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Long-term care need in urban China : Haidian, BeijingChan, Hong-to, Peter, 陳洪濤 January 2014 (has links)
Background: Results from various studies of Long-term Care (LTC) need in China have remained confusing with LTC rates ranging from 2.4% to 22%. Therefore, it has been difficult to ascertain LTC’s sustainability in China.
Methods: 672 households with people aged 60+ in Haidian, Beijing, were successfully interviewed between June – August, 2011. interRAI – Home Care assessment tool and scales were used to identify LTC impairment, LTC services use and want, and LTC services drivers.
Findings: If LTC need refers to LTC impairment, based on population of Haidian in 2010, it was estimated 3.7% or 14,000 persons aged 60+ in Haidian have LTC impairment. If LTC need refers to people’s use or want of LTC services, it was estimated 38.7% or 147,000 persons aged 60+ in Haidian used and wanted LTC services. In specific, 11.9% (45,000) used Community Care (CC), 6.7% (25,000) and 20.1% (77,000) wanted Residential Care and CC respectively. LTC impairment rate as identified by this study was lower than most of other LTC studies in China, probably due to varied impairment identification and measurement mechanisms.
LTC impairment tended to be affected by social activity level (OR: Odds Ratio = 0.29), subjective environmental hazards (OR = 0.20) and poor self-rated health (OR = 2.00). In addition, as compared to their counterparts, respondents with LTC impairment tended to be older; with “fewer” education, social activity and good health practice; and “high” in caregiver stress, objective environmental hazards, behavioral problems and depressive symptoms.
There was no statistically significant relationship between LTC impairment and LTC services use/want. For those who used/wanted LTC services, 95% had no LTC impairment. For those with LTC impairment, 54.2% used or wanted LTC services. As compared to their counterparts, respondents who used or wanted LTC services tended to be in more favorable conditions: younger, higher education, more income, living with others, socially active, good self-rated health and more good health practice. These people also tended to have fewer objective environmental hazards, caregiver stress, chronic conditions, behavioral problems, and depressive symptoms.
Use of CC was driven by higher age (OR: Odds Ratio = 1.088), being female (OR = 0.268), higher education (OR = 0.260), higher income (OR =3.218), and more objective environmental hazards (OR = 2.522). CC want was driven by higher age (OR = 1.050), being female (OR = 0.625), higher education (OR = 0.348) and more depression (OR = 1.235). Good health practice was the only factor that affecting RC want (OR = 2.842). The overall Pseudo R^2 was 0.219.
Implications: Better projection of LTC impairment and LTC services use/want via standardized assessment tool is needed in China. There is also a need to address the issue of mismatch in LTC impairment and services. This is to ensure allocation of LTC services is based on LTC impairment and not because of higher income or education. / published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy
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A phenomenological study of family members of long-term critically ill adult patients and their perceived needsHaynes, Nancy Hutton, Smith, Katharine Vogel. January 2007 (has links)
Thesis (Ph. D.)--School of Nursing. University of Missouri--Kansas City, 2007. / "A dissertation in nursing." Advisor: Katharine Smith. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed Jan. 2, 2008. Includes bibliographical references (leaves 155-168). Online version of the print edition.
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Nursing home residents' and family caregivers' strategies in financing the costs of long-term care /Mikolas, Cynthia Jean. January 2001 (has links)
Thesis (Ph. D.)--University of Chicago, School of Social Service Administration, August, 2001. / Includes bibliographical references. Also available on the Internet.
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A process perspective on legitimacy for public administration : refocusing the national long-term care policy debate /Massie, Cynthia Zeliff. January 1993 (has links)
Thesis (Ph. D.)--Virginia Polytechnic Institute and State University, 1993. / Vita. Abstract. Includes bibliographical references (leaves 318-332). Also available via the Internet.
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A development of key concepts in long-term illness nursing.Drummond, Eleanor E. January 1960 (has links)
Thesis (Ed.D.)--Teachers College, Columbia University. / Includes tables. Typescript. Sponsor: R. Louise McManus. Dissertation Committee: Dwayne Huebner, Frances R. Kreuter. Type C project. Includes bibliographical references (leaves 84-106).
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FACTORS INVOLVED IN CAREGIVERS' DECISIONS TO PLACE THE ELDERLY IN LONG TERM CARE FACILITIES.Knight, Mary T. January 1983 (has links)
No description available.
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GOING HOME: AN ETHNOGRAPHIC STUDY OF PATIENT SUPPORT NEEDS DURING THE TRANSITION FROM LONG-TERM HOSPITALIZATION TO HOMEStaveley, Melinda January 1984 (has links)
No description available.
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The differences in environmental quality of care for HIV/AIDS-infected children in Romanian institutions and group homesMilea, Simona Aostacioae. January 1999 (has links)
Thesis (D. Min.)--Temple Baptist Seminary, 1999. / Abstract. Includes bibliographical references (leaves 174-177).
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The collaboration of nurse practitioners and physicians in long-term care using a case-management model in a managed-care environmentKelly-Shelby, Angela Mastracchio. January 2005 (has links)
Thesis (Ed.D.)--University of West Florida, 2005. / Title from title page of source document. Document formatted into pages; contains 208 pages. Includes bibliographical references.
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A grounded theory study of dream fulfilment in children and young people with life-threatening and long-term conditions and their familiesGalinsky, Jayne January 2015 (has links)
Background: This thesis examines the impact of dream or wish fulfilment on seriously ill children and their families. Dream or wish fulfilment is operationalised as the actualisation of a seriously ill child’s wish by a charity that provides desired experiences. Anecdotal reports suggest that the experience of having a dream or a wish fulfilled can provide seriously ill children and their families with a sense of hope and time away from illness. However, little empirical research has been conducted in this area. This thesis reports the impact of dream fulfilment on the psychosocial well-being of ill children and their families. The research questions are: what is the experience of having a dream fulfilled for the child? What is the impact of dream fulfilment on the family? Methods: A constructivist grounded theory methodology was adopted, using theoretical sampling to recruit families from across the UK. Twenty-one families were interviewed, including 15 dream recipients, 8 siblings, and 24 parents. Analysis followed the grounded theory methodology of simultaneous data collection and development of theory, resulting in analytic interpretations of participants’ worlds. Results and Conclusions: This thesis reports for the first time a theory and accompanying theoretical model, that explain the impact of dream fulfilment on families’ lives. The generated theory suggests that dream fulfilment was conceptualised as an alternative milestone in seriously ill children and their families’ lives. Additionally, the dream experience shifted perceptions of illness by providing instances and experiences where illness did not underscore family life. Findings additionally suggest that the dream fulfilment process provided families with ill children, who often felt excluded and stigmatised from services, with a period of much needed support. Findings also highlight the unintended negative consequences of dream fulfilment. Implications for Dreams Come True, and other dream and wish fulfilment organisations are discussed.
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