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Realising participation: elderly people as active users of health and social care
- Authors:
- ROBERTS Kathryn, CHAPMAN Tom
- Publisher:
- Ashgate
- Publication year:
- 2001
- Pagination:
- 263p.,bibliog.
- Place of publication:
- Aldershot
This research study investigated the utilisation of health and social care services by a sample of people aged seventy and above on discharge from inpatient care and in the short period afterwards. The study explored how active users were during this process with reference to the principles of participation, representation, access, choice, information and redress. Two essential elements of the study were the extent to which real opportunities were being provided for users to play an active role and their ability and willingness to assume such a role. Both qualitative and quantitative methodologies were used. The study revealed substantial evidence of a user oriented approach to the delivery of services, though a number of areas remain in which it does not appear to be practicable to give priority to the wishes of service users or for them to play an active role in their care.
Across the health-social care divide: elderly people as active users of health care and social care
- Author:
- ROBERTS Kathryn
- Journal article citation:
- Health and Social Care in the Community, 9(2), March 2001, pp.100-107.
- Publisher:
- Wiley
Discusses several ways in which elderly people may assume an active role when using welfare services. Findings are presented from a study that explored the experience and behaviour of elderly people on discharge from inpatient care with regard to criteria indicating user influence or control (namely participation, representation, access, choice, information and redress). Differences were revealed between health care and social care in relation to users being provided with opportunities to assume an active role and in being willing and able to assume an active role. These differences were manifest in elderly service users accessing services, seeking information, exercising choice and acting independently of service providers. Suggests that social care needs and appropriate service delivery are more easily recognised than making the link between perceived health care needs and appropriate services. It appears that informal and private providers are more widely available and accessible for social care. If comprehensive continuing care is to be provided, incorporating both health and social care elements, greater uniformity appears to be required across the welfare sector. Lessons for social care provision from the delivery of health care suggest the clear definition of contact points to facilitate service use. Making health care more accessible, however, does not appear to be easily attainable due to the monopoly provision of health care and the lack of direct purchasing power by potential users.