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The increase in the number and life expectancy of elderly people is a general trend across Europe. Each country responds differently to the increased demands for elderly care, due to differences in their socio-cultural, political, and historical backgrounds. This book describes patterns of caregiving to frail, elderly people in Denmark, France, the Netherlands, and Germany. For each country, characteristic features of professional and informal elderly care are described, specifically focusing on home nursing. Differences in home nursing in these four countries are described from a broad sociological and cultural perspective. These are related to differences between health-care professions and health-care sectors, structures, and ways of financing of health-care systems, the role of the family in caregiving to elderly people, and norms and values regarding health and illness. This volume provides insight into country-specific patterns of provision of care for vulnerable elderly people.
A comprehensive report on the role and functions of nurses and midwives within the health systems of European countries including countries of central and eastern Europe (CCEE) and the newly independent states (NIS) of the former Soviet Union. The report
Demographic, epidemiological, social and cultural trends in European countries are changing the traditional patterns of care. The next decades will see rising numbers of care-dependent older people and noncommunicable diseases as the leading cause of chronic illness and disability. Further, urbanization and the break-up of the traditional large family group will lead to gaps in the care of older or disabled family members. These changes in needs and social structure require a different approach to policy and services in the health and social sectors; a disease-oriented approach alone is no longer appropriate. Home care could be an answer to these issues: a sustainable approach to prevent the need for unnecessary acute or long-term institutionalization and to maintain people in their homes and communities as long as possible. Along with new forms of service delivery organization, technological innovation can represent a viable solution to developing home care in Europe, provided that health care systems can further enhance integration and coordination. This publication is part of the work of the WHO Regional Office for Europe to present evidence for health policy- and decision-makers in a clear and understandable form. It explains why health and social services should provide high-quality and targeted home care for disabled and older people. It provides evidence for the effectiveness of home care, shows how it can be improved, and explains the need to ensure equitable access. The publication also explores the varied cultural and care contexts in different countries, and reveals how to educate professionals and the public about these issues. This booklet seeks to broaden awareness, stimulate debate and promote action.
For every person over the age of 65 in today's European Union there are four people of working age but by 2050 there will only be two. Demand for long-term care of which home care forms a significant part will inevitably increase in the decades to come. Despite the importance of the issue however up-to-date and comparative information on home care in Europe is lacking. This book attempts to fill some of that gap by examining current European policy on home care services and strategies. Home care in Europe probes a wide range of topics including the links between social services and health-care.
Forecasts predict that those in need of long-term care in Europe will double in the next 50 years. This book offers a full understanding of the institutional responses and mechanisms in place to finance old age and provides analysis of demand and supply factors underpinning the development of financial instruments to cover long-term care in Europe.
For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.
Drawing on research across a wide range of European countries, this book analyzes the key issues at stake in developing long-term care systems for older people in Europe with a focus on progression and improvement for policy and practice.
Given growing caseloads, limited funding and staff shortages, the need for coordination in healthcare and elderly care is at an all-time high. This timely book conducts a cross-national analysis of coordination problems in healthcare and long-term care systems and provides novel insights on how to improve the lives of the elderly.
Nursing in the European Union demonstrates how the European Union (EU) has refashioned the nursing world throughout the Member States via its power in many other policy domains. Volume 1 focused on the EU's impact on nursing education, regulation, and research endeavours. This volume focuses on real-life situations and problems EU nurses face?wages, stress, work environments, and dispute resolution?and places them in a comparative perspective.In this unique work, Sondra Z. Koff develops a profile of nurses' workplaces, highlighting similarities and diversities, challenges, and nurses' opinions. Though it has limited formal authority in the health and health care sectors, the EU has had a significant impact on the working life of these practitioners in areas such as employment options, industrial relations and their outcomes, organizational and environmental features of nurses' workplaces, collective action, and more.New policies and legalities are regulating the production, distribution, practices, and organization of nursing according to supranational standards. Koff helps to fill a gap in the literature, given the dearth of comparative, cross-national, book-length studies of the nursing profession. By adopting a framework focused on an institution, policies, and politics, Koff addresses these topics from the perspective of multiple actors, both national and international.