This research delves into the unique cultural approach of the Tenggerese people, an Indigenous community in East Java, Indonesia, regarding elderly care. It focuses on their traditional practices... Show moreThis research delves into the unique cultural approach of the Tenggerese people, an Indigenous community in East Java, Indonesia, regarding elderly care. It focuses on their traditional practices of bakti (‘filial piety’) and sayan (‘mutual aid’), deeply ingrained in the community's lifestyle and values. These indigenous institutions have been pivotal in shaping and maintaining the care of the elderly within the community for generations.The study explores Tenggerese people's perspective on combining traditional, transitional, and modern elderly care systems. It seeks to understand the role traditional institutions play in the sustainable development and integration of elderly care. This involves examining how these various systems can coexist and complement each other to provide comprehensive, efficient, and satisfactory care tailored to the elderly's specific needs and preferences.Furthermore, the research emphasises the importance of managing integrated care at the service delivery level, including case management, to ensure that the elderly receive the support and care they need. This involves a holistic approach that integrates family care with community-based care and modern elderly care, aiming for a seamless and effective care system that enhances access, quality, user satisfaction, and efficiency. The study provides insight into the complexities and potential of integrating traditional practices with transitional and modern care systems for elderly, contributing to sustainable development goals in the community. This research focuses on indigenous knowledge systems with the ethno-economics and ethno-management approach Show less
Background To meet the needs of high-vulnerable families with severe and enduring problems across several life domains, professionals must improve their ability to provide integrated care timely... Show moreBackground To meet the needs of high-vulnerable families with severe and enduring problems across several life domains, professionals must improve their ability to provide integrated care timely and adequately. The aim of this study was to identify facilitators and barriers professionals encounter when providing integrated care. Methods Experiences and perspectives of 24 professionals from integrated care teams in the Netherlands were gathered by conducting semi-structured interviews. A theory-driven framework method was applied to systematically code the transcripts both deductively and inductively. Results There was a consensus among professionals regarding facilitators and barriers influencing their daily practice, leading to an in depth, thematic report of what facilitates and hinders integrated care. Themes covering the facilitators and barriers were related to early identification and broad assessment, multidisciplinary expertise, continuous pathways, care provision, autonomy of professionals, and evaluation of care processes. Conclusions Professionals emphasized the need for flexible support across several life domains to meet the needs of high-vulnerable families. Also, there should be a balance between the use of guidelines and a professional's autonomy to tailor support to families' needs. Other recommendations include the need to improve professionals' ability in timely stepping up to more intensive care and scaling down to less restrictive support, and to further our insight in risk factors and needs of these families. Show less
