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Hospital discharge and the citizenship rights of older people: will the UK become a test-bed for Eastern Europe?
- Authors:
- FORD Deirdre, STEPNEY Paul
- Journal article citation:
- European Journal of Social Work, 6(3), 2003, pp.257-272.
- Publisher:
- Taylor and Francis
The authors draw on their UK and European experiences as well as the growing body of research on hospital discharges of older people to illustrate how citizenship rights and social justice cannot be upheld without ethical good practice in this field. Entitlements and ethical considerations can be obscured by the economic interests of the agencies involved. These developments which are already evident in other European welfare states provide a warning to Eastern Europe about the dangers of importing managerial and market principles into the field of care for older people. Research evidence supported by case studies is used to illustrate how rights to health care and even human rights can be overridden when policies of cost containment combined with efficiency targets begin to shape decisions about care. Argues that research can provide guidance on the essential elements for good practice in inter-professional work, especially concepts of well-being that include justice, fairness, participation and autonomy to counteract the jeopardised citizenship of older people.