The Study on Care Worker's Self-Efficacy, Job Satisfaction and Turnover Intention at Long-Term and Home Care Service Centers

European countries have developed a range of long-term care (LTC) policy responses to support the increasing share of older people. However, little is known about the effectiveness of LTC services and benefits, particularly their impact on older peoples’ quality of life (QoL). This paper investigates the role of personal, care service and environmental characteristics on the effects of home care services on QoL across England, Finland and Austria. We used data from surveys conducted in England, Finland and Austria. In total, 811 older adults were included in the analysis. OLS regression including main effects and country-specific interactions was used to explore variation in gains in long-term care service-related quality-of-life (LTC-QoL). Explanatory variables were derived from the production of welfare framework and comprised home care service user socio-demographics, needs indicators, social support and environmental variables and characteristics of home care service provision. In all three countries, LTC-QoL gains increased with needs, indicating that home care services perform well, with additional gains declining the higher the needs. Also, better process quality contributed to LTC-QoL improvements in all three countries. In addition, the availability of informal care, social contact, financial household situation and living alone, were associated with changes in LTC-QoL only in one or two of the countries. Home care services increased service users’ QoL in all three European countries. The increase in QoL, however, varied across the countries. The results also provide insights into the benefits and limits of home care service provision and areas for future improvements. JEL: I31, I38, J14

Download Full-text

A Study on the Improvement of In-Home Care Service Quality through Evaluation of Services and Agency by Long-term Care Workers

Journal of Digital Convergence ◽

10.14400/jdc.2016.14.10.71 ◽

2016 ◽

Vol 14 (10) ◽

pp. 71-81

Author(s):

Hwa-Sook Bae ◽

Jeong-Won Han

Keyword(s):

Service Quality ◽

Home Care ◽

Long Term Care ◽

Care Service ◽

Home Care Service ◽

Term Care ◽

Care Workers

Download Full-text

South Winnipeg Integrated Geriatric Program (SWING): A Rapid Community-Response Program for the Frail Elderly

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1017/s0714980800003895 ◽

2003 ◽

Vol 22 (3) ◽

pp. 275-281 ◽

Cited By ~ 9

Author(s):

Patrick R. Montgomery ◽

Wendy M. Fallis

Keyword(s):

Case Management ◽

Home Care ◽

Frail Elderly ◽

Long Term Care ◽

Care Service ◽

Home Care Service ◽

Day Hospital ◽

Hospital Services ◽

Term Care

ABSTRACTThe objective of this study was to compare enhanced access to geriatric assessment and case management to usual home care service provision for the frail elderly. This was a demonstration project, with randomized allocation to control or intervention groups of frail elderly persons who had been referred to the Home Care service in Winnipeg. Of the 164 persons who were randomized, 78 intervention and 74 control patients were evaluated. Intervention subjects received a multidimensional assessment as soon as possible by a specially trained coordinator, who had enhanced access to geriatric medical and day-hospital services; intervention patients were case managed for a 3-month period. Control cases received usual care from home care coordinators. The intervention group received significantly faster assessment and deployment of home services, as well as greater utilization of the geriatric day-hospital services. Utilization of emergency room and hospital services was similar for both groups. Control subjects experienced more prolonged hospital stays and a significantly higher proportion (23%) were designated for long-term care than of intervention clients (9%). We conclude that the SWING program, which facilitated access to geriatric services and case management, reduced or delayed the need for long-term care.

Download Full-text

‘The right man in the right place’ – the consequences of gender-coding of place and occupation in collaboration processes

European Journal of Women s Studies ◽

10.1177/13505068211042725 ◽

2021 ◽

pp. 135050682110427

Author(s):

Lena Grip ◽

Ulrika Jansson

Keyword(s):

Home Care ◽

Care Service ◽

Home Care Service ◽

Municipal Services ◽

Rescue Service ◽

Work Tasks ◽

And Gender ◽

Gender Coding ◽

The Right

Society needs to find new ways to utilise its resources in the best possible way in order to enable satisfactory services for its citizens in the long term. This is particularly important in sparsely populated areas, and in cities and municipalities with a declining population. This study contributes to this field by analysing a project for collaboration between the rescue service and the home-care service that has been introduced in a number of Swedish municipalities. The collaboration is intended to ensure welfare and safety for citizens, to guarantee a more efficient use of municipal resources, and to contribute to improved emergency management and civil protection. The rescue service and the home-care service are two clearly gender-coded occupations that also operate on gender-coded work places and places of work. An overarching aim has therefore been to study gendered obstacles and possibilities of the collaboration. In our analysis of the empirical data – interviews with persons involved in the collaboration – place emerged as an important aspect of the collaboration processes, and is therefore elaborated in this article to contribute with knowledge of how conceptions and gender-coding of places and occupations affect sustainable and well-functioning collaboration processes. The results show that collaboration processes between municipal services are complex and challenge ideals of the organisation, content and responsibility of work and who should perform certain work tasks. Notions of gender and gender differences are reproduced through the collaboration, which affect the efforts of municipalities to ensure welfare and safety for citizens.

Download Full-text