The match between institutional elderly care management research and management challenges - a systematic literature review

Health Research Policy and Systems

Anneli Hujala¹  Sari Rissanen²  Kaija Kokkonen¹ 

[1] Department of Health and Social Management, University of Eastern Finland, Kuopio Campus, P.O. BOX 1627, Kuopio, FI, 70211, Finland;Department of Social Sciences, University of Eastern Finland, Kuopio, Finland

关键词: Geriatric nursing;    Health services for aged;    Aged care;    Elderly care;    Nursing home;    Long-term care;    Institutional care;    Policy;    Leadership;    Management;   

Others  :  809893
DOI  :  10.1186/1478-4505-10-35

 received in 2012-01-09, accepted in 2012-10-29,  发布年份 2012

【 摘 要 】

Background

Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents.

Methods

This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents.

Results

The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents.

Conclusions

Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers’ and policymakers’ scientific literacy needs to be enhanced.

【 授权许可】

   
2012 Kokkonen et al.; licensee BioMed Central Ltd.

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