Models and Politics of Cares of the Elderly in the Home

  • Rogério Ferrinho FerreiraEmail author
  • Ana Clara Nunes
  • Ana Maria Canhestro
Conference paper
Part of the Communications in Computer and Information Science book series (CCIS, volume 1016)


Aging has been assumed as a challenge in the different areas of professional and political action. The aim of this study was to identify models and policies for elderly care at home. To that end, a integrative review of articles on the topic was published, retrospectively published until 2013. The results show three main axes that shape the models and policies of care for the elderly in a home context: (a) Despite government participation in the with regard to health and social support for elderly people in situations of dependency in the home, there is a need to expand such support, in particular to informal caregivers; (b) The need for greater coordination and integration of care, not only at the level of the health system, but between sectors, particularly at the level of social intervention; and (c) The tendency and convergence in most developed countries to broaden responses (home care) with the consequent permanence of the elderly in their places of residence for the maximum possible time, with recognized positive effects in terms of financial sustainability.


Health policies Home services Elderly 


  1. 1.
    Boland, L., et al.: Impact of home care versus alternative locations of care on elder health outcomes: an overview of systematic reviews. BMC Geriatr. 17(20) (2017).
  2. 2.
    Lipszyc, B., Sail, E., Xavier, A.: Long-term care: need, use and expenditure in the EU-27. European Commission. Economic Papers, No. 469 (2012)Google Scholar
  3. 3.
    Janse, B., Huijsman, R., Kuyper, R., Fabbricotti, I.: Do integrated care structures foster processes of integration? A quasi experimental study in frail elderly care from the professional perspective. Int. J. Qual. Health Care 28(3), 376–383 (2016). Scholar
  4. 4.
    Kietzman, K., Benjamin, A., Matthias, R.: Whose choice? Self-determination and the motivations of paid family and friend caregivers. J. Comp. Fam. Stud. 44(4), 519–540 (2013). Scholar
  5. 5.
    Kuluski, K., Ho, J.W., Hans, P.K., Nelson, M.L.: Community care for people with complex care needs: bridging the gap between health and social care. Int. J. Integr. Care 17(4), 2 (2017). Scholar
  6. 6.
    Matus-López, M.: Tendencias en las políticas de atención a la dependencia de ancianos y sus reformas. Cadernos de Saúde Pública 31(12), 2475–2481 (2015). Scholar
  7. 7.
    Melnyk, B., Fineout-Overholt, E., Stetler, C., Allan, J.: Outcomes and implementation strategies from the first U.S. evidence-based practice leadership summit. Worldviews Evid.-Based Nurs. 2(3), 113–121 (2005)CrossRefGoogle Scholar
  8. 8.
    Mery, G., Wodchis, W.P., Laporte, A.: The determinants of the propensity to receive publicly funded home care services for the elderly in Canada: a panel two-stage residual inclusion approach. Health Econ. Rev. 6, 8 (2016). Scholar
  9. 9.
    Neiterman, E., Vodchis, W., Bourgeault, I.: Experiences of older adults in transition from hospital to community. Canad. J. Aging/La revue canadienne du vieillissement 34(1), 90–99 (2015). Scholar
  10. 10.
    Vreugdenhil, A.: Ageing-in-place: frontline experiences of intergenerational family carers of people with dementia. Health Sociol. Rev. 23(1), 43–52 (2014). Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Polytechnic Institute of BejaBejaPortugal

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