An ecological study on the relationship between supply of beds in long-term care institutions in Italy and potential care needs for the elderly

<p>Abstract</p> <p>Background</p> <p>The ageing population in Europe is putting an ever increasing demand on the long-term care (LTC) services provided by these countries. This study analyses the relationship between the LTC institutional supply of beds and potential care needs, taking into account the social and health context, the supply of complementary and alternative services, along with informal care.</p> <p>Methods</p> <p>An observational, cross-sectional, ecological study was carried out. Statistical data were obtained from the Italian National Institute of Statistics and Ministry of Health. Indicators, regarding 5 areas (Supply of beds in long term care institutions, Potential care needs, Social and health context, Complementary and alternative services for the elderly, Informal care), were calculated at Local Health Unit (LHU) level and referred to 2004.</p> <p>Two indicators were specifically used to measure supply of beds in long term care institutions and potential care needs for the elderly. Their values were grouped in tertiles. LHU were classified according to the combination of tertiles in three groups: A. High level of supply of beds in long term care institutions associated with low level of potential care needs; B. Low level of supply of beds in long term care institutions associated with high level of potential care needs; C. Balanced level of supply of beds in long term care institutions with potential care needs. For each group the indicators of 5 areas were analysed.</p> <p>The Index Number (IN) was calculated for each of these indicators.</p> <p>Results</p> <p>Specific factors that need to be carefully considered were highlighted in each of the three defined groups. The highest level of alternative services such as long-stay hospital discharges in residence region (IN = 125), home care recipients (HCR) (IN = 123.8) were reported for Group A. This group included North regions. The highest level of inappropriate hospital discharges in (IN = 124.1) and out (IN = 155.8) the residence region, the highest value of families who received help (IN = 106.4) and the lowest level of HCR (IN = 68.7) were found in Group B. South regions belong to this group. The highest level of families paying a caregiver (IN = 115.8) was shown in Group C. Central regions are included in third group.</p> <p>Conclusion</p> <p>Supply of beds in long term care institutions substantially differs across Italian regions, showing in every scenario some imbalances between potential care needs and other studied factors. Our study suggests the need of a comprehensive rethinking of care delivery "system".</p

Federalismo, costi standard e bisogni: sarà un'allocazione giusta?

Questo lavoro si propone di lavorare nel solco della tradizione di pensiero che vede nell’efficacia pratica di una riforma sociale il solo terreno di giudizio valido: dovrà pertanto addentrarsi nei concetti di efficienza e giustizia che sono ampiamente citati dalla propaganda federalista per sottoporli al vaglio del buon senso e tracciare una plausibile, a nostro avviso, traiettoria attesa della riforma nei confronti, soprattutto, della giustizi

Sistema sanitario e salute della popolazione. Indicatori regionali. Anno 1999

Floppy-disk includedConsiglio Nazionale delle Ricerche - Biblioteca Centrale - P.le Aldo Moro, 7, Rome / CNR - Consiglio Nazionale delle RichercheSIGLEITItal

Application of Kriging Technique to Seismic Intensity Data

Spatial analysis, involving experimental semivariogram evaluation and kriging interpolation, is performed on macroseismic intensity data assumed to represent a regionalized variable. A semivariogram is modeled, showing that data components act at different scale levels. Interpretation of the semivariogram in terms of fractal dimension allows separation of the error component from other scaledependent components. Use of an objective best spatial-range determination for filtering eliminates the subjective choice that is usually based on data-sampling density, permitting the reconstruction of the smoothed interpolated intensity field. Results are given together with error estimation due to local variability and sampling-density distribution. The method is first applied to synthetic macroseismic data with controlled variable error content and sampling density: the ability to rebuild the original, error-free intensity field is demonstrated. Then macroseismic data from an Italian medium-intensity earthquake are analyzed and spatial intensity attenuation reevaluated.Published540-5481.11. TTC - Osservazioni e monitoraggio macrosismico del territorio nazionaleJCR Journalrestricte

Posti letto residenziali di tipo socio-sanitario per anziani e per persone disabili

L’indagine sui presidi residenziali socio-assistenziali e socio-sanitari permette di indagare sulla disponibilità di servizi residenziali che rispondono ad una domanda di assistenza legata alla non autosufficienza ed alla disabilità

Un modello empirico di domanda di spesa sanitaria

Consiglio Nazionale delle Ricerche - Biblioteca Centrale - P.le Aldo Moro, 7, Rome / CNR - Consiglio Nazionale delle RichercheSIGLEITItal