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Karimi-Dehkordi M, Hanson HM, Kennedy M, Wagg A. Mapping Quality Indicators to Assess Older Adult Health and Care in Community-, Continuing-, and Acute-Care Settings: A Systematic Review of Reviews and Guidelines. Healthcare (Basel) 2024; 12:1397. [PMID: 39057540 PMCID: PMC11276513 DOI: 10.3390/healthcare12141397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2024] [Revised: 06/29/2024] [Accepted: 07/08/2024] [Indexed: 07/28/2024] Open
Abstract
Quality indicators (QIs) play a vital role in enhancing the care of older adults. This study aimed to identify existing QIs relevant to the health and care of older adults in community-care, continuing-care, and acute-care settings, along with available information such as definitions and calculation methods. A systematic review of published review studies, grey literature, and guidelines was undertaken, utilizing six electronic databases searched for materials dated from 2010 to 2 June 2023. To be included in this study, the literature had to provide data on QIs in a setting involving older adults. This study included 27 reviews and 44 grey literature sources, identifying a total of 6391 QIs. The highest number of indicators (37%) were relevant to continuing care; 32% and 28% were pertinent to community- and acute-care settings, respectively. The process domain had the highest number of QIs (3932), while the structure domain had the fewest indicators (521). A total of 39 focus areas were identified, with the five most common areas being, in descending order, orthopedics/hip fractures, end-of-life/palliative care, appropriate prescribing, neurocognitive conditions, and cardiovascular conditions; these areas ranged between 10% and 6%. When mapped against the Quadruple Aim framework, most QIs (85%) were linked to improving health outcomes. This inclusive compilation of QIs serves as a resource for addressing various focus areas pertinent to the Quadruple Aims. However, few quality indicators have been designed to provide a comprehensive and thorough evaluation of a specific aspect, taking into account all three key domains: structure, process, and outcomes. Addressing the description and psychometric properties of QIs is foundational for ensuring their trustworthiness and effective application.
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Affiliation(s)
- Mehri Karimi-Dehkordi
- Faculty of Medicine & Dentistry, Keyano College, University of Alberta, Edmonton, AB T6G 2R3, Canada
| | - Heather M. Hanson
- Provincial Seniors Health and Continuing Care, Alberta Health Services, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada;
| | - Megan Kennedy
- Geoffrey and Robyn Sperber Health Sciences Library, University of Alberta, Edmonton, AB T6G 2R3, Canada;
| | - Adrian Wagg
- Provincial Seniors Health and Continuing Care, Alberta Health Services, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada;
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2
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Comans T, Nguyen K, Gray L, Flicker L, Williamson P, Dodd S, Kearney A, Cunningham C, Morris T, Nunn J, Trepel D, Almeida OP, Kenny D, Welch A, Lowthian JA, Quinn J, Petrie G, Dao-Tran TH, Manchha A, Kurrle SE. Measuring the success of programmes of care for people living with dementia: a protocol for consensus building with consumers to develop a set of Core Outcome Measures for Improving Care (COM-IC). BMJ Open 2023; 13:e073884. [PMID: 38072498 PMCID: PMC10729031 DOI: 10.1136/bmjopen-2023-073884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 11/19/2023] [Indexed: 12/18/2023] Open
Abstract
INTRODUCTION The Core Outcome Measures for Improving Care (COM-IC) project aims to deliver practical recommendations on the selection and implementation of a suite of core outcomes to measure the effectiveness of interventions for dementia care. METHODS AND ANALYSIS COM-IC embeds a participatory action approach to using the Alignment-Harmonisation-Results framework for measuring dementia care in Australia. Using this framework, suitable core outcome measures will be identified, analysed, implemented and audited. The methods for analysing each stage will be codesigned with stakeholders, through the conduit of a Stakeholder Reference Group including people living with dementia, formal and informal carers, aged care industry representatives, researchers, clinicians and policy actors. The codesigned evaluation methods consider two key factors: feasibility and acceptability. These considerations will be tested during a 6-month feasibility study embedded in aged care industry partner organisations. ETHICS AND DISSEMINATION COM-IC has received ethical approval from The University of Queensland (HREC 2021/HE001932). Results will be disseminated through networks established over the project, and in accordance with both the publication schedule and requests from the Stakeholder Reference Group. Full access to publications and reports will be made available through UQ eSpace (https://espace.library.uq.edu.au/), an open access repository hosted by The University of Queensland.
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Affiliation(s)
- Tracy Comans
- Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
| | - Kim Nguyen
- Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
| | - Len Gray
- Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
| | - Leon Flicker
- WA Centre for Health and Ageing, The University of Western Australia, Perth, Western Australia, Australia
| | - Paula Williamson
- Department of Health and Data Science, University of Liverpool, Liverpool, UK
| | - Susanna Dodd
- Department of Health and Data Science, University of Liverpool, Liverpool, UK
| | - Anna Kearney
- Department of Health and Data Science, University of Liverpool, Liverpool, UK
| | - Colm Cunningham
- School of Public Health, University of Sydney, Sydney, New South Wales, Australia
- HammondCare International, London, UK
| | - Thomas Morris
- School of Public Health, University of Sydney, Sydney, New South Wales, Australia
- HammondCare, Sydney, New South Wales, Australia
| | - Jack Nunn
- Science for All, Melbourne, Victoria, Australia
- La Trobe University, Melbourne, Victoria, Australia
| | - Dominic Trepel
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
| | - Osvaldo P Almeida
- WA Centre for Health and Ageing, The University of Western Australia, Perth, Western Australia, Australia
| | - Danelle Kenny
- Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
- Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia
| | - Alyssa Welch
- Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
| | - Judy A Lowthian
- Bolton Clarke Research Institute, Bolton Clarke, Brisbane, Queensland, Australia
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - John Quinn
- Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
- Wynnum Manly Dementia Alliance, Brisbane, Queensland, Australia
| | - Glenys Petrie
- Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
- Wynnum Manly Dementia Alliance, Brisbane, Queensland, Australia
| | - Tiet-Hanh Dao-Tran
- Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
| | - Asmita Manchha
- Bolton Clarke Research Institute, Brisbane, Queensland, Australia
| | - Susan E Kurrle
- School of Public Health, University of Sydney, Sydney, New South Wales, Australia
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Hu Y, Wang Y, Lu S, Li Y. Impact of the development of information society on healthcare efficiency: Empirical evidence from 31 Chinese provinces. Digit Health 2023; 9:20552076231154375. [PMID: 36776406 PMCID: PMC9912566 DOI: 10.1177/20552076231154375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 01/16/2023] [Indexed: 02/11/2023] Open
Abstract
The development of information society has deeply changed the style of the healthcare service delivery and medical information access. This study aims to investigate how the information society development affects the efficiency of healthcare system in China, and explore provincial disparities in the impact. Based on the two-stage Data Envelopment Analysis (DEA) framework, this paper uses a panel data from 31 Chinese provinces from 2014 to 2017 to estimate efficiency of healthcare service and analyze the influence of the development of information society on efficiency. With the information society index (ISI) increased from 0.423 to 0.488 during the sample period, the healthcare efficiency experienced a slight decrease from 0.892 to 0.869. Moreover, the pure technical efficiency (PTE) is much lower than the scale efficiency (SE), and thus is the key to enhance the overall technical efficiency (TE). The time-fixed Tobit regression analysis suggests that information society development leads to a significant increase in PTE, but results in a decrease in SE, and therefore has little effect on TE. Further analysis reveals that the impact differs sharply between low-efficiency and high-efficiency provinces. For the low-efficiency provinces, the TE increases significantly with the development of the information society, mainly due to a considerable increase in PTE. In contrast, the TE decreases for the high-efficiency provinces, mainly caused by a decrease in SE. This paper highlights the importance of information infrastructure investment in healthcare system and the application of emerging information technologies to breakout the time and space boundaries of healthcare services in improving overall efficiency. In inefficient provinces, it is also necessary to properly control the growth of healthcare inputs.
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Affiliation(s)
- Yuanrong Hu
- School of Economics and Management, Hubei University of Education,
Wuhan, Hubei, China,Ying Wang, School of Accounting, Zhongnan
University of Economics and Law, Wuhan 430073, China.
| | - Ying Wang
- School of Accounting, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Shengkang Lu
- School of Economics and Management, Hubei University of Education,
Wuhan, Hubei, China
| | - Yongqing Li
- School of Management, Huazhong University of Science and
Technology, Wuhan, Hubei, China
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Zheng D, Gong J. Impacts of comprehensive reform on the efficiency of Guangdong's County public hospitals in 2014–2019, China. HEALTH POLICY AND TECHNOLOGY 2022. [DOI: 10.1016/j.hlpt.2022.100676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Moon S, Oh J, You SY. What information about choosing a nursing home is available on YouTube? Geriatr Nurs 2022; 48:320-326. [PMID: 36371879 DOI: 10.1016/j.gerinurse.2022.10.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 10/26/2022] [Accepted: 10/27/2022] [Indexed: 11/13/2022]
Abstract
This study aimed to identify YouTube videos focused on choosing a nursing home. The contents of the videos were analyzed using 19 items from the guidelines proposed by the Donabedian model. An analysis of 57 videos showed that informal presentations for format (54.39%), laypersons for speaker (36.84%), and personal channel for uploader (61.40%) exhibited the highest frequency. According to the analysis of video content, most videos included the environment (49.12%), programs (38.63%), and cost (35.09%). However, fewer videos focused on care protocols (5.26%), participation (5.26%) and health outcomes (5.26%). More informal presentations, laypersons, and personal channels than health providers, professional groups, and mass media were included in videos focused on choosing nursing homes. It is necessary to provide information regarding the philosophy, care, and health outcomes of residents in addition to the information regarding environment and cost provided by reliable suppliers, such as health professionals, the government, and mass media.
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Affiliation(s)
- SeolHwa Moon
- Research Institute of Nursing Science, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea
| | - Juyeon Oh
- College of Nursing, Dankook University, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungcheongnam-do, 31116, Republic of Korea
| | - Sun Young You
- Department of Nursing, Gangseo University, 47, Kkachisan-ro 24-gil, Gangseo-gu, Seoul, 07661, Republic of Korea.
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Hashimoto A, Kawaguchi H, Hashimoto H. Contribution of the Technical Efficiency of Public Health Programs to National Trends and Regional Disparities in Unintentional Childhood Injury in Japan. Front Public Health 2022; 10:913875. [PMID: 35903376 PMCID: PMC9315066 DOI: 10.3389/fpubh.2022.913875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 06/21/2022] [Indexed: 12/03/2022] Open
Abstract
To achieve the Sustainable Development Goals, strengthening investments in health service inputs has been widely emphasized, but less attention has been paid to tackling variation in the technical efficiency of services. In this study, we estimated the technical efficiency of local public health programs for the prevention of unintentional childhood injury and explored its contribution to national trend changes and regional health disparities in Japan. Efficiency scores were estimated based on the Cobb-Douglas and translog production functions using a true fixed effects model in a stochastic frontier analysis to account for unobserved time-invariant heterogeneity across prefectures. Using public data sources, we compiled panel data from 2001 to 2017 for all 47 prefectures in Japan. We treated disability-adjusted life years (DALYs) as the output, coverage rates of public health programs as inputs, and caregivers' capacity and environmental factors as constraints. To investigate the contribution of efficiency to trend changes and disparities in output, we calculated the predicted DALYs with several measures of inefficiency scores (2001 average, yearly average, and prefecture-year-specific estimates). In the translog model, mean efficiency increased from 0.62 in 2001 to 0.85 in 2017. The efficiency gaps among prefectures narrowed until 2007 and then remained constant until 2017. Holding inefficiency score constant, inputs and constraints contributed to improvements in average DALYs and widened regional gaps. Improved efficiency over the years further contributed to improvements in average DALYs. Efficiency improvement in low-output regions and stagnated improvement in high-output regions offset the trend of widening regional health disparities. Similar results were obtained with the Cobb-Douglas model. Our results demonstrated that assessing the inputs, constraints, output, and technical efficiency of public health programs could provide policy leverage relevant to region-specific conditions and performance to achieve health promotion and equity.
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Affiliation(s)
- Ayumi Hashimoto
- Graduate School of Medicine, University of Tokyo, Tokyo, Japan
| | | | - Hideki Hashimoto
- Department of Health and Social Behavior, School of Public Health, University of Tokyo, Tokyo, Japan
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Baerman EA, Kaplan J, Shen JI, Winkelmayer WC, Erickson KF. Cost Barriers to More Widespread Use of Peritoneal Dialysis in the United States. J Am Soc Nephrol 2022; 33:1063-1072. [PMID: 35314456 PMCID: PMC9161798 DOI: 10.1681/asn.2021060854] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
The United States Department of Health and Human Services launched the Advancing American Kidney Health Initiative in 2019, which included a goal of transforming dialysis care from an in-center to a largely home-based dialysis program. A substantial motivator for this transition is the potential to reduce costs of ESKD care with peritoneal dialysis. Studies demonstrating that peritoneal dialysis is less costly than in-center hemodialysis have often focused on the perspective of the payer, whereas less consideration has been given to the costs of those who are more directly involved in treatment decision making, including patients, caregivers, physicians, and dialysis facilities. We review comparisons of peritoneal dialysis and in-center hemodialysis costs, focusing on costs incurred by the people and organizations making decisions about dialysis modality, to highlight the financial barriers toward increased adoption of peritoneal dialysis. We specifically address misaligned economic incentives, underappreciated costs for key stakeholders involved in peritoneal dialysis delivery, differences in provider costs, and transition costs. We conclude by offering policy suggestions that include improving data collection to better understand costs in peritoneal dialysis, and sharing potential savings among all stakeholders, to incentivize a transition to peritoneal dialysis.
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Affiliation(s)
- Elliot A Baerman
- Section of Nephrology, Baylor College of Medicine, Houston, Texas
| | - Jennifer Kaplan
- Section of Nephrology, Baylor College of Medicine, Houston, Texas
| | - Jenny I Shen
- Division of Nephrology, The Lundquist Institute at Harbor UCLA Medical Center, West Carson, California
| | | | - Kevin F Erickson
- Section of Nephrology, Baylor College of Medicine, Houston, Texas .,Rice University, Baker Institute, Houston, Texas
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8
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Vassimon-Barroso V, Pantoni CBF, Zazzetta MS, Ferreira DL, Vasilceac FA, Ansai JH. User and family satisfaction with nursing homes: a systematic review. Int J Qual Health Care 2021; 33:6039070. [PMID: 33325518 DOI: 10.1093/intqhc/mzaa160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 11/23/2020] [Accepted: 11/30/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Implementation of person-directed care planning is a challenge for nursing home services. User satisfaction is indispensable to implement it. OBJECTIVE The aim of this study was to address user and family satisfaction with nursing homes and the scales used and to identify the determinants of satisfaction with this service. METHODS A systematic review was conducted, and the Cochrane Library, PubMed, Scopus, Web of Science and CINAHL databases were searched between December 2019 and April 2020. Studies involving assessment of user or family satisfaction with nursing homes and users ≥65 years old or their families were included in this review. The methodological quality of the included studies was assessed by the Joanna Briggs Institute reviewer's manual. RESULTS Eight articles were included based on the eligibility criteria, from a total of 2378 records found in the electronic search. All studies presented a cross-sectional design, and the total sample of this review was 57 214 older people. Most of the studies included showed positive overall satisfaction with nursing homes. There was no consensus about the best scale to assess satisfaction because of the huge variety of tools among studies. The most common determinants of satisfaction among studies were quality of life (mental and physical components), anxiety and social and health factors. CONCLUSION The findings of our review may contribute to a better view of satisfaction with nursing homes experienced by users and families and to an improvement of care in these institutions.
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Affiliation(s)
- Verena Vassimon-Barroso
- Department of Gerontology, Federal University of São Carlos, Washington Luis highway, 235 km, São Paulo 13565-905, Brazil
| | - Camila Bianca Falasco Pantoni
- Department of Gerontology, Federal University of São Carlos, Washington Luis highway, 235 km, São Paulo 13565-905, Brazil
| | - Marisa Silvana Zazzetta
- Department of Gerontology, Federal University of São Carlos, Washington Luis highway, 235 km, São Paulo 13565-905, Brazil
| | - Daniela Lemes Ferreira
- Graduate Program in Movement Sciences, Federal University of Mato Grosso do Sul, Costa e Silva Avenue, Mato Grosso do Sul 79070-900, Brazil
| | - Fernando Augusto Vasilceac
- Department of Gerontology, Federal University of São Carlos, Washington Luis highway, 235 km, São Paulo 13565-905, Brazil
| | - Juliana Hotta Ansai
- Department of Gerontology, Federal University of São Carlos, Washington Luis highway, 235 km, São Paulo 13565-905, Brazil.,Graduate Program in Movement Sciences, Federal University of Mato Grosso do Sul, Costa e Silva Avenue, Mato Grosso do Sul 79070-900, Brazil
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Degrees of Shortage and Uncovered Ratios for Long-Term Care in Taiwan's Regions: Evidence from Dynamic DEA. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020605. [PMID: 33445714 PMCID: PMC7828166 DOI: 10.3390/ijerph18020605] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 12/30/2020] [Accepted: 01/08/2021] [Indexed: 11/23/2022]
Abstract
The government is facing the country’s aging population and low birth rate have led to a severe shortage of its healthcare workforce in Taiwan after 2003. In order to explore the status of the country’s degree of long-term care shortage and uncovered ratio, this research uses the Push-Pull-Mooring (PPM) theory to explain long-term care efficiency during 2010–2019 in each city and county. We collect longitudinal-sectional data for 2010–2019 from the Ministry of Health and Welfare’s Department of Statistics for 22 administrative regions in Taiwan in each year and employ dynamic data envelopment analysis (DEA) to evaluate the overall technical efficiency and the disaggregate output insufficiency to explain the research results. The main findings are as follows: (1) Cities near the capital Taipei have the highest degree of shortages in long-term caregivers and high uncovered ratios of people who need long-term care. (2) Presently, there is no demand to increase the number of long-term care institutions in Taiwan. (3) The government should introduce new long-term care certificates through national examinations in order to develop a stronger professional workforce in this field.
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Barsanti S, Bunea AM, Colombini G. What Counts in Nursing Homes’ Quality and Efficiency? Results From Data Envelopment Analysis in Italy. INQUIRY: THE JOURNAL OF HEALTH CARE ORGANIZATION, PROVISION, AND FINANCING 2021; 58:469580211059730. [PMID: 34894832 PMCID: PMC8671659 DOI: 10.1177/00469580211059730] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Purpose: Economic resource constrains in public spending budget in a country, such as Italy, with an ageing population with high incidence of chronic diseases calls for better strategies to improve measuring quality and efficiency in nursing homes (NHs). This paper analyses the efficiency of 40 NHs based in Tuscany considering not only structural characteristics but also quality of care, including residents, relatives and staff satisfaction. Methodology: We run a classic data envelopment analysis (DEA) on data gathered by the NHs’ regional performance evaluation system. We include as inputs the number of total work hours as labour and the daily cost for services as economic resources. As outputs we include measures for quality of care (number of falls, urinary infections and antidepressants), satisfaction (residents, relatives and professionals) and quality of life (days of recreational activities). We run a multivariate regression to analyse the determinants of previously obtained efficiency scores considering factors such as: institutional (ownership), managerial (training) and clinical (patient’s severity). Findings: Results find 35% efficient NHs. Moreover, management and the managerial factor (staff trained in end-of-life support) are predictors of the efficiency score. Originality: Our study uses satisfaction (residents, relatives and professionals) measures as proxy for quality output in the DEA model and measures related to staff management (eg training) as predictors of the efficiency scores.
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Affiliation(s)
- Sara Barsanti
- Management and Health Laboratory, Institute of Management - Department EMbeDS, Sant’Anna School of Advanced Studies, Pisa, Italy
| | - Anita Mariana Bunea
- Management and Health Laboratory, Institute of Management - Department EMbeDS, Sant’Anna School of Advanced Studies, Pisa, Italy
| | - Giulia Colombini
- Management and Health Laboratory, Institute of Management - Department EMbeDS, Sant’Anna School of Advanced Studies, Pisa, Italy
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Arvelo E, de Armas J, Guillen M. Assessing the Distribution of Elderly Requiring Care: A Case Study on the Residents in Barcelona and the Impact of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17207486. [PMID: 33076238 PMCID: PMC7602505 DOI: 10.3390/ijerph17207486] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Revised: 10/07/2020] [Accepted: 10/13/2020] [Indexed: 11/16/2022]
Abstract
In this work, we establish a methodological framework to analyze the care demand for elderly citizens in any area with a large proportion of elderly population, and to find connections to the cumulative incidence of COVID-19. Thanks to this analysis, it is possible to detect deficiencies in the public elderly care system, identify the most disadvantaged areas in this sense, and reveal convenient information to improve the system. The methods used in each step of the framework belong to data analytics: choropleth maps, clustering analysis, principal component analysis, or linear regression. We applied this methodology to Barcelona to analyze the distribution of the demand for elderly care services. Thus, we obtained a deeper understanding of how the demand for elderly care is dispersed throughout the city. Considering the characteristics that were likely to impact the demand for homecare in the neighborhoods, we clearly identified five groups of neighborhoods with different profiles and needs. Additionally, we found that the number of cases in each neighborhood was more correlated to the number of elderly people in the neighborhood than it was to the number of beds in assisted living or day care facilities in the neighborhood, despite the negative impact of COVID-19 cases on the reputation of this kind of center.
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Affiliation(s)
- Enrique Arvelo
- Dept. of Economics and Business, Universitat Pompeu Fabra, 08005 Barcelona, Spain;
| | - Jesica de Armas
- Dept. of Economics and Business, Universitat Pompeu Fabra, 08005 Barcelona, Spain;
- Correspondence:
| | - Monserrat Guillen
- Dept. Econometrics, Universitat de Barcelona, 08034 Barcelona, Spain;
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