scholarly journals Care Effectiveness and Standards of Dementia Special Care Units for Older Adults with Dementiain Pension Industry

CONVERTER ◽  
2021 ◽  
pp. 707-715
Author(s):  
Xiaoxin Dong, Et al.

Dementia special care units (D-SCUs) is increasingly becoming the main mode of care for older adults internationally. As little is known about D-SCUs in China, this study aimed to analyze care efficiency and summarize the standards of Chinese D-SCUs.A questionnaire survey and in-depth interviews were conducted between June 2018 and July 2019 in six cities in China. Quantitative data about basic information and care satisfaction were collected from 25 care facilities. Qualitative data about the standards of the D-SCUs were collected fromthree cities that had issued such standards. Data envelopment analysis (DEA) was used to evaluate the care efficiency of D-SCUs, and grounded theory was used to analyze qualitative data.Among the 25 surveyed facilities, 12 had established D-SCUs, of which eight(66.67%) were effective facilities. Thirteen facilities did not establish D-SCUs, of which two(15.38%) were effective facilities.Technical efficiency, pure technical efficiency, and scale efficiency of care facilities with D-SCUs were higher than those of without (P=0.016, P=0.022, and P=0.021, respectively). Standards regarding location, environment, beds, and service items varied among the three cities that had issued standards for D-SCUs.The D-SCU care mode is effective and professional, and can be further promoted in the development of pension industry in China. Further investigation into D-SCUs and related standard is needed.

2021 ◽  
Author(s):  
Xiaoxin Dong ◽  
Tongda Sun ◽  
Rangcheng Jia ◽  
Lingbo Zhao ◽  
Ning Sun

Abstract Background: Dementia special care unit (D-SCU) is a main care mode for the elderly with dementia, and has increased steadily internationally. However, little is known about the D-SCUs of China. The present study aimed to analyze and summarize the types and standards of D-SCUs in China, and evaluate the care efficiency of the D-SCU care model.Methods: A cross-sectional survey was conducted between June 2018 and July 2019 in 6 cities of China. Quantitative data about the basic information and the care satisfaction were collected from 25 care facilities in the 6 cities. Qualitative data about the care status of the elderly with dementia, the standards, the management and the operation of the D-SCUs were collected among the 25 care facilities and the 3 cities that had issued standards for setting D-SCUs. Grounded theory method was used to analyze the qualitative data, and data envelopment analysis (DEA) method was applied to evaluate the care efficiency of the D-SCU care model.Results: The technical efficiency, pure technical efficiency and scale efficiency of care facilities with D-SCUs were higher than those of care facilities without D-SCUs (P=0.016, P=0.022, and P=0.021, respectively). The types of D-SCUs could be divided into independent, semi- independent, semi-dependent and dependent according to the architecture, physical space, and management mode. The standards for the area, environment, beds, service items of the D-SCUs were various among the 3 cities that had issued standards for setting D-SCUs.Conclusions: The care model of D-SCUs is effective and professional, and can be further promoted in China. The exploration and standard research on the D-SCUs should be strengthened in future.


1990 ◽  
Vol 30 (2) ◽  
pp. 178-183 ◽  
Author(s):  
D. Holmes ◽  
J. Teresi ◽  
A. Weiner ◽  
C. Monaco ◽  
J. Ronch ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S179-S179
Author(s):  
Sofia von Humboldt ◽  
Isabel Leal

Abstract Objectives: The relationship of older adults with their adult children involves great emotional complexity and the quality of these relationships is associated with older adults’ well-being. This qualitative study aims to examine how older adults conceptualize intergenerational relationships with adult children. Methods: The present study on qualitative data collected from in-depth interviews was conducted with English and Portuguese older adults living in the community, designed to address their perspectives on intergenerational relations with adult children. 316 older adults participated in our study. The mean age of this group was 71.2 years. 65.3% were women, and a majority (54.7%) had a partner. Results: Content analysis generated four themes: affection and integration; satisfaction in the relationship; privacy and boundaries; financial support. Conclusions: Intergenerational relationships are experienced by older adults with ambivalence and and stress the contradictory expectations of older adults with grandchildren.


2016 ◽  
Vol 37 (12) ◽  
pp. 1564-1575 ◽  
Author(s):  
Natalie Pitheckoff ◽  
Sara J. McLaughlin ◽  
Kate de Medeiros

Animal-assisted activity programs are commonly used in long-term care facilities to enhance the well-being of older residents. Although research suggests that older adults benefit from these programs, little is known about the experience from the perspective of older adults themselves. In this qualitative study, we used direct observation and in-depth interviews to gain an understanding of the experience of participating in a unique rabbit-assisted activity program delivered in a Midwestern residential facility. Several benefits were identified, with no negative experiences articulated by the participants. In addition to finding the rabbits soothing, the rabbits served as a source of social support for some participants and encouraged social interaction. Participants generally felt that rabbits are good animals to use for this type of activity, but expressed a desire for more frequent, longer, and more interactive visits. Facilities considering animal-assisted activities (AAA) programs should consider these factors when designing their programs.


Dementia ◽  
2013 ◽  
Vol 14 (2) ◽  
pp. 199-219 ◽  
Author(s):  
Katherine M. Abbott ◽  
Janet Prvu Bettger ◽  
Keith N. Hampton ◽  
Hans-Peter Kohler

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Castelli ◽  
E Centurione ◽  
A F Marino ◽  
L Garau ◽  
R Cofano ◽  
...  

Abstract Issue Dementia is among the main causes of disability and dependency in the elderly. It was defined a public health priority by the WHO. The health and social-care system of the Lombardy region (SSR) plays a key role in implementing assistance and care pathways specifically designed for fragile populations, including those affected by dementia and Alzheimer's disease, its most common form. Description of the Problem The SSR provides residential care options especially conceived for dementia patients, known as Alzheimer's special care units (ASCU). However, waiting lists are concerning, and distribution of these facilities is inconsistent throughout the region. In 2018 there were 981 accredited and SSR-covered ASCU beds in the Metropolitan City of Milan (MCM), translating in 1.26 beds/1000 people aged ≥ 65. With regional legislation (DGR 1046/2018), the SSR proposed activation of new ASCU beds in all territories with less than 2 beds/1000 people aged ≥ 65. The MCM Agency for Health Protection (ATS) thus analyzed the distribution of ASCU beds in afferent districts, defining specific needs for each district. The aim was to fund and activate 574 new ASCU beds homogenously among previously accredited and SSR-covered residential care facilities, reaching the targeted 2 ASCU beds/1000 people aged ≥ 65. Applicant facilities had to respond to specific personnel, technological, therapeutic and structural requirements. Results Preliminary results indicate 29 residential care facilities applied for evaluation in 2019. The ATS received and evaluated all applications. Following site-inspection, 8 facilities were deemed inappropriate. Lessons In 2019, 21 residential care facilities were approved for funding and activation of 558 new ASCU beds. Residual beds will be funded in 2020. Main messages: Activation of new ASCU beds in 2019 and 2020 increased specialized long-term care beds for dementia patients by almost 60%, allowing a more homogenous distribution among MCM districts. Key messages The health and social-care system of the Lombardy region proposed activation of new Alzheimer’s special care units beds in all territories with less than 2 beds/1000 people aged ≥ 65. Activation of 574 new Alzheimer’s special care units beds increased by almost 60%, allowing a more homogenous distribution among Metropolitan City of Milan districts.


1991 ◽  
Vol 31 (4) ◽  
pp. 467-475 ◽  
Author(s):  
D. T. Gold ◽  
P. D. Sloane ◽  
L. J. Mathew ◽  
M. M. Bledsoe ◽  
D. A. Konanc

Author(s):  
Ainul Zakiah Abu Bakar ◽  
Lalitha Ganesan ◽  
Mohhidin Othman ◽  
Sharifah Azizah Haron ◽  
Farah Adibah Che Ishak

Eating out among older adults are becoming the norm due to its convenience and potential for social interaction. Malaysia is expected to become an aged nation whereby 14% or more of its population will be 65 years and older by 2050. Very little is known about restaurant preferences and patronage behaviours of older adults in Malaysia even though there had been numerous researches done involving this population. It is important to acknowledge this age group not just because they are living longer; but also, because they are getting bigger in size and economic power. The purpose of this study is to determine the factors influencing Malaysian older or silver consumers’ restaurant dining choices. Semi-structured in-depth interviews were done with Malaysian older people ages 55 and above. The interviews were recorded, transcribed and analysed. Atlas.ti software (version 7) was used to complement researchers’ analyses of interview transcripts and develop a visual representation of qualitative data. Major thematic categories identified by older consumers in this study included food, service, and location. Data are visually mapped and relationships between different themes are presented. This study will be beneficial in providing more insights to restaurateurs in Malaysia to better meet silver consumer needs.


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