Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe

Introduction: While many different factors can undermine older people’s ability to live safely at home, safety as an explicit aspect of integrated care for older people living at home is an underexplored topic in research. In the context of a European project on integrated care, this study aims to i...

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Main Authors: Manon Lette, Annerieke Stoop, Erica Gadsby, Eliva A. Ambugo, Nuri Cayuelas Mateu, Jillian Reynolds, Giel Nijpels, Caroline Baan, Simone R. de Bruin
Format: Article
Language:English
Published: Ubiquity Press 2020-10-01
Series:International Journal of Integrated Care
Subjects:
Online Access:https://www.ijic.org/articles/5423
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author Manon Lette
Annerieke Stoop
Erica Gadsby
Eliva A. Ambugo
Nuri Cayuelas Mateu
Jillian Reynolds
Giel Nijpels
Caroline Baan
Simone R. de Bruin
author_facet Manon Lette
Annerieke Stoop
Erica Gadsby
Eliva A. Ambugo
Nuri Cayuelas Mateu
Jillian Reynolds
Giel Nijpels
Caroline Baan
Simone R. de Bruin
author_sort Manon Lette
collection DOAJ
description Introduction: While many different factors can undermine older people’s ability to live safely at home, safety as an explicit aspect of integrated care for older people living at home is an underexplored topic in research. In the context of a European project on integrated care, this study aims to improve our understanding of how safety is addressed in integrated care practices across Europe. Methods: This multiple case study included thirteen integrated care sites from seven European countries. The Framework Method guided content analyses of the case study reports. Activities were clustered into activities aimed at identifying and managing risks, or activities addressing specific risks related to older people’s functioning, behaviour, social environment, physical environment and health and social care receipt. Results: Case studies included a broad range of activities addressing older people’s safety. Although care providers felt they sufficiently addressed safety issues, older people were often concerned and insecure about their safety. Attention to the practical and social aspects of safety was often insufficient. Conclusions and discussion: Integrated care services across Europe address older people’s safety in many ways. Further integration of health and social care solutions is necessary to enhance older people’s perceptions of safety.
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spelling doaj.art-846dad276564467491a811ddccaa17542022-12-22T00:46:27ZengUbiquity PressInternational Journal of Integrated Care1568-41562020-10-0120410.5334/ijic.54234855Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across EuropeManon Lette0Annerieke Stoop1Erica Gadsby2Eliva A. Ambugo3Nuri Cayuelas Mateu4Jillian Reynolds5Giel Nijpels6Caroline Baan7Simone R. de Bruin8Amsterdam Public Health research institute, Department of General Practice, Amsterdam UMC, VU University Amsterdam, Amsterdam; National Institute for Public Health and the Environment, BilthovenAmsterdam Public Health research institute, Department of General Practice, Amsterdam UMC, VU University Amsterdam, Amsterdam; National Institute for Public Health and the Environment, Bilthoven; Scientific Centre for Transformation in Care and Welfare (Tranzo), Tilburg University, TilburgCentre for Health Services Studies, University of Kent, CanterburyDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, OsloAgency for Health Quality and Assessment of Catalonia (AQuAS), BarcelonaAgency for Health Quality and Assessment of Catalonia (AQuAS), BarcelonaAmsterdam Public Health research institute, Department of General Practice, Amsterdam UMC, VU University Amsterdam, AmsterdamNational Institute for Public Health and the Environment, Bilthoven; Scientific Centre for Transformation in Care and Welfare (Tranzo), Tilburg University, TilburgNational Institute for Public Health and the Environment, BilthovenIntroduction: While many different factors can undermine older people’s ability to live safely at home, safety as an explicit aspect of integrated care for older people living at home is an underexplored topic in research. In the context of a European project on integrated care, this study aims to improve our understanding of how safety is addressed in integrated care practices across Europe. Methods: This multiple case study included thirteen integrated care sites from seven European countries. The Framework Method guided content analyses of the case study reports. Activities were clustered into activities aimed at identifying and managing risks, or activities addressing specific risks related to older people’s functioning, behaviour, social environment, physical environment and health and social care receipt. Results: Case studies included a broad range of activities addressing older people’s safety. Although care providers felt they sufficiently addressed safety issues, older people were often concerned and insecure about their safety. Attention to the practical and social aspects of safety was often insufficient. Conclusions and discussion: Integrated care services across Europe address older people’s safety in many ways. Further integration of health and social care solutions is necessary to enhance older people’s perceptions of safety.https://www.ijic.org/articles/5423safetyriskspreventionolder people living at homecase studyintegrated care
spellingShingle Manon Lette
Annerieke Stoop
Erica Gadsby
Eliva A. Ambugo
Nuri Cayuelas Mateu
Jillian Reynolds
Giel Nijpels
Caroline Baan
Simone R. de Bruin
Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe
International Journal of Integrated Care
safety
risks
prevention
older people living at home
case study
integrated care
title Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe
title_full Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe
title_fullStr Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe
title_full_unstemmed Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe
title_short Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe
title_sort supporting older people to live safely at home findings from thirteen case studies on integrated care across europe
topic safety
risks
prevention
older people living at home
case study
integrated care
url https://www.ijic.org/articles/5423
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