| 1. |
- Berglund, Helene, 1957, et al.
(författare)
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Care planning at home: a way to increase the influence of older people?
- 2012
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Ingår i: International Journal of Integrated Care. - : Igitur, Utrecht Publishing & Archiving Services. - 1568-4156. ; 12:September
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Care-planning meetings represent a common method of needs assessment and decision-making practices in elderly care. Older people's influence is an important and required aspect of these practices. This study's objective was to describe and analyse older people's influence on care-planning meetings at home and in hospital. Methods: Ten care-planning meetings were audio-recorded in the older people's homes and nine were recorded in hospital. The study is part of a project including a comprehensive continuum-of-care model. A qualitative content analysis was performed. Results: Care-planning meetings at home appeared to enable older people's involvement in the discussions. Fewer people participated in the meetings at home and there was less parallel talking. Unrelated to the place of the care-planning meeting, the older people were able to influence concerns relating to the amount of care/service and the choice of provider. However, they were not able to influence the way the help should be provided or organised. Conclusion: Planning care at home indicated an increase in involvement on the part of the older people, but this does not appear to be enough to obtain any real influence. Our findings call for attention to be paid to older people's opportunities to receive care and services according to their individual needs and their potential for influencing their day-to-day provision of care and service.
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| 2. |
- Berglund, Helene, 1957
(författare)
-
Care planning at home: a way to increase the influence of older people?
- 2014
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Ingår i: 22nd Nordic Congress of Gerontology 2014, www.22nkg.com.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: Care-planning meetings represent a common method of needs assessment and decision-making practices in elderly care. Older people’s influence is an important and required aspect of these practices. Aim: This study’s aim was to describe and analyse older people’s influence on care-planning meetings at home and in hospital. Methods: Ten care-planning meetings were audio-recorded in the older people’s homes and nine were recorded in hospital. The study is part of a project including a comprehensive continuum-of-care model. A qualitative content analysis was performed. Results: Care-planning meetings at home appeared to enable older people’s involvement in the discussions. Fewer people participated in the meetings at home and there was less parallel talking. Unrelated to the place of the care-planning meeting, the older people were able to influence concerns relating to the amount of care/service and the choice of provider. However, they were not able to influence the way the help should be provided or organised. Conclusion: Planning care at home indicated an increase in involvement on the part of the older people, but this does not appear to be enough to obtain any real influence. Our findings call for attention to be paid to older people’s opportunities to receive care and services according to their individual needs and their potential for influencing their day-to-day provision of care and service.
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| 3. |
- Berglund, Helene, 1957, et al.
(författare)
-
Older people's views of quality of care: a randomised controlled study of continuum of care
- 2013
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Ingår i: Journal of Clinical Nursing. - : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 22:19-20, s. 2934-2944
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives To analyse frail older peoples views of quality of care when receiving a comprehensive continuum of care intervention, compared with those of people receiving the usual care (control group). The intervention included early geriatric assessment, case management, interprofessional collaboration, support for relatives and organising of care-planning meetings in older peoples own homes. less thanbrgreater than less thanbrgreater thanBackground Prior studies indicate that tailored/individualised care planning conducted by a case manager/coordinator often led to greater satisfaction with care planning among older people. However, there is no obvious evidence of any effects of continuum of care interventions on older peoples views of quality of care. less thanbrgreater than less thanbrgreater thanDesign Randomised controlled study. less thanbrgreater than less thanbrgreater thanMethods Items based on a validated questionnaire were used in face-to-face interviews to assess older peoples views of quality of care at three, six and 12months after baseline. less thanbrgreater than less thanbrgreater thanResults Older people receiving a comprehensive continuum of care intervention perceived higher quality of care on items about care planning (p0005), compared with those receiving the usual care. In addition, they had increased knowledge of whom to contact about care/service, after three and 12months (pandlt;003). less thanbrgreater than less thanbrgreater thanConclusions The study gives evidence of the advantages of a combination of components such as organising care-planning meetings in older peoples own homes, case management and interprofessional teamwork. less thanbrgreater than less thanbrgreater thanRelevance to clinical practice The results have implications for policymakers, managers and professionals in the area of health and social care for older people to meet individual needs of frail older people.
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| 4. |
- Berglund, Helene, 1957
(författare)
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Organizing integrated care for older persons: strategies in Sweden
- 2014
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Ingår i: Oral session on 22nd International Conference on Health Promoting Hospitals and Health Services, Barcelona.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- ABSTRACT Introduction The increasing differentiation of welfare services, and particularly of care for older persons, calls for improved integration across the involved organizations. Older persons often have complex needs and they receive care from many different providers of health/social care and rehabilitation. There is a risk of fragmentation of responsibilities, which may result in efficiency and quality problems, such as duplications, gaps and discontinuity. This may in turn lead to concerns for the older persons, primarily dealing with unmet care needs. Purpose/methods The purpose of the study was to analyse ways of organizing integrated care for older persons in Sweden during the past decade. The data consist of 62 cases of development work, described in official reports. A meta-analysis of cases was performed, including content analysis of each case. A theoretical framework comprising different forms of integration and strategies was applied. Results The development of local health care systems constitutes an important co-operation strategy, involving new ideas about organizing integrated care. The focus includes local care, health promotion and co-operation across organizational borders. The primary element is to stimulate innovation and new organizational approaches for older persons with specific diagnoses,(e.g. stroke and heart failure), and medical specialists located outside the hospital. However, the increasing use of contracting strategies, such as consumer choice models are characterized by differentiation and less emphasis on integration. Conclusions The development of local health care systems for older persons during the past decade appeared to be a promising strategy as regards health promotion and integration. However, contracting strategies seemed to be problematic regarding integration between organizations.
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