Care for the elderly: significant innovations in three European countries
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Frankfurt am Main
Campus-Verl.
1991
Boulder, Colo. Westview Press |
| Series: | Public policy and social welfare
6 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Literaturangaben |
| Physical Description: | X, 248 S. graph. Darst. |
| ISBN: | 3593343991 0813382939 |
Staff View
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Record in the Search Index
| _version_ | 1804118412985630720 |
|---|---|
| adam_text | CONTENTS
Preface
Robbert Kraan ix
Introduction
Adalbert Evers 1
Parti
The National Context of Social Innovation —
Policy Framework and Major Reforms in Care for the Elderly
I. 1 The Netherlands
Catherine Tunissen I Mat Knapen 7
I. 2 Sweden
Lennarth Johansson I Mats Thorslund 28
I. 3 England and Wales
John Baldock 45
I. 4 Comparing Entitlements in Care for the Elderly —
Three Examples
All authors 70
I. 5 Concluding Remarks on the Significance of the Existing
Policy Frameworks and the Planned Reforms —
Similarities and Differences in Problems, Perceptions and Concepts
Adalbert Evers 73
ii
Part II
Local Innovations Strengthening Home based Care —
An Overview of Major Developments and Significant Examples
II. 1 On Social Innovation — A Short Introduction
John Baldock I Adalbert Evers 87
II. 2 The Netherlands
Catherine Tunissen IMat Knapen 93
II. 3 Sweden
Lennarth Johansson I Mats Thorslund 121
II. 4 England and Wales
John Baldock 141
II. 5 Concluding Remarks on the Significance of the Innovations
Reviewed — Their Implications for Social Change
John Baldock /Adalbert Evers 186
II. 6 An Excursus — Problems and Methods in Evaluating Strategic
Innovations and Reform in Community Care for the Elderly
Bleddyn Davies 203
Part III
Appendix : Figures, Facts and Definitions
All authors
III. 1 Needs, Demand and Services
A Comparative Review of Data from the Three Countries 227
III. 2 Addresses of Organizations 238
III. 3 International Differences in Terminology 244
List of Tables
Introduction.3.1 Patterns of Change in Welfare 3
1.3.1 Use of Home Care Services in Great Britain 52
1.3.2 Number of Elderly 61
II.3.1 Some Relevant Figures 119
II.4.1 The St Pancras Experiment, 1961 3 168
iii
II.4.2 The Thanet and Gateshead Community Care
Experiments: Location of Matched Pairs 170
H.4.3 The Ipswich and Newham Home Support
Projects: Selected Characteristics of the Samples 172
11.4.4 Outcomes 173
11.4.5 Factors Increasing Burden of Care in
Subjects Still at Home 173
11.4.6 Public Expenditure Costs of Enhanced Home Care 173
11.4.7 The Darlington Community Care Project:
Destinational Outcomes 175
11.4.8 Revenue Costs (1986 7 prices) 176
11.4.9 The In Safe Hands Scheme:
Living Situation of Users, 1987 178
11.4.10 Combinations of Care Provided by
Helpers in 1987 179
11.4.11 Reasons for Use by Type of Care Arrangement 179
11.6.1 Dimensions of Outcomes and Scales Used in
PSSRU Evaluations: A New Table 213
11.6.2 Estimated Costs to the Social Service
Department of Target Outputs in Thanet 215
11.6.3 Constituency Accounts 219
111.1.1 How Many Are There and Will There Be? 227
111.1.2 Total Dependency Ratios, 1980 2050 232
111.1.3 Distribution of Public Expenditure on Care for the Elderly 234
111.1.4 Use of Service by Those 65+ 235
111.1.5 Where Are the Elderly Living? 236
List of Figures
1.1.1 Model of Substitution in Professional Care 19
1.2.1 The Social Sector — Extrapolation of Current Trends 43
II.2.1 Responsibilities concerning Conventional and
Experimental Services in Domiciliary Care 94
11.3.1 The Number of Patients per Bed and Year
in Geriatric Departments 132
11.3.2 Beds in Service Houses, Old Age Homes, Nursing
Homes and Geriatric Departments in Sundsvall, 1979 1989 136
11.6.1 Distribution of Non Spouse Principal Carers of
Community Social Services by Malaise Score 208
11.6.2 The Cost Effective Choice of Care Mode 209
iv
II.6.3 Costs of Community Based and Residential Care
Compared: Users with Critical Interval Need 211
III.l.l Increase in Numbers 65+ 229
III. 1.2 Increase in Numbers 80+ 229
III.1.3 Increase in Numbers 85+ 230
HI. 1.4 Netherlands: Comparison of Rates of Growth
of Carer Age Cohort with Need Cohort 231
III. 1.5 Sweden: Comparison of Rates of Growth of
Carer Cohort and Needs Cohort 231
III. 1.6 Percentage Changes in Total Dependency Ratios 232
III. 1.7 Aged Dependency Ratios: Population 65+/15 64 233
Care for the Elderly — Significant Innovations in Three European
Countries
Introduction
1. Social Innovation
2. The Place of Local Innovations in the Broader National Frameworks
3. Basic Points of Reference for the Presentation and Discussion of Social Innovations and
National Contexts
4. Significant Information and Results Generated by the Research
Parti
The Netherlands
1. Elderly People in the Netherlands
2. Availability of Care Facilities
3. Needs Assessment and Means Testing
4. The Capacity and Development of Care Facilities
5. Insurance and Health Care
6. Characteristics of the Dutch Health Care System
7. Policy Developments
8. Substitution
9. Market Principles in Health Care
10. Latest Policy Developments
Sweden
1. Social Welfare for the Elderly in Sweden
2. Health Care and Social Service — Some Facts
3. Institutional Long term Care
4. Home Nursing
5. Social Services for the Elderly
6. Housing in the Municipalities
7. Informal Care
8. How Does the Home Based Elderly Care System Work?
9. Forthcoming Changes in the Elderly Care System
10. The Public Debate
vi
England and Wales
1. Introduction
2. Pattern and Use of Home Care Services
3. Financial Help Offered by the Given System
4. Home Care Services
5. Voluntary Provision
6. Private and For profit Home Care Services
7. Problems of Service Delivery
8. Conclusion
9. Debate and Reform: Recent Policy Developments
10. Why Has the Debate About the Elderly Peaked?
11. Fiscal Crisis and Demographic Panic
12. Other Factors of Influence
13. The Pattern of the Policy Debate
14. The Construction of a New Policy Consensus
15. Conclusion: General Trends in the Policy Debate
Comparing Entitlements in Care for the Elderly — Three Examples
Concluding Remarks
1. The Situation at Present
2. Similarities and Differences with Respect to Future Oriented Challenges and Reform
Plans
Part II
On Social Innovation — A Short Introduction
1. Social Change and Innovation
2. Top Down and Bottom Up Innovations
3. The Diffusion of Social Innovations
4. The Innovations Gathered and Our Way of Presentation and Selection
Strengthening Home Based Care — The Netherlands
1. Major Strands of Innovations
1.1 Home Based Care Schemes
1.2 New Ways of Making Use of Existing Resources
1.3 Services Which Fill the Gap between Home Care and Institutional Care
1.4 Innovations which Use and Support Informal Resources
1.5 Technological Innovations
1.6 Conclusions
vii
2. Some Detailed Case Studies
2.1 Projectplan Zorghuis W. Drees, The Hague
2.2 Integration of Care Service in Venlo
2.3 Intensive Home Nursing
2.4 Voorbij de laatste stad — Community Care for Terminal Patients in Three
Rotterdam Neighbourhoods
2.5 STAT: Stichting Aanvullende Thuiszorg — Foundation for Supplementary
Home Care
Local Innovations Strengthening Home Based Care — Sweden
1. Major Strands of Innovation.
1.1 Home Based Care Schemes
1.2 New Ways of Making Use of Existing Resources
1.3 Services Which Fill the Gap Between Home Care and Institutional Care
1.4 Innovations Which Use and Support Informal Resources
1.5 Technological Innovations
2. Some Detailed Case Studies.
2.1 Innovations in Long Term Care — The Hudiksvall Project.
2.2 The Sundsvall Project —A Programme for Improved Utilization of Institutional
Beds
2.3 Group Dwellings — An Innovations Project in the Care of the Senile in Malmo
2.4 Day Care Centres for the Senile Elderly in Jonkoping
Strengthening Home Based Care — England and Wales
1. Major Strands of Innovations
1.1 The Patterns and Culture of Innovation
1.2 Home Based Care Schemes
1.3 New Ways of Making Use of Existing Resources
1.4 Services Which Fill the Gap between Home Care and Institutional Care
1.5 Innovations Which Use and Support Informal Resources
1.6 Technological Innovations
2. Some Detailed Case Studies
2.1 The St. Pancras Experiment 1961 63
2.2 The Thanet and Gateshead Community Care Experiments 1977 1986
2.3 The Ipswich and Newham Home Support Projects 1984 86
2.4 The Darlington Community Care Project 1985 88
2.5 Breaks for Carers — A Study by the National Institute for Social Work Research
Unit, 1988 91
2.6 The In Safe Hands Scheme 1981 87
2.7 Family Placement Schemes for the Elderly
viii
Concluding Remarks on the Significance of the Innovations Reviewed — Their
Implications for Social Change
1. Innovations in Home Care —A Challenge for Health and Welfare Policies in General
2. Innovations in Home Care — Issues of Special Concern on the Local Levels of
Operation, Planning and Management
An Excursus — Problems and Methods in Evaluating Strategic Innovations and
Reform in Community Care for the Elderly
1. Introduction
2. The Production of Welfare Approach (POW)
3. The Effects of Inputs on Outcomes
4. Principles and Practices of Process Analysis in POW Evaluation
5. Conclusions
Part III
Needs, Demands and Services. A Comparative Review of Data from the Three
Countries
1. The Growth in the Numbers of the Elderly
2. The Dependency Ratio and the Availability of Carer
3. Levels of Service Provision
Addresses of Organizations
International Differences in Technology
1. Home Help
2. Community Nursing Services
3. Nursing Homes
4. Residential Homes and Sheltered Housing
List of Tables
List of Figures
|
| any_adam_object | 1 |
| building | Verbundindex |
| bvnumber | BV004210806 |
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| callnumber-label | HV1480 |
| callnumber-raw | HV1480 |
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| callnumber-sort | HV 41480 |
| callnumber-subject | HV - Social Pathology, Criminology |
| classification_rvk | MS 2700 QX 000 |
| ctrlnum | (OCoLC)24103781 (DE-599)BVBBV004210806 |
| dewey-full | 362.6/094 |
| dewey-hundreds | 300 - Social sciences |
| dewey-ones | 362 - Social problems and services to groups |
| dewey-raw | 362.6/094 |
| dewey-search | 362.6/094 |
| dewey-sort | 3362.6 294 |
| dewey-tens | 360 - Social problems and services; associations |
| discipline | Soziologie Wirtschaftswissenschaften |
| format | Book |
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| genre | (DE-588)4522595-3 Fallstudiensammlung gnd-content |
| genre_facet | Fallstudiensammlung |
| geographic | Europa Wales (DE-588)4064435-2 gnd Niederlande (DE-588)4042203-3 gnd England (DE-588)4014770-8 gnd Großbritannien (DE-588)4022153-2 gnd Schweden (DE-588)4077258-5 gnd |
| geographic_facet | Europa Wales Niederlande England Großbritannien Schweden |
| id | DE-604.BV004210806 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T16:09:54Z |
| institution | BVB |
| isbn | 3593343991 0813382939 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-002622753 |
| oclc_num | 24103781 |
| open_access_boolean | |
| owner | DE-12 DE-384 DE-473 DE-BY-UBG DE-355 DE-BY-UBR DE-29 DE-N2 DE-B1533 |
| owner_facet | DE-12 DE-384 DE-473 DE-BY-UBG DE-355 DE-BY-UBR DE-29 DE-N2 DE-B1533 |
| physical | X, 248 S. graph. Darst. |
| publishDate | 1991 |
| publishDateSearch | 1991 |
| publishDateSort | 1991 |
| publisher | Campus-Verl. Westview Press |
| record_format | marc |
| series | Public policy and social welfare |
| series2 | Public policy and social welfare |
| spelling | Care for the elderly significant innovations in three European countries Robbert J. Kraan ... Frankfurt am Main Campus-Verl. 1991 Boulder, Colo. Westview Press X, 248 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Public policy and social welfare 6 Literaturangaben Bejaardenzorg gtt Ouderen gtt Personnes âgées - Soins - Europe - Cas, Études de Thuiszorg gtt Aged Europe Health Services for the Aged Europe Older people Care Europe Case studies Social Welfare Europe Internationaler Vergleich (DE-588)4120509-1 gnd rswk-swf Alter (DE-588)4001446-0 gnd rswk-swf Altenarbeit (DE-588)4068587-1 gnd rswk-swf Altenhilfe (DE-588)4001413-7 gnd rswk-swf Hauspflege (DE-588)4023796-5 gnd rswk-swf Europa Wales (DE-588)4064435-2 gnd rswk-swf Niederlande (DE-588)4042203-3 gnd rswk-swf England (DE-588)4014770-8 gnd rswk-swf Großbritannien (DE-588)4022153-2 gnd rswk-swf Schweden (DE-588)4077258-5 gnd rswk-swf (DE-588)4522595-3 Fallstudiensammlung gnd-content Niederlande (DE-588)4042203-3 g Alter (DE-588)4001446-0 s Hauspflege (DE-588)4023796-5 s DE-604 Schweden (DE-588)4077258-5 g Großbritannien (DE-588)4022153-2 g Altenarbeit (DE-588)4068587-1 s Internationaler Vergleich (DE-588)4120509-1 s Wales (DE-588)4064435-2 g Altenhilfe (DE-588)4001413-7 s England (DE-588)4014770-8 g Kraan, Robbert J. Sonstige oth Public policy and social welfare 6 (DE-604)BV003672452 6 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=002622753&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Care for the elderly significant innovations in three European countries Public policy and social welfare Bejaardenzorg gtt Ouderen gtt Personnes âgées - Soins - Europe - Cas, Études de Thuiszorg gtt Aged Europe Health Services for the Aged Europe Older people Care Europe Case studies Social Welfare Europe Internationaler Vergleich (DE-588)4120509-1 gnd Alter (DE-588)4001446-0 gnd Altenarbeit (DE-588)4068587-1 gnd Altenhilfe (DE-588)4001413-7 gnd Hauspflege (DE-588)4023796-5 gnd |
| subject_GND | (DE-588)4120509-1 (DE-588)4001446-0 (DE-588)4068587-1 (DE-588)4001413-7 (DE-588)4023796-5 (DE-588)4064435-2 (DE-588)4042203-3 (DE-588)4014770-8 (DE-588)4022153-2 (DE-588)4077258-5 (DE-588)4522595-3 |
| title | Care for the elderly significant innovations in three European countries |
| title_auth | Care for the elderly significant innovations in three European countries |
| title_exact_search | Care for the elderly significant innovations in three European countries |
| title_full | Care for the elderly significant innovations in three European countries Robbert J. Kraan ... |
| title_fullStr | Care for the elderly significant innovations in three European countries Robbert J. Kraan ... |
| title_full_unstemmed | Care for the elderly significant innovations in three European countries Robbert J. Kraan ... |
| title_short | Care for the elderly |
| title_sort | care for the elderly significant innovations in three european countries |
| title_sub | significant innovations in three European countries |
| topic | Bejaardenzorg gtt Ouderen gtt Personnes âgées - Soins - Europe - Cas, Études de Thuiszorg gtt Aged Europe Health Services for the Aged Europe Older people Care Europe Case studies Social Welfare Europe Internationaler Vergleich (DE-588)4120509-1 gnd Alter (DE-588)4001446-0 gnd Altenarbeit (DE-588)4068587-1 gnd Altenhilfe (DE-588)4001413-7 gnd Hauspflege (DE-588)4023796-5 gnd |
| topic_facet | Bejaardenzorg Ouderen Personnes âgées - Soins - Europe - Cas, Études de Thuiszorg Aged Europe Health Services for the Aged Europe Older people Care Europe Case studies Social Welfare Europe Internationaler Vergleich Alter Altenarbeit Altenhilfe Hauspflege Europa Wales Niederlande England Großbritannien Schweden Fallstudiensammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=002622753&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV003672452 |
| work_keys_str_mv | AT kraanrobbertj carefortheelderlysignificantinnovationsinthreeeuropeancountries |