Search results

1 – 4 of 4
Article
Publication date: 1 December 2007

Kevin Doughty, Andrew Monk, Carole Bayliss, Sian Brown, Lena Dewsbury, Barbara Dunk, Vance Gallagher, Kathy Grafham, Martin Jones, Charles Lowe, Lynne McAlister, Kevin McSorley, Pam Mills, Clare Skidmore, Aileen Stewart, Barbara Taylor and David Ward

The development of telecare services across the UK has been supported by grants from the respective governments of Scotland and Wales, and by the DH in England. New services are…

425

Abstract

The development of telecare services across the UK has been supported by grants from the respective governments of Scotland and Wales, and by the DH in England. New services are being established to sometimes operate alongside existing community equipment services and community alarm services. Elsewhere they are embracing a wider range of services including rehabilitation, intermediate care and health services designed to reduce the use of unscheduled care services. This paper discusses the difficulties in understanding the scope of telecare services, and the definitions of services that will need to be confirmed so that service users can choose appropriately if offered direct payments. Two different service models are offered, one of which uses telehealth as an umbrella term to cover all telecare, e‐care and m‐care, and telemedicine where the former includes all such services offered in the service user's home, including those of a medical nature. The second model views telecare alongside assistive technologies and telemedicine as one of three different technology groups designed to make people more independent or to bring care closer to home. There is significant overlap between the three groups, which justifies the introduction of a new term ‐ ARTS (assistive and remote technology services) ‐ to describe this area of support.

Details

Journal of Assistive Technologies, vol. 1 no. 2
Type: Research Article
ISSN: 1754-9450

Keywords

Article
Publication date: 1 November 2008

Kevin Doughty, Andrew Monk, Carole Bayliss, Sian Brown, Lena Dewsbury, Barbara Dunk, Vance Gallagher, Kathy Grafham, Martin Jones, Charles Lowe, Lynne McAlister, Kevin McSorley, Pam Mills, Clare Skidmore, Aileen Stewart, Barbara Taylor and David Ward

The development of telecare services in the UK has been supported by grants from the respective governments of Scotland and Wales, and by the Department of Health in England. New…

188

Abstract

The development of telecare services in the UK has been supported by grants from the respective governments of Scotland and Wales, and by the Department of Health in England. New services are being established, sometimes to operate alongside existing community equipment services and community alarm services. Elsewhere they are embracing a wider range of services including rehabilitation, intermediate care and health services designed to reduce use of unscheduled care services. This paper discusses the difficulties in understanding the scope of telecare services, and the definitions of services that will need to be confirmed if service users are to be able to choose appropriately if offered direct payments. Two service models are offered, one of which uses telehealth as an umbrella term to cover all telecare, e‐care and m‐care, and telemedicine, where the former includes all such services offered in the service user's home, including those of a medical nature. The second model views telecare alongside assistive technologies and telemedicine as one of three technology groups designed to make people more independent, or to bring care closer to home. There is significant overlap between the three groups, which justifies the introduction of a new term ‐ ARTS (assistive and remote technology services) ‐ to describe this area of support.

Details

Housing, Care and Support, vol. 11 no. 3
Type: Research Article
ISSN: 1460-8790

Keywords

Article
Publication date: 24 May 2013

Juan Carlos Ruiz Väsquez

The purpose of this paper is to discuss the extent and impact of corruption on public trust and on the stability of the Colombian police. The effectiveness of public controls…

1757

Abstract

Purpose

The purpose of this paper is to discuss the extent and impact of corruption on public trust and on the stability of the Colombian police. The effectiveness of public controls, civilian oversight, and overseeing bodies is evaluated to determine the degree of impunity and the level of independence from other agencies of control.

Design/methodology/approach

The research in this study is based on data analyses of surveys, interviews, and an observational approach. This paper considers four general surveys, namely: Latinobarómetro, Iberobarómetro, Global Corruption Barometer, Corruption Perception Indexes, and World Values Survey. The observation consisted of accompanying Bogotá police department teams for two months during the evenings between 10 p.m. and 7 a.m. This study draws upon 20 interviews with police officers of all ranks. Additionally, an informal observation of police activities during the night was carried out to discover the occurrence of corruption, which was impossible to reveal by a more formal observation.

Findings

Although corruption in the Colombian police force is presumably a generalized phenomenon, it is still one of the most appreciated agencies among Colombians. However, scandals have been cleverly mitigated by rhetoric and apparent purges and the setting‐up of inoffensive mechanisms of control. Internal inspection and civilian oversight have been weakened – rendered ineffective by an increasingly powerful police leadership.

Research limitations/implications

Since corruption is a concealed phenomenon, its analysis always causes problems. Police officers are reluctant to talk about the problem and there is an organizational denial of the phenomenon.

Originality/value

The paucity of academic research on police forces in Latin America is still apparent and the field of study lacks a real degree of specialization. Similarly, there has been no empirical examination of issues pertaining to the study of the modern Colombian force. This paper thus attempts to compensate for the lack of empirical research on the Colombian police. It contributes to the overall literature on police corruption by explaining the organizational features of bribing and police corruption on the beat.

Details

Policing: An International Journal of Police Strategies & Management, vol. 36 no. 2
Type: Research Article
ISSN: 1363-951X

Keywords

Article
Publication date: 12 March 2018

Paul Clarkson, Rebecca Hays, Sue Tucker, Katie Paddock and David Challis

A growing ageing population with complex healthcare needs is a challenge to the organisation of healthcare support for older people residing in care homes. The lack of specialised…

Abstract

Purpose

A growing ageing population with complex healthcare needs is a challenge to the organisation of healthcare support for older people residing in care homes. The lack of specialised healthcare support for care home residents has resulted in poorer outcomes, compared with community-dwelling older people. However, little is known about the forms, staff mix, organisation and delivery of such services for residents’ physical healthcare needs. The paper aims to discuss these issues.

Design/methodology/approach

This systematic review, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, aimed to provide an overview of the range of healthcare services delivered to care homes and to identify core features of variation in their organisation, activities and responsibilities. The eligibility criteria for studies were services designed to address the physical healthcare needs of older people, permanently residing in care homes, with or without nursing. To search the literature, terms relating to care homes, healthcare and older people, across ten electronic databases were used. The quality of service descriptions was appraised using a rating tool designed for the study. The evidence was synthesised, by means of a narrative summary, according to key areas of variation, into models of healthcare support with examples of their relative effectiveness.

Findings

In total, 84 studies, covering 74 interventions, identified a diverse range of specialist healthcare support services, suggesting a wide variety of ways of delivering healthcare support to care homes. These fell within five models: assessment – no consultant; assessment with consultant; assessment/management – no consultant; assessment/management with consultant; and training and support. The predominant model offered a combination of assessment and management. Overall, there was a lack of detail in the data, making judgements of relative effectiveness difficult. Recommendations for future research include the need for clearer descriptions of interventions and particularly of data on resident-level costs and effectiveness, as well as better explanations of how services are implemented (review registration: PROSPERO CRD42017081161).

Originality/value

There is considerable debate about the best means of providing healthcare to older people in care homes. A number of specialist initiatives have developed and this review seeks to bring these together in a comparative approach deriving models of care of value to policy makers and commissioners.

Details

Quality in Ageing and Older Adults, vol. 19 no. 1
Type: Research Article
ISSN: 1471-7794

Keywords

1 – 4 of 4