Community-Based Health Services Delivery System

Question: Describe about the Community-Based Health Services Delivery System. Answer: Introduction: Home and community-based health care services are the new dimensions of the extended social services. Both government and non-government organizations have taken responsibility in this regard so that needy people can avail the services easily. This report has included an analytical explanation of the home and community-based services for the aged people. The description of this service has been put by implying philosophical aspect behind this service, opportunities this service provider in the society and objectives of this service. For the analytical evaluation, five principles proposed by Wright have been included. Moreover, these principles have helped in understanding the basic requirement while providing service to the needy people. As mentioned by, Birren et al. (2014), decreasing fertility and increasing longevity has resulted in increasing number of the aged population. Additional care and supervision is required for the aged person, that is why home and community-based service is appropriate for the older people as it will give them social support, nursing care, personal care maintenance of their home etc. many countries have taken initiatives to promote this kind of services; however, it can differ for different situation. This report has allied its content with the current practices and existing policies to make it valid f or the current scenario. The main objective of this report is to explain the significance of this service for the aged people as it has a direct influence on the development of the social approaches. Explanation of the service: Aged care service in Australia is highly recognized and involves both governmental and non-governmental support. Australia focuses on the programs that deal with enhancement of the well-being of the communities. As mentioned by Boudiny (2013), promotion of services that actually helps in social growth, gives people opportunity to take participation in the socio-economic activities. An aged person can avail this service in terms of both home based and community-based service. Non-governmental organizations have been giving the services for a long period; whereas, the Australian government has supported this by aiding financially. Moreover, they provide administrative help to the aged care service and packages by implementing constitutional rights in this regard. Aged care service can include two different approaches, one is home based care service and another is community-based care service. The statistical review has disclosed the fact that approximately 7.8% of the population has ta ken the service of the residential care and around 2.4% of the older people, aged 65 years or more enjoyed the service of home-based service for the year of 2013-14 (aihw.gov.au, 2016). From this report, it is clear that requirement of such services has been increased; hence, a study on this topic is relevant to the current situation. Philosophy: As WHO suggested it should be kept in mind that each individual is same and on this regard aged people should not be treated exceptionally. It has termed this kind of approaches active aging" that defines optimization of the opportunities for the older peoples so that they can participate in social, financial, cultural, spiritual and civic activities like the people from the younger age. Gillespie et al. (2012), mentioned that engagement of the aged people in the mainstream affairs is likely to enhance the well-being of them, making them financially sound as well. Moreover, it increases the secure feeling for the aged person that in turn leads to the obtaining of standard lifestyle for them. Scope: Ageing is a natural process for any kind of living organism; however, with increasing year people become emotionally, physically, financially and socially vulnerable (Clegg et al. 2013). After a certain age of human, it gets common to be isolated from the mainstream social activities. On this regard, it would be appraisable step to put effort drawing the aged people into the usual daily activities of the society. Home and community-based care for the older people focuses on the matters as followed: Self-empowerment of the aged people- It helps an aged person to reduce dependency on other people for the daily purpose. The inclusion of the older as part of the society: It prohibits older people of being isolated from social activities. Helping to avail the service: It has often reported that older people are unknown of their rights and services; moreover, sometimes they are unknown of the actual procedures, required to enjoy the services. Aged care services paly significant role concerning these issues as this services always advocate for the adequate facilities and public provisions for the aged people (Bulmer, 2015). Encouragement of the integrated solidarity: This is another salient approach of this service. Aged care service tends to connect older people with others from the same age and condition; it helps them to correlate with each other and finding a companion with same interest and opinion (Brownie Nancarrow, 2013). Clients: Australian Home and Community Care has stated that people of 65 years old or more than that can use the benefits of the home and community-based service. For the aboriginals, they can take the advantages of service from 50 years old. Older people with physical disabilities and no insurance are also applicable to enjoy the service. This kind of service is approachable for the older who needs personal care like showering, dressing, maintenance of the household works like washing, cleaning etc. Provision of nursing care, routine health check-ups, proper medication are basic criteria that should be fulfilled for the older people. This service also gives family members temporary break from the duty monitoring over the aged person. Rationale: The principal motto of this service is to establish the base of the primary care service for the aged people as it is the first step required to contact the people for their well-being (Brownie Horstmanshof, 2012) In Australia, care service is a multi-disciplinary system that involves a number of service providers and regulators. As per the reports, 70% of the total expense for the health services is carried by the Australian government. They have taken important steps to make the services easily available for the aged people. Moreover, the main concept behind this service is to enhance the quality of the life for all and help to access the equal opportunities of social, psychological and financial components. Home and community-based health service have become an invaluable and intrinsic part of the Australian community. Australian government allocates a large quota of funding for the residential care for the aged people and packages for them. There are lots of policies and authorities that deals with the safety regulation, and requirement of the well-being. Home and community-based care service aim to provide the independence for the older people with disabilities or any other complications. Community and home-based service mainly focus on the provision of service that makes the older people to avail the facilities in their known environment. This service also decreases the risk of being isolated from the family and own surrounding for an aged person. Analysis of the service: This part of the report constructs a framework that has given focus on the interrelation between the community-based health service for the older people and proposed principles by Beatrice Wright. Wright has shed light on few approaches that be considered during rehabilitation. Though she has mainly focused on the psychological aspects for the disable, suggestions can also be reconsidered in a larger context like home and community-based health service for the aged people. Moreover, attrition of abilities to complete usual works and less functioning body part is common in older people; that are why this part will help to give an overall idea of the management of the healthcare and well-being of the aged people. Here, few of the Wright's principle has been discussed, such as: Environmental conditions affect the severity of the handicap: As per the principle, handicapping of disability can be resulted by the surroundings of a person. For the physical elements, it can be narrowed by removing the architectural obstacles; whereas, for the handicaps that are interpersonal it can be eliminated by overcoming the devaluating social components (Prince et al. 2015). Financial handicaps are supposed to be eradicated by providing more financial securities and job opportunities. All these approaches are valid for the older people also. Moreover, this point has highlighted another important area that is the revision of the attempt to rehabilitate aged people as the fact should be kept in mind that, new approaches that are going to be taken in sake of the well-being of the older must provide maximum service and outweigh the previous condition (Job, Narang, Thakur Ghai, 2016). Assets of an individual must be given importance during the rehabilitation: During the rehabilitation process service providers must be careful to avoid any kind of overemphasis on particular negative area whether it is physical and emotional that makes one sensitized inadequately to stabilizing the factors. As mentioned by, Henderson et al. (2016), both the physical and emotional attributes can trigger the enrichment of the life whereas it also can alleviate the difficulties in someone's life too. For this scenario, while providing home and community-based health service, it should be kept in mind that all the positive attributes of the older person are contained; it also can be used to uplift the desire of a healthy and happy life for the aged people. Any discussion in front of the aged and unwell person regarding the complicated pathology must be avoided with the highest concern as it can act as the factor for emotional and physical vulnerability for them (Hughes, Bigby Tilbury, 2016). Self-feelings can affect the significance of the disability: Morley et al. (2013), mentioned that people with disabilities or emotional complications can assume themselves as a burden to the society and family. They often feel as inferior to the other people. As a consequence, they can draw themselves from the society making the isolated from the mainstream of the society (Lacas Rockwood, 2012). Sometimes they feel guilty about being a responsibility to others. People get worried about not being loved and accepted by others. This kind of situation can be resolved in a glance; Gillespie et al. (2012), suggested that the person with disabilities must confront the issue and accept it without devaluating his situation; thus, it is possible to live life positively. Prior to rehabilitation, this factor must be reconsidered so that the purpose of the service can be reached. Apart from that, any demoralizing conversation with the disable person must be restricted so that no harm occurs whil e a person is valuing the prospect of life (Szanton et al. 2016). The criteria are similar while dealing with the health service system for the aged people. Service providers should help the older people to retain their positive feelings about living the life by allowing moral support and utmost care to their health and well-being. This approach will be effective to sustain their life over various social, physical and financial constraints. Engagement of the client in rehabilitation planning and execution: The process of rehabilitation leaves a serious impact on an individual. That is why the person should be allowed the full authority to participate in the planning of the rehabilitation and its execution. According to, Taylor and Donoghue (2015), the person should be given respect and right to engage in the rehabilitation activates as it will leave impact mostly on that persons life. The client must have the valid information prior to the rehabilitation; moreover, the confidentiality of this information must be maintained. As per the opinion of Stewart, Georgiou and Westbrook (2013), engagement of the client during the rehabilitation service facilitates the approach of taking responsibility. This point of the Wrights Principle has also given a clear depiction on the matter of putting more effort to understand the requirement and point of view of every service user. In case of clients, who are suffering from any kind of problem to communicate with other, must be given additional attention (Arai et al. 2012). To establish a relation between the topic and this principle it can be said that aged people should be given the entitlement to enjoy the service of their choice and preference. For health related issue the opinion should be reconsidered if possible. Moreover, during the service the participation of the clients must be evaluated to maintain the objective of the service. Identification of the requirement distinctly for the individual person: It can be seen that people have been categorized according to their particular disabilities; however, it is not the proper way to provide the appropriate service. As mentioned by Makai et al. (2014), it may end up with the stereotyping inferences for the service while grouping people as per their particular physical or emotional characteristics. People having the same kind of disability might have a different level of adjustment, need and different circumstances than other. The main consideration is required to follow up the different requirements of the different people. Diverse approaches are required to fulfill the varieties of requirements rather holding rigid procedures for the accomplishment of the service. Same kind of approaches is also required towards the aged person as the intensity of any particular circumstances differently impact on different older people. Moreover, the capability to adjust and cope with the critical situation can be divergent from each other. Hence, analysis of the requirement and evaluation of the potentiality of every single older person is an essential to step to make the service valid, effective and successful. Conclusion: On winding up, it can be said that this report has maintained a continuous flow of discussion on the topic of Home and Community Based Health Service for Aged People. In the present global scenario maintenance of the health and well-being has become a serious concern. The importance of the health service system has been increased day by to cope up with the increasing concern for the aged person. In this report, a focus has been given on initiatives, taken to assure the service for the older people in the Australian context. For the clear understanding of the aims of this service, a justified explanation has been included in this report. Apart from this, philosophy that works behind this service has been explained here. Clear depiction on the clientele, who is eligible to avail the service, has been provided. A rationale has also been incorporated here that deals with the establishment of the example regarding the service along with the justification for the requirement of this servic e in the society. Another inclusion of this report is the analysis of the theory, proposed by Wright in 1983. Five approaches of this principle have been related to this service to make this service more valid. 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Retrieved 26 October 2016, from https://www.aihw.gov.au/aged-care/.