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Home Care vs. Nursing Home

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (28 June 2023) | Viewed by 3451

Special Issue Editor


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Guest Editor
Department of Nursing, University of Umeå, 901 87 Umeå, Sweden
Interests: nursing home; health economic modelling; models of care; dementia; frailty

Special Issue Information

Dear Colleagues,

Providing cost-effective and high-quality care of older people has been established as one of the major challenges of this century due to a rapidly increasing aging population, and the consequential long-term burden imposed on aged care systems. The demographic challenges associated with increased longevity thus reinforce the need for the development and testing of innovative solutions for the care and support of older people to enable our society to meet the increasing needs of the aging population. 

Even though “aging in place” (remaining at home) for as long as possible is a common goal for older people, increasing needs for professional support can make this unachievable. Older people often spend an increasing amount of time within or close to the home as a result of limited mobility, cognitive decline, and/or loss of social networks. Aging in one’s own home is generally described as something positive, and a common goal of support provided to older people is to facilitate the possibility of maintaining independence and remaining in their own home for as long as possible. However, critiques have been raised that the needs of older people are not sufficiently met. This means that life at home is often described in terms of boredom, loneliness, and diminishing quality of life for frail older people, and aged care struggles to provide more than the most basic physical care and/or providing monitored containment. This Special Issue of the International Journal of Environmental Research and Public Health (IJERPH) focuses on the current state of knowledge in housing models for the care for frail older people and new and innovative housing models including aging in place and nursing homes. New research papers, reviews, and conference papers are welcome submissions to this Special Issue.

Dr. Anders Sköldunger
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • home care
  • nursing home
  • housing models
  • aging in place
  • dementia
  • frailty

Published Papers (2 papers)

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16 pages, 705 KiB  
Article
Factors and Mechanism Influencing Client Experience of Residential Integrated Health and Social Care for Older People: A Qualitative Model in Chinese Institutional Settings
by Wenya Zhang, Xiaojiao He and Zhihan Liu
Int. J. Environ. Res. Public Health 2023, 20(5), 4638; https://doi.org/10.3390/ijerph20054638 - 6 Mar 2023
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Abstract
Background: An emerging service delivery model of integrating health and social care for older people has been actively promoted by the Chinese government since 2016, but the client experience and influencing mechanism still remain unclear. Methods: this study adopts a qualitative methodology to [...] Read more.
Background: An emerging service delivery model of integrating health and social care for older people has been actively promoted by the Chinese government since 2016, but the client experience and influencing mechanism still remain unclear. Methods: this study adopts a qualitative methodology to delve deeper into the factors and mechanism shaping the client experience of residential integrated health and social care for older people in the Chinese context, so as to understand the experiences of older residents during the whole process of receiving integrated care services, and on this basis, put forward suggestions for the improvement of a high-quality aged care service system. We coded and analyzed the in-depth interview data of twenty older adults and six staff members from June 2019 to February 2020, recruited from six institutions in Changsha, one of the ninety pilot cities for integrated health and social care in China. Results: the findings showed that the client experience of older adults is mainly affected by factors in three dimensions (scene construction, individual minds, and interaction and communication), which are comprised of six sub-categories (social foundation, institutional functions, perception and emotion, cognition and understanding, intimacy and trust, and participation). Based on the factors and mechanism (consisting of six influencing paths), we constructed a model of the client experience of integrated health and social care for older people in the Chinese population. Conclusions: the factors and mechanism influencing the client experience of integrated health and social care for older people are complex and multifaceted. Attention should be paid to the direct effects of perception and emotion, institutional functions, intimacy and trust in the client experience, and the indirect effects of social foundation and participation on the client experience. Full article
(This article belongs to the Special Issue Home Care vs. Nursing Home)
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9 pages, 624 KiB  
Protocol
Quality and Safety of Proximity Care Centered on the Person and Their Home: A Systematic Review Protocol
by Carlos Martins, Ana Escoval, Manuel Lopes, Susana Mendonça and César Fonseca
Int. J. Environ. Res. Public Health 2023, 20(5), 4504; https://doi.org/10.3390/ijerph20054504 - 3 Mar 2023
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Abstract
The quality and safety of health care is a priority, a requirement and a demand of health organizations and social institutions with concrete purposes of progressively providing people with a higher level of health and well-being. It is in the development of this [...] Read more.
The quality and safety of health care is a priority, a requirement and a demand of health organizations and social institutions with concrete purposes of progressively providing people with a higher level of health and well-being. It is in the development of this path that home care currently represents an area of gradual investment and where health care services and the scientific community have shown interest in building circuits and instruments that can respond to needs. It is essencial that care must be centered and in close proximity to the person and their family, their context. On the other hand, in Portugal, there are already quality and safety models for the institutionalization context however it is non-existent for home care. In this sense, our objective is to identify, through a systematic review of the literature, particularly from the last 5 years, areas of quality and safety in home care. Full article
(This article belongs to the Special Issue Home Care vs. Nursing Home)
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