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14 results

  • Figures

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp xi-xii
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  • Contents

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp ix-x
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  • 1 - Introduction

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 1-15
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  • Summary

    Population ageing coupled with a growing burden of disease and disability will cause long-term care needs to increase considerably around the world. Yet despite changing demographics, many countries do not invest adequately in long-term care systems. This chapter sets out the reasons that long-term care is often underprioritized by governments and begins to consider why countries need a re-think when it comes to the way they care for older adults.

  • Index

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 367-380
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  • Copyright page

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp vi-viii
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  • Contributors

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp xv-xxvi
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  • Acknowledgements:

  • from 8 - Sharing the burden: the impact of long-term care on the financial situation of families in Europe
  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 266-298
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  • Acknowledgments:

  • from 3 - Who should be eligible for long-term care in older age? Policy trade-offs and implications for coverage, equity and wellbeing
  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 48-120
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  • 11 - Conclusion

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 351-366
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  • Summary

    This chapter concludes by summarizing the evidence presented in the book and considering the way forward by re-visiting the arguments in favour of investing in long-term care and the costs of inaction.

  • Boxes

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp xiv-xiv
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  • Acknowledgements:

  • from 4 - How have countries configured long-term care service delivery to improve efficiency and access to needed services?
  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 121-157
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  • Tables

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp xiii-xiii
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The Care Dividend
  • Why and How Countries Should Invest in Long-Term Care
  • Edited by Jonathan Cylus, George Wharton, Ludovico Carrino, Stefania Ilinca, Manfred Huber, Sarah Louise Barber
  • Published online:
    21 March 2025
    Print publication:
    03 April 2025
  • Long-term care often falls by the wayside in national policy dialogues. As populations age around the world and the prevalence of chronic conditions increases, greater numbers of people will need care and support, putting added pressures on acute-care facilities, communities, and families, among others. This increase in demand for long-term care raises questions about the capacity of governments to provide access to needed care, how these services will be properly resourced and who should receive these benefits. The Care Dividend provides a roadmap for investing in long-term care systems. It argues for increased public investment in high-quality, universally accessible long-term care and explains why these systems benefit everyone: households, health systems, economies, and societies. Bringing together a team of academics and policy experts from around the world, this book explains why and how governments can, and should, take action.This title is also available as Open Access on Cambridge Core.

  • Prevalence of and associations with agitation in residents with dementia living in care homes: MARQUE cross-sectional study

  • Gill Livingston, Julie Barber, Louise Marston, Penny Rapaport, Deborah Livingston, Sian Cousins, Sarah Robertson, Francesca La Frenais, Claudia Cooper
  • Journal:
    BJPsych Open / Volume 3 / Issue 4 / July 2017
    Published online by Cambridge University Press:
    02 January 2018, pp. 171-178
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  • Background

    Agitation is reportedly the most common neuropsychiatric symptom in care home residents with dementia.

    Aims

    To report, in a large care home survey, prevalence and determinants of agitation in residents with dementia.

    Method

    We interviewed staff from 86 care homes between 13 January 2014 and 12 November 2015 about residents with dementia with respect to agitation (Cohen-Mansfield Agitation Inventory (CMAI)), quality of life (DEMQOL-proxy) and dementia severity (Clinical Dementia Rating). We also interviewed residents and their relatives. We used random effects models adjusted for resident age, gender, dementia severity and care home type with CMAI as a continuous score.

    Results

    Out of 3053 (86.2%) residents who had dementia, 1489 (52.7%) eligible residents participated. Fifteen per cent of residents with very mild dementia had clinically significant agitation compared with 33% with mild (odds ratios (ORs)=4.49 95% confidence interval (CI)=2.30) and 45% with moderate or severe dementia (OR=6.95 95% CI=3.63, 13.31 and OR=6.23 95% CI=3.25, 11.94, respectively). More agitation was associated with lower quality of life (regression coefficient (rc)=-0.53; 95% CI=-0.61, -0.46) but not with staffing or resident ratio (rc=0.03; 95% CI=-0.04, 0.11), level of residents' engagement in home activities (rc=3.21; 95% CI=-0.82, 7.21) or family visit numbers (rc=-0.03; 95% CI=-0.15, 0.08). It was correlated with antipsychotic use (rc=6.45; 95% CI=3.98, 8.91).

    Conclusions

    Care home residents with dementia and agitation have lower quality of life. More staffing time and activities as currently provided are not associated with lower agitation levels. New approaches to develop staff skills in understanding and responding to the underlying reasons for individual resident's agitation require development and testing.