scholarly journals 北京市居家養老服務政策: 挑戰、倫理與建議

2017 ◽  
Vol 15 (2) ◽  
pp. 43-54
Author(s):  
Wenye XIE
Keyword(s):  
Home Care ◽  
Elderly People ◽  
Filial Piety ◽  
Elder Care ◽  
Institutional Care ◽  
Home Care Services ◽  
Living Environment ◽  
Confucian Ethics ◽  
Care Services

LANGUAGE NOTE | Document text in Chinese; abstract also in English.居家養老服務政策的推行與實施是近年中國政府對抗社會老齡化過程中的重要對策。北京市政府自2000 年後出台了大量居家養老相關政策，設法落實“以居家（養老）為基礎”的目標，然而目前的政策發展仍有不足。本文就北京市目前老齡化社會帶來的挑戰，提供了儒家倫理視角的分析。同時針對目前居家養老政策提出兩點建議，進而從政府政策制定角度為實現孝道價值觀提供幫助。One of the current challenges in healthcare services is elder care, as China has been an aging society since 2000. Should the government implement policies to promote home-care services when many Chinese are unable to afford long-term institutional care, even if such institutional care is available? This essay conducts a survey of the situation in Beijing and examines the local government’s elderly service policies. The paper also offers a Confucian ethical approach to the issue and makes policy recommendations for home-care services. The author contends that although modern families tend to be smaller and urban lifestyles are different from those of the past, we still need Confucian ethics, which place great emphasis on the virtue of filial piety (xiao) for children, who are expected to respect and take care of their elders. According to the Confucian tradition, it is better for elderly people to live at home with assistance from their adult children, and to lead their elderly lives among their children and grandchildren. Therefore, an institution of elderly people is not considered a normal—much less an ideal—living environment. The essay’s author acknowledges the changes in modern society and family lifestyle in contemporary China, but recommends that policymakers consider Confucian ethics in their formulation of government policies concerning long-term elder care in a big city like Beijing. The essay shows that current government policy is heading in the right direction but needs to be improved.DOWNLOAD HISTORY | This article has been downloaded 361 times in Digital Commons before migrating into this platform.

scholarly journals Hospital to Home: Supporting the Transition From Hospital to Home for Older Adults

2021 ◽  
pp. 084456212110443
Author(s):  
Brittany Barber ◽  
Lori Weeks ◽  
Lexie Steeves-Dorey ◽  
Wendy McVeigh ◽  
Susan Stevens ◽  
...  
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Family Caregivers ◽  
Older Adult ◽  
Long Term Care ◽  
Home Care Services ◽  
Term Care ◽  
Care Services ◽  
Hospital To Home

Background An increasing proportion of older adults experience avoidable hospitalizations, and some are potentially entering long-term care homes earlier and often unnecessarily. Older adults often lack adequate support to transition from hospital to home, without access to appropriate health services when they are needed in the community and resources to live safely at home. Purpose This study collaborated with an existing enhanced home care program called Home Again in Nova Scotia, to identify factors that contribute to older adult patients being assessed as requiring long-term care when they could potentially return home with enhanced supports. Methods Using a case study design, this study examined in-depth experiences of multiple stakeholders, from December 2019 to February 2020, through analysis of nine interviews for three focal patient cases including older adult patients, their family or friend caregivers, and healthcare professionals. Results Findings indicate home care services for older adults are being sought too late, after hospital readmission, or a rapid decline in health status when family caregivers are already experiencing caregiver burnout. Limitations in home care services led to barriers preventing family caregivers from continuing to care for older adults at home. Conclusions This study contributes knowledge about gaps within home care and transitional care services, highlighting the importance of investing in additional home care services for rehabilitation and prevention of rapidly deteriorating health.

What determines the use of home care services by elderly people?

2002 ◽  
Vol 10 (5) ◽  
pp. 348-360 ◽  
Author(s):  
Helen Stoddart ◽  
Elise Whitley ◽  
Ian Harvey ◽  
Debbie Sharp
Keyword(s):  
Home Care ◽  
Elderly People ◽  
Home Care Services ◽  
Care Services

scholarly journals Hospital to Home: Supporting the Transition from Hospital to Home for Older Adults

2021 ◽  
Author(s):  
Brittany Barber ◽  
Lori Weeks ◽  
Lexie Steeves-Dorey ◽  
Wendy McVeigh ◽  
Susan Stevens ◽  
...  
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Older Adult ◽  
Long Term Care ◽  
Home Care Services ◽  
Adult Patients ◽  
Term Care ◽  
Care Services ◽  
Hospital To Home

Abstract Background: An increasing proportion of older adults experience avoidable hospitalizations, and some are potentially entering long-term care homes earlier and often unnecessarily. Within Canada, approximately 10 percent of newly admitted long-term care residents could have potentially been cared for at home. Without adequate support from health care services to transition older adults from hospital to home, they often lack access to appropriate services when they are needed in the community thus making them more vulnerable to avoidable hospital visits, rapid deterioration of health, and earlier and unnecessary placement into residential long-term care. The purpose of this study was to collaborate with an existing enhanced home care program called Home Again in Halifax, Nova Scotia, to identify factors that contribute to older adult patients being assessed as requiring long-term care when they could potentially return home with enhanced supports. Methods: Through a retrospective case study design, we analyzed nine interviews for three focal patient cases including older adult patients, their family or friend caregivers, and healthcare professionals. Results: Findings indicate home care services for older adults are being sought too late, after hospital re-admission, or a rapid decline in health status when family caregivers are already experiencing caregiver burnout. Limitations in home care services ultimately led to barriers preventing family caregivers from continuing to care for older adults at home, such as absence of overnight services, a lack of information about home care services, and a lack of knowledge to navigate resources available. Conclusion: This study contributes knowledge about gaps within home care and transitional care services, highlighting the significance of investing in additional home care services for rehabilitation and the prevention of rapidly deteriorating health when older adults are discharged home after their first hospital visit. By understanding experiences and challenges of patients, family or friend caregivers, and healthcare professionals, we identified ways to reduce healthcare costs and improve the delivery and quality of home care services to better support older adult patients and their family or friend caregivers and to ensure hospitalized older adults are not unnecessarily admitted to nursing homes.

scholarly journals Does context matter? Voluntary work in long-term care

2021 ◽  
Vol 12 (1) ◽  
pp. 155-180
Author(s):  
Laila Tingvold ◽  
Oddvar Førland
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Home Care ◽  
Long Term Care ◽  
Home Care Services ◽  
Voluntary Work ◽  
Term Care ◽  
Home Setting ◽  
Care Services

Introduction: Increased voluntary work in long-term care (LTC) is encouraged in white papers in Norway as well as in many other western states. This is due to the growth in the number of service recipients and a subsequent economic burden for the state. Voluntary work in nursing homes and home care services take place in different spatial contexts, but little attention has been paid to how the different contexts may potentially influence the possibilities for voluntary work. The aim of this study is to obtain new knowledge of the significance of context in recruitment of volunteers in LTC. Method: A cross-sectional study was conducted among leaders in nursing homes and home services in 50 municipalities across all regions of Norway. Descriptive analysis was used. Results: According to the leaders, home care services had less voluntary work than nursing homes. Respondents from home care scored “poor flow of information” and “low interest in the municipality” as major hinderances, more so than respondents from nursing homes did. Discussion: Nursing homes typically have many residents under one roof following a similar schedule. Thus, volunteer-run activities are held more easily at set times and incorporated into the daily life of the institutions. On the other hand, home dwellers in home care stay in a more individualised setting with more autonomy and can opt out of activities that nursing home residents would normally join. Skill acquisition, networking and socializing are common motivations for volunteering, and a nursing home setting may be an easier context to obtain this. The governmental endeavour for increased voluntary work in LTC can be seen as an effort to meet expected rises in public expenditure. However, the realism can be debated due to substantial challenges on the future potential of volunteerism in LTC, especially in the home care context.

scholarly journals 老齡化背景下長期照護的現實選擇: 基於儒家倫理觀的思考

2010 ◽  
Vol 8 (2) ◽  
pp. 47-56
Author(s):  
Lanshu JIANG ◽  
Ling ZHOU ◽  
Ran REN
Keyword(s):  
Elderly People ◽  
Filial Piety ◽  
Long Term Care ◽  
Living Environment ◽  
Term Care ◽  
Elderly Parents ◽  
Aging Society ◽  
Confucian Virtue ◽  
The Government

LANGUAGE NOTE | Document text in Chinese; abstract also in English.中國邁入老齡化國家之後，失能老人的長期照護將會成為未來養老問題中的難點。失能老人作為病患的權利需要靠社會的福利制度來得以維繫，這在目前中國福利制度仍未十分健全的情況下是很難實現的。本文將通過對中國儒家倫理觀的思考，吸取其精華，探索老齡化背景下符合中國國情的長期照護發展之路。According to the standard set by the United Nations, if more than 10% of the population of a society is over 60 years old, then that society qualifies as an aging society. This means that China has been an aging society since 2000. Currently, China has one hundred and forty-nine million people over 60 years old, of which more than thirty million require long-term care to various degrees. 8% of elderly rural Chinese are unable to afford institutional long-term care, even if such institutional care is available. Obviously, China faces grave challenges in providing long-term care for its ever-increasing elderly population.Unfortunately, Chinese bioethics has failed to conduct careful research on these challenges to develop appropriate Chinese public policy on long-term care. This essay offers a Confucian ethical approach to the issue and proposes a series of policy recommendations framed in terms of Confucian ethical concerns. As is well known, Confucian ethics places great emphasis on the virtue of filial piety (xiao) on the part of children, who are expected to respect and take care of their elderly parents. It is the Confucian view that elderly people should, insofar as is possible, live at home, with the assistance of their children, and lead their elderly lives among their children and grandchildren. Living in an institution with other elderly people is not considered a normal, much less ideal, human living environment. This essay argues that this Confucian value should be preserved in contemporary Chinese society. This requires proper policy formulation and governmental contributions. First, in moral education, the Confucian virtue of filial piety and familial interdependence, rather than individual independence, should be promoted. Second, the government should provide financial incentives and awards to children who choose to stay home to take care of their elderly parents or grandparents. Finally, based on the Confucian virtue of beneficence (ren), the government should offer special assistance to families with seriously disabled elderly members. People should also be encouraged to organize volunteer groups to offer help to needy families. In short, the Confucian moral principle of reciprocity (“do not impose on others what you would not want others to do to you”) suggests that if we do not want to be abandoned by our children and by society when we become old, it is high time for us to act and set appropriate long-term policies.DOWNLOAD HISTORY | This article has been downloaded 935 times in Digital Commons before migrating into this platform.

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