Evaluating and replicating local accountability platforms for residential care homes and social care services.

评估和复制当地养老院和社会护理服务的问责平台。

• 批准号: ES/V009672/1
• 负责人: Peter Lloyd-Sherlock
• 金额: $ 6.02万
• 依托单位: University of East Anglia
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FV009672%2F1
• 关键词: Evaluating; replicating; local; accountability; platforms

More people aged over 70 live in developing countries than in developed countries and many of these people need social care. It is sometimes assumed that families in developing countries are more willing and able to offer this support, without recourse to the private sector. In fact, the evidence says otherwise. Over the past decade or so, there has been a very rapid expansion of private provision, including care homes, in many developing countries. Many of these care homes are subject to little, if any, regulation, and there is evidence that service quality is very uneven. Government capacity to enhance regulation is limited and the issue has remained a low policy priority (at least until the Covid-19 pandemic).Following research in the Argentina city of La Plata, we worked with local organisations, including care home directors and a community group run by older people to develop an innovative, locally-owned project for improving information sharing and quality accountability. Launched in 2019, it consists of a simple, interactive information-sharing platform (http://www.redmayorlaplata.com/).The site provides information about local care homes that have agreed to a published set of quality principles. It enables service users to provide feedback about providers. Complaints are investigated and providers removed from the site if they are confirmed. The site has other features, including general information for service users to support the selection and assessment of social care providers. By the end of 2019, the site was receiving over 12,000 hits a month and had received over 50 messages about service quality. These included examples of abuse, which were followed up and led to the exclusion of the providers in question. We feel there may be benefits in extending this activity to other cities in Argentina and beyond. Before promoting this approach, we require more robust evidence about how it was developed, how well it is working, what effects it has had and how easily it may be replicated elsewhere. Part of the funds we are requesting are to support this evaluation. The Covid-19 pandemic is hitting care homes in Latin America hard and there is growing interest in new ways to improve quality and accountability in the sector. Since we submitted the preliminary proposal, several organisations in Argentina and elsewhere have committed to developing new projects in different cities, based on our experience in La Plata. Part of the funds we are requesting will be to observe and conduct a light-touch review of these new extension activities in Argentina. We will use funds from a separate grant (already awarded) to support similar work in Brazil.We will present the results of our analysis in a number of different formats, both for academic audiences and for other types of audience with potential to apply these findings to future extension activity in Argentina, Latin America and beyond.

发展中国家70岁以上的老人比发达国家多，其中许多人需要社会照顾。有时人们认为，发展中国家的家庭更愿意也更有能力提供这种支助，而不需要求助于私营部门。事实上，证据表明并非如此。在过去十年左右的时间里，在许多发展中国家，包括养老院在内的私人服务迅速扩大。许多这样的养老院几乎不受监管，而且有证据表明，服务质量参差不齐。政府加强监管的能力有限，这一问题仍然是一个较低的政策优先事项（至少在Covid-19大流行之前）。在阿根廷城市拉普拉塔（La Plata）进行研究后，我们与当地组织合作，包括养老院主管和一个由老年人管理的社区团体，开发了一个创新的、由当地所有的项目，以改善信息共享和质量问责制。它于2019年推出，由一个简单的交互式信息共享平台（http://www.redmayorlaplata.com/）.The)组成，该网站提供有关已同意发布的一套质量原则的当地养老院的信息。它使服务用户能够提供有关提供者的反馈。投诉将被调查，如果得到证实，供应商将被移出网站。该网站还有其他功能，包括为服务用户提供的一般信息，以支持社会护理提供者的选择和评估。截至2019年底，该网站每月点击量超过1.2万次，收到50多条关于服务质量的留言。其中包括虐待的例子，对这些例子进行了后续调查，并导致将有关提供者排除在外。我们认为，将这项活动推广到阿根廷和其他城市可能会有好处。在推广这种方法之前，我们需要更有力的证据来证明它是如何发展的，它的效果如何，它产生了什么影响，以及它在其他地方复制的容易程度。我们请求的部分资金将用于支持这项评估。2019冠状病毒病大流行给拉丁美洲的养老院带来了沉重打击，人们对提高该行业质量和问责制的新方法越来越感兴趣。自从我们提交了初步提案以来，阿根廷和其他地方的一些组织已经根据我们在拉普拉塔的经验，承诺在不同的城市开发新项目。我们要求提供的部分资金将用于观察并对阿根廷的这些新的推广活动进行轻微审查。我们将使用另一笔赠款（已授予）的资金支持巴西的类似工作。我们将以多种不同的形式呈现我们的分析结果，既面向学术受众，也面向其他类型的受众，这些受众有可能将这些发现应用于阿根廷、拉丁美洲及其他地区的未来推广活动。

项目成果

Older people and social movements in times of COVID-19 - Brazil's National Front for the Strengthening of LTCFs (in Portuguese)

COVID-19 时期的老年人和社会运动 - 巴西加强 LTCF 国民阵线（葡萄牙语）

• 发表时间: 2021
• 作者: F.da Cunha Saddi

Older people and social movements in times of COVID-19 - Brazil's National Front to Strengthen the Long-Term Care Institutions for Older People. An interview with Karla Giacomin.

COVID-19 时期的老年人和社会运动 - 巴西加强老年人长期护理机构的国民阵线。

• 发表时间: 2021
• 作者: F.da Cunha Saddi