2.1.3 Service content
Kane proposed the concept of LTC for the first time, and believed that LTC is to provide medical care, personal care and social services for the congenital or acquired disabled, with the goal of integrating health care and daily life assistance to meet their long-term social, environmental and medical needs. LTC services include health care, personal care, spiritual comfort, prevention, rehabilitation, social support, and hospice care. According to the Organization for EconomicCooperation and Development (OECD), LTC services include medical monitoring, pain relief, medication management and rehabilitation, prevention, and basic activities of daily living. It is usually provided by professional organizations. LTC provides health, social, home, transit, and other support services with the goal of promoting independent, self-directed living for the recipients.
Through the above analysis of the concept of LTC, we believe that the common point of home care and LTC is that the service purpose is to improve the independence of the service object. The differences are manifested in three aspects: (1) different service places: LTC has a variety of service places, including the home of the caregiver, the home of the caregiver's friend or family member, adult day service center, assisted living facilities, nursing homes, nursing homes, etc. The service place of home care is the living place of the caregiver; (2) Different service targets: LTC's service targets include vulnerable and disabled elderly people, as well as "sub-acute" patients after discharge from hospital, and its service targets include the elderly, not just the elderly. The service object of home care is the elderly at home or disabled elderly, including the healthy elderly; (3) Different service contents: LTC provides health, social, home, transport and other support services, including home care services. Therefore, in a sense, it can be said that home care is a component of LTC and a form of LTC.
2.2 Home care is different from home care
The original origin of the home-care model was the introduction of visiting Care services in New York in 1893, which included minimal care and personal care services for the poor elderly and chronically ill. In 1946, Montflore Hospital introduced the post-discharge home care team, in which doctors and nurses work together to supervise patients. Home care is an important part of LTC. There are significant differences between the concept of home care and home care, which are reflected in the service object and service content.
2.2.1 Service Objects
Home care refers to the care provided to patients with severe disease syndromes, physical disability, chronic mental dysfunction, etc. Family care is the primary form of care for the elderly, not only for the elderly, should face the whole society. elderly home care refers to care for older people who are lonely, immobile, lack support, and are in chronic or severe pain.
2.2.2 Service Content
Home care services include basic medical care services, personal care, emotional and social support. ?? According to the service content, family care can be divided into traditional family care, paid care and care for immigrants. Home care is a prominent feature of LTC services in Australia. Paid services promote the development of family care; Private care for immigrant families provides an alternative to home care or other expensive services. The content of family care in Sweden is to provide all residents with high-quality services tailored to their needs, especially for the poor to provide financial support and public services, mainly by the public (or government) to provide financial support, but facing the reduction of the amount of public finance, as well as the increasing demand for services by residents and other problems.
Through the analysis of the concept of family care, we know that the service places of family care and home care are the same, and both are based on the living places of the service recipients. They differ in two ways. First, the audience is different. Family care is the primary form of care for the elderly, not only for the elderly, should face the whole society, the service object of family care is suffering from serious disease syndrome, physical dysfunction, chronic mental dysfunction and so on.
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