S4R Toolbox

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Norway & Finland

Testcase 1

Public Homecare

Will be carried out in countries where homecare is common, including a variation in geographical locations (also rural areas), and travelling distances for healthcare workers and informal caregivers. Homecare units in different municipalities in Finland and Norway will be included for this purpose (cluster randomized controlled trial, cRCT).

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Norway & Finland

Spain

Testcase 2

Public residential care institutions

Will take place in public residential care institutions in Spain. The public residential care context is a relevant testcase for several countries in Europe which provide public services for the elderly, such as Norway, Finland and Denmark. Testing within these contexts increases the relevance for similar services across Europe. The inclusion of public service providers is essential, as we will be able to detect differences between public and private service provision (testcases 3 and 4), and between institutionalised and homecare services (testcases 1, 2 and 3).

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Spain

Italy & Netherlands

Testcase 3

Private residential care

Will apply the toolbox in residential care in the private sector. A large Italian institutional care institution (consortium partner FCCM), with 450 employees and 500 patients, will test the toolbox. Similarly, residential care services network in the Netherlands will be included. This testcase focuses on residential care being conducted by the private sector. Dutch services are insurance funded, while the included Italian residential care institution FCCM in Italy is a non-for-profit private residential service provider. These settings enable us to investigate variability in different contexts, in countries providing both public and private services. Leadership and workforce challenges may vary, hence including both the private and public sector enables learning across private and public institutions.

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Italy & Netherlands

Romania

Testcase 4

Public Hospital to home

Represents the part of Europe where homecare services and residential care homes are uncommon. In these settings, families need to be extensively involved in service provision. For this purpose, Romania will test the toolbox in an elderly care context representing the hospital to home interface. In Romania, healthcare services for the elderly are mainly provided by hospitals, whereas families need to take care of the patients. Hence, recruiting a hospital will enable the project to also investigate these types of health systems. This knowledge will be of relevance to countries with similar practises, such as Greece and Cyprus. The testcase will implement the intervention in one hospital, including leaders and workforce involved in treating elderly patients.

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Romania
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