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The Global ETD Search service is a free service for researchers
to find electronic theses and dissertations. This service is
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Networked Digital Library of Theses and Dissertations.
Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
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Showing 51 to 59 of 59 (0.016 seconds)| 51 |
社區公設民營老人安居住宅之研究- 以新店屈尺社區「頤苑自費安養中心」為例 -謝幼緯 Unknown Date (has links)
隨著政府職能的改變，面對財政壓力，引進民間企業的活力和專業創新的能力，委外經營模式成為政府推動各項為民服務業務的主要策略，而以「公設民營」的方式，結合民間資源共同推動老人福利服務工作。
「高齡化」是當今世界各國共同現象與趨勢，近年台灣人口老化迅速，在工商社會變遷與晚婚少子化下更形突顯。為因應「老人照顧」多元化的發展，以何種「老人安居住宅」的型態，達成融入「社區」、「在地老化」的政策目標，引發了研究者之研究動機。
本研究係採質化研究，以文獻分析，問卷調查深入訪談法等方式進行探討，由高齡社會學、公共選擇理論、社會資源整合等理論為分析導引，探討老人安居住宅需求重要性、老人照顧需求層面內涵、公設民營發展、政府及國內學者專家對老人住宅政策規劃方向，最後再結合個案入住老人、社區住民、公民營專家深入訪談，歸納並提供適合社區老人安居住宅之公設民營建議與結論。
本研究發現「毗鄰居住」的社區老人安居住宅，適合台灣傳統家庭的維繫；而公設民營模式可適合老人社會普遍性需求，以全政府照顧弱勢的社會責任。最後，本研究研擬幾項建議如下：
一、 硬體設施：政府擇定設置示範老人安居住宅，委由民間專業團隊經營，建立有效的監督機制與評鑑規範、以公設民營模式建構老人連續照顧體制的初級系統。
二、 醫療支援：政府應整合社會醫療資源，規劃多元醫療體制；及早實施長期照護保險政策；提供老人連續性服務之多功能窗口。
三、 在地老化：政府應推廣社區老人安居住宅概念，落實社區照顧，儘量讓老人在自己熟悉環境中在地老化。
四、 居住安養：運用居住空間「通用設計」概念，建構設置社區公設民營老人安居住宅，以使有限資源運用效益最大化。
五、 資源整合：政府應整合社會福利、現行老人補貼等相關政策資源，以發揮整體效益。 / To cope with the change of the functions and financial pressure, the government conveys the works to private sectors to make good use of their innovative and professional ability, or adopts outsourcing model to promote the social services. Therefore, the strategy of “government owned and private sector operated,” combined with non-governmental resources are provided jointly to promote the welfare of the elderly services.
"Aging" is a common phenomenon and trends in today's world. In recent years, as Taiwan's population is aging rapidly, the birthrate is declining and late marriage is prevailing highlighted the need for reform. In response to development of "elderly care", my main question is to investigate what kind of "residential homes for the elderly" to attain the policy objectives of integrating with the "community", "aging in place".
This study reviews the literature concerning the sociology of aging, public choice theory, theory of social resources and adopts qualitative research method, such as questionnaire and in-depth interviews to examine the importance of housing demand for the elderly care needs, development of public-private partnership, government policy planning directions for the elderly housing. Finally we work through the case study with the data collected from the elderly, community residents, public and private experts, and draw conclusions for providing the elderly suitable community-dwelling homes and the strategy of “government owned and private sector operated.”
This study finds that adjacent to the community residential homes for the elderly, is suitable for maintaining the traditional family ties; and the government owned and private sector operated mode is suitable for the elderly needs. By doing so, the government can fulfill the social responsibility to take care of the disadvantaged.
We make some suggestions for further efforts:
1. Hardware facilities provided
The government selects the model residential homes for the elderly, and run by non-governmental professional team, and sets up effective monitoring mechanisms and evaluation standards in order to help civil organizations to run the elderly care system continuously.
2. Medical care support
The government should integrate social and medical resources, planning pluralistic health care system; early implementation of long-term care insurance policies to provide multi-functional window for services of the elderly.
3. Aging in place
The government should promote the concept of community-dwelling for the elderly, the implementation of community-based care as much as possible so the elderly can be aging in familiar environment.
4. Nursing homes provided in the neighborhood
To use concept of "universal design" for living space, and build the “government owned and private sector operated” housing in nearby community in order to maximize the benefits of using limited resources.
5. Resource Integration
The government should integrate social welfare resources, the current subsidies for the elderly and other related policy resources in order to increase the overall efficiency.
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Implantation d’un système de vidéosurveillance intelligente pour détecter les chutes en milieu de vieLapierre, Nolwenn 08 1900 (has links)
No description available.
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Perceptions of residential grab bars among community dwelling seniorsThrall, Patti L. 04 June 2012 (has links)
Despite the perceived importance of grab bars to facilitate aging-in-place and healthy aging, many community-dwelling older adults do not have them installed. The aim of this study was to investigate predictors of grab bar installation among well-educated community dwelling seniors. Data was collected quantitatively through an electronic survey of Oregon residents 50 years of age and older. The research analysis was completed using logistic regression with SPSS and qualitative analysis for the open questions. / Graduation date: 2012
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Living outside the box: sustaining the lifelong community through universal designRicks, Joi Elizabeth 08 July 2010 (has links)
We all want to live in a healthy community. Each of us has his or her own image of what such a community should look like. That image is shaped, in part, by our reaction to the communities in which we now live or used to live. However we often take for granted the elements of communities that enable and sometimes disable many of us to remain active in a community for a lifetime. For older residents, a lifelong community would include elements that help them to maintain independence and quality of life. The physical characteristics of a community often play a major role in facilitating our personal independence. In order to combat the growing challenges and health concerns facing the American lifestyle this research proposes a set of design guidelines that promote sustainable lifelong communities that are universally designed for people of all ages and levels of physical ability.
The purpose of developing a set of universal design guidelines for lifelong communities is to alleviate many of the physical barriers and challenges that prevent some Americans from active involvement in the community. The methods employed to develop these guidelines were based on literature review and analysis. This research was incorporated into a new body of practical standards that was tested against a real life community in Decatur, Georgia. These standards were edited and revised to appropriately accommodate the necessary adaptations that were discovered during the evaluation phase. The resultant guidelines are presented with the intention of becoming a usable guide for planning agencies such as the Atlanta Regional Commission and other local and national community design facilitators.
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Policy Perspectives: Nonprofits and Government Impact on Aging in PlaceHill, Celeste 12 April 2019 (has links)
In recent years, tremendous growth in the older adult population has prompted the US Federal government along with state governments to fund programs and organizational structures that can help meet the needs of older adults. Further, organizations such as the National Council on Aging, as well as the American Association of Retired Persons (AARP), and nonprofits such as the United Way also partner in these efforts. This project seeks to analyze the content of American state and federal policy as well as nonprofit programs in order to identify the policy priorities that are currently being supported. Do current policy efforts promote “aging in place” strategies as a way to maintain quality of life and older adult health? An analysis of public policies and nonprofit program structures in the United States since 2000 will help to identify policy priorities that impact aging adults, and will hopefully pave the way to prepare our society for further actions and needs in order to continue to serve them in the next several decades.
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Le vêtement, outil d’inclusion sociale pour femmes baby-boomers en situation de handicap, potentiellement en situation de handicap et en processus de vieillissement : le manteau d’hiverGrenon, Ghislaine 02 1900 (has links)
No description available.
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Toward a Good Life in Later Life: Perspectives, Problems, and ResponsesKlein, Robert R. 05 July 2013 (has links)
No description available.
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Task-based Embedded Assessment of Functional Abilities for Aging in PlaceLee, Matthew L. 01 August 2012 (has links)
Many older adults desire to maintain their quality of life by living and aging independently in their own homes. However, it is difficult for older adults to notice and track the subtle changes in their own abilities because these abilities can change gradually over a long period of time. Technology in the form of ubiquitous sensors embedded in objects in the home can play a role in keeping track of the functional abilities of individuals unobtrusively, objectively, and continuously over a long period of time. This work introduces a sensing technique called “task-based embedded assessment” that monitors how well specific tasks important for independence are carried out using everyday objects found in the home with which individuals regularly interact. Following formative studies on the information needs of older adults and their caregivers, a sensing system called “dwellSense” that can monitor, assess, and provide feedback about how well individuals complete tasks, such as taking medications, using the phone, and making coffee, was designed, built, and evaluated. Multiple longterm (over 10 months) field deployments of dwellSense were used to investigate how the data collected from the system could support greater self-awareness of abilities and intentions to improve in task performance. Presenting and reflecting on data from ubiquitous sensing systems such as dwellSense is challenging because it is both highly dimensional as well as large in volume, particularly if it is collected over a long period of time. Thus, this work also investigates the time dimension of reflection and has identified that real-time feedback is particularly useful for supporting behavior change, and longer-term trended feedback is useful for greater awareness of abilities. Traditional forms of assessing the functional abilities of individuals tend to be either biased, lacking ecological validity, infrequent, or expensive to conduct. An automated sensor-based approach for assessment is compared to traditional performance testing by a trained clinician and found to match well with clinician-generated ratings that are objective, frequent, and ecologically valid. The contributions from this thesis not only advance the state of the art for maintaining quality of life and care for older adults, but also provide the foundations for designing personal sensing systems that aim to assess an individual’s abilities and support behaviors through the feedback of objective, timely sensed information.
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Ontario’s Home First Approach, Care Transitions, and the Provision of Care: The Perspectives of Home First Clients and Their Family CaregiversEnglish, Christine 23 May 2013 (has links)
Home First is an Ontario transition management approach that attempts to reduce the pressure on hospital and Long Term Care (LTC) beds through early discharge planning, the provision of timely and appropriate home care, and the delay of LTC placement. The purpose of this qualitative descriptive study was to obtain descriptions from South Eastern Ontario Home First clients and their family caregivers of their experiences with and thoughts about care transitions, the provision of care, and the Home First approach. The goal was to enable insight into the Home First approach, care transitions, and the provision of care through access to the perspectives of study participants. Nine semi structured interviews (and one or more follow-up calls for each interview) with Home First clients discharged from hospitals in South East Ontario and their family caregivers were conducted and their content analyzed.
All participating Home First clients were pleased to be home from hospital and did not consider LTC placement a positive option. All had family involved with their care and used a mix of formal and informal services to meet their care needs. Four general themes were identified: (a) maintaining independence while responding (or not) to risks, (b) constraints on care provision, (c) communication is key, and (d) relationship matters.
Although all Home First clients participating in the study were discharged home successfully, a sense of partnership between health care providers, families, and clients was often lacking. The Home First approach may be successfully addressing hospital alternative level of care issues and getting people home where they want to be, but it is also putting increasing demands on formal and informal community caregivers. There is room for improvement in how well their needs and those of care recipients are being met. Health professionals and policy makers must ask caregivers and recipients about their concerns and provide them with appropriate resources and information if they want them to become true partners on the care team. / Thesis (Master, Rehabilitation Science) -- Queen's University, 2013-05-23 16:10:53.323
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