dependent persons and their informal caregivers, examining in a more detailed way the current capacity of the Spanish public In-Home Help Service (HHS) to meet the demands of dependent elderly persons and its impact on their informal caregiver's burden. We begin with a brief introduction of the services by the Spanish public social services system developed to attend dependency; next, the evolution of the Spanish public HHS is described in a thorough way to identify the pros and cons of this service regarding the informal caregivers’ burden of dependent elders. Finally, recommendations are proposed to…

LONG-TERM CARE NELL’ITALIA CHE INVECCHIA

2012

A Social Insurance Accounting for a Notional Defined Contribution Scheme Combining Retirement and Long-Term Care Benefits

2018

This paper develops a social insurance accounting model for a notional defined contribution (NDC) scheme combining retirement and long-term care (LTC) contingencies. The procedure relies on standard double-entry bookkeeping and enables us to compile a “Swedish” type actuarial balance sheet (ABS) following a framework equivalent to an open group approach. This methodology is suitable for reporting the system’s solvency status and can show periodical changes in the system’s financial position by means of an income statement. The information underpinning the actuarial valuation is based on events and transactions that are verifiable at the valuation date, without considering expected future tr…

Position paper on laboratory testing for patients on direct oral anticoagulants. A Consensus Document from the SISET, FCSA, SIBioC and SIPMeL

2018

Although direct oral anticoagulants (DOAC) do not require dose-adjustment on the basis of laboratory test results, the measurement of their anticoagulant effect is useful in special situations. This position paper issued by the Italian Scientific Societies that are mainly involved in the management of patients on DOAC is aimed at providing guidance to care-givers on which tests should be used and the situations in which testing is useful. The guidance is based on the data from the literature so far available and/or on consensus among experts.

Electronic Health Records reshaping the socio-technical practices in Long-Term Care of older persons

2020

Electronic Health Records (EHRs) in Long-Term Care (LTC) of older persons are expected to improve resident-centered care by reducing ambiguities in information coordination between LTC workers and organisations. While there are research findings concerning such intended outcomes, we are interested in analysing what sort of other, possibly unanticipated outcomes the use of EHRs in LTC may produce. We argue that the scrutiny of EHRs in LTC requires an understanding of their implementation as socio-technical processes, whereby EHRs are perceived as performative artifacts of LTC rather than technological tools or passive objects. While EHRs have been extensively studied in health-care settings,…

Converting retirement benefit into a life care annuity with graded benefits

2016

AbstractThis paper deals with life care annuities, i.e. bundled products comprising a life annuity and long-term care insurance. It aims to assess the cost of converting retirement benefit into a life care annuity with graded benefits using a pre-existing public pay-as-you-go pension scheme. With this objective in mind, we present an actuarial method based on array calculus for valuing this type of life care annuity. The health dynamics of the annuitant rely on a reversible illness-death multistate framework. The paper contains a numerical example in which mortality and disability assumptions are based on data from the USA and Australia, although this should be viewed simply as an illustrat…