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Health care, social care or both?: a qualitative explorative study of different focuses in long-term care of older people in France, Portugal and Sweden
- Author:
- EMILSSON Ulla Melin
- Journal article citation:
- European Journal of Social Work, 12(4), December 2009, pp.419-334.
- Publisher:
- Taylor and Francis
The aim of this article is to describe, analyse and compare different approaches on care of older people with dementia, using examples from France, Portugal and Sweden. The questions are principally focused on the participants' attitudes to their tasks, the organisation of work, the professional role and cooperation with other professions. Daily care was studied through observations and participant observations and the staff's opinion was explored by means of interviews. Twenty-two care settings for older people were included. The findings showed that France provided mainly 'health care', Sweden 'social care' and Portugal an integrated 'health care and social care'. From a comparative perspective the Portuguese general care of older people, which focuses on integration of health care, social care and social work, also seems to provide care for older people suffering from dementia which best corresponds to the previously developed group living model.