The Experts below are selected from a list of 161169 Experts worldwide ranked by ideXlab platform
Petri J. Kajonius - One of the best experts on this subject based on the ideXlab platform.
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Variations in user-oriented Elderly Care: a multilevel approach
International Journal of Quality and Service Sciences, 2017Co-Authors: Ali Kazemi, Petri J. KajoniusAbstract:Purpose National Board of Health and Welfare claims that the quality of Elderly Care services differ considerably between municipalities in Sweden. This study aims to analyze to what extent these variations can be accounted for by the older person’s municipality affiliation (i.e. receiving Elderly Care in a certain municipality). Design/methodology/approach Addressing this issue, national survey data from 78,538 older respondents receiving Elderly Care services in Sweden were analyzed using multilevel modeling (MLM). Findings The results showed that municipality affiliation only marginally explained the variance in satisfaction with Care, i.e. its variations were larger within than between municipalities. Instead, user-oriented Care accounted for the variation in satisfaction with Care. Specifically, the way the Care workers behave toward the older person proved to be much more crucial for satisfaction with Care than municipality affiliation. Moreover, random effects analyses revealed that the effects of user-oriented Care on satisfaction with Care varied across municipalities. Care setting (i.e. home Care or nursing home) only marginally accounted for its variance. Practical implications Developing Care quality should start and primarily be discussed at the interpersonal Care level, and not, as is customary, at the municipality level. Originality/value The present research is the first in its kind to quantitatively investigate the sources of variation in perceived quality of Swedish Elderly Care using MLM.
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Structure and process quality as predictors of satisfaction with Elderly Care.
Health & social care in the community, 2015Co-Authors: Petri J. Kajonius, Ali KazemiAbstract:The structure versus process approach to quality of Care presented by Donabedian is one of the most cited ever. However, there has been a paucity of research into the empirical validity of this framework, specifically concerning the relative effects of structure and process on satisfaction with Elderly Care as perceived by the older persons themselves. The current research presents findings from a national survey, including a wide range of quality indicators for Elderly Care services, conducted in 2012 at the request of the Swedish National Board of Health and Welfare in which responses from 95,000 Elderly people living in 324 municipalities and districts were obtained. The results revealed that the only structural variable which significantly predicted quality of Care was staffing, measured in terms of the number of Caregivers per older resident. More interestingly, process variables (e.g. respect and access to information) explained 40% and 48% of the variance in satisfaction with Care, over and above the structural variables, in home Care and nursing homes respectively. The findings from this large nationwide sample examining Donabedian's model suggest that quality in Elderly Care is primarily determined by factors pertaining to process, that is, how Caregivers behave towards the older persons. This encourages a continued quality improvement in Elderly Care with a particular focus on process variables.
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Safeness and Treatment Mitigate the Effect of Loneliness on Satisfaction With Elderly Care
The Gerontologist, 2015Co-Authors: Petri J. Kajonius, Ali KazemiAbstract:Maximizing satisfaction among the older persons is the goal of modern individualized Elderly Care and how to best achieve this is of relevance for anyone planning and providing for Elderly Care ser ...
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The Impact of Care Process on Satisfaction with Elderly Care
2014Co-Authors: Petri J. KajoniusAbstract:This licentiate thesis is based on the growing interest in Swedish Elderly Care. The aim of this thesis is to investigate what generates satisfaction with Elderly Care among older persons. The domi ...
Ali Kazemi - One of the best experts on this subject based on the ideXlab platform.
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Variations in user-oriented Elderly Care: a multilevel approach
International Journal of Quality and Service Sciences, 2017Co-Authors: Ali Kazemi, Petri J. KajoniusAbstract:Purpose National Board of Health and Welfare claims that the quality of Elderly Care services differ considerably between municipalities in Sweden. This study aims to analyze to what extent these variations can be accounted for by the older person’s municipality affiliation (i.e. receiving Elderly Care in a certain municipality). Design/methodology/approach Addressing this issue, national survey data from 78,538 older respondents receiving Elderly Care services in Sweden were analyzed using multilevel modeling (MLM). Findings The results showed that municipality affiliation only marginally explained the variance in satisfaction with Care, i.e. its variations were larger within than between municipalities. Instead, user-oriented Care accounted for the variation in satisfaction with Care. Specifically, the way the Care workers behave toward the older person proved to be much more crucial for satisfaction with Care than municipality affiliation. Moreover, random effects analyses revealed that the effects of user-oriented Care on satisfaction with Care varied across municipalities. Care setting (i.e. home Care or nursing home) only marginally accounted for its variance. Practical implications Developing Care quality should start and primarily be discussed at the interpersonal Care level, and not, as is customary, at the municipality level. Originality/value The present research is the first in its kind to quantitatively investigate the sources of variation in perceived quality of Swedish Elderly Care using MLM.
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Structure and process quality as predictors of satisfaction with Elderly Care.
Health & social care in the community, 2015Co-Authors: Petri J. Kajonius, Ali KazemiAbstract:The structure versus process approach to quality of Care presented by Donabedian is one of the most cited ever. However, there has been a paucity of research into the empirical validity of this framework, specifically concerning the relative effects of structure and process on satisfaction with Elderly Care as perceived by the older persons themselves. The current research presents findings from a national survey, including a wide range of quality indicators for Elderly Care services, conducted in 2012 at the request of the Swedish National Board of Health and Welfare in which responses from 95,000 Elderly people living in 324 municipalities and districts were obtained. The results revealed that the only structural variable which significantly predicted quality of Care was staffing, measured in terms of the number of Caregivers per older resident. More interestingly, process variables (e.g. respect and access to information) explained 40% and 48% of the variance in satisfaction with Care, over and above the structural variables, in home Care and nursing homes respectively. The findings from this large nationwide sample examining Donabedian's model suggest that quality in Elderly Care is primarily determined by factors pertaining to process, that is, how Caregivers behave towards the older persons. This encourages a continued quality improvement in Elderly Care with a particular focus on process variables.
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Safeness and Treatment Mitigate the Effect of Loneliness on Satisfaction With Elderly Care
The Gerontologist, 2015Co-Authors: Petri J. Kajonius, Ali KazemiAbstract:Maximizing satisfaction among the older persons is the goal of modern individualized Elderly Care and how to best achieve this is of relevance for anyone planning and providing for Elderly Care ser ...
Ulrika Winblad - One of the best experts on this subject based on the ideXlab platform.
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privatization of social services quality differences in swedish Elderly Care
Social Science & Medicine, 2011Co-Authors: Ragnar Stolt, Paula Blomqvist, Ulrika WinbladAbstract:One of the major policy trends in recent decades has been the privatization of social services. This trend has also reached Sweden, a welfare state with health Care and social service sectors that previously had almost no private providers. One of the most affected areas is Elderly Care, i.e. home-help services and residential Care provided to citizens older than 65 years, where the proportion of private providers increased from 1% in 1990 to 16% in 2010. The ongoing privatization in Sweden and many other countries has raised important questions regarding the consequences of this policy transformation. In this paper, we present a cross-sectional study comparing the quality of services in private and public Elderly Care. Using statistics from 2007 displaying a variety of quality dimensions covering over 99% of all Elderly Care residents in Sweden, we were able to show that privatization is indeed associated with significant quality differences. Structural quality factors such as the number of employees per resident was significantly smaller (-9%) in private Elderly Care. On the other hand, the proportion of residents participating in the formulation of their Care plan (+7%), the proportion of Elderly with a reasonable duration between evening meal and breakfast (+15%), and the proportion of Elderly offered different food alternatives (+26%) were significantly in favour of private contractors. Our conclusion is that private Care providers seem to emphasize service aspects rather than structural prerequisites for good Care.
Tone Bratteteig - One of the best experts on this subject based on the ideXlab platform.
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A trajectory for technology-supported Elderly Care work
Computer Supported Cooperative Work (CSCW), 2019Co-Authors: Anita Woll, Tone BratteteigAbstract:To enable Elderly people to live independently in their homes, the government aims to de-institutionalize Elderly Care services by upscaling home Care services and Care housing and downscaling long-term stays at nursing homes. Increasing use of assistive technologies will play a significant role in the ongoing transformation of Care services, however our empirical data shows how difficult appropriation and use of technology are for Elderly end-users. In this paper, we suggest a comprehensive Elderly Care trajectory model that includes the collaborative work of self-Care, formal Care, informal Care and technology. We build our trajectory on empirical studies of Elderly people using assistive technology in a Care housing and in nursing homes, in addition to Corbin and Strauss’ classic work. Our proposal of an Elderly Care trajectory fits with the municipal Care staircase, but challenges its minimalist service level focus, as well as its late and limited introduction of technology.
Ragnar Stolt - One of the best experts on this subject based on the ideXlab platform.
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privatization of social services quality differences in swedish Elderly Care
Social Science & Medicine, 2011Co-Authors: Ragnar Stolt, Paula Blomqvist, Ulrika WinbladAbstract:One of the major policy trends in recent decades has been the privatization of social services. This trend has also reached Sweden, a welfare state with health Care and social service sectors that previously had almost no private providers. One of the most affected areas is Elderly Care, i.e. home-help services and residential Care provided to citizens older than 65 years, where the proportion of private providers increased from 1% in 1990 to 16% in 2010. The ongoing privatization in Sweden and many other countries has raised important questions regarding the consequences of this policy transformation. In this paper, we present a cross-sectional study comparing the quality of services in private and public Elderly Care. Using statistics from 2007 displaying a variety of quality dimensions covering over 99% of all Elderly Care residents in Sweden, we were able to show that privatization is indeed associated with significant quality differences. Structural quality factors such as the number of employees per resident was significantly smaller (-9%) in private Elderly Care. On the other hand, the proportion of residents participating in the formulation of their Care plan (+7%), the proportion of Elderly with a reasonable duration between evening meal and breakfast (+15%), and the proportion of Elderly offered different food alternatives (+26%) were significantly in favour of private contractors. Our conclusion is that private Care providers seem to emphasize service aspects rather than structural prerequisites for good Care.
