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Directory of services for older people 2007/08
- Author:
- TRUELOVE Angharad
- Publisher:
- Keyways
- Publication year:
- 2007
- Pagination:
- 300p.
- Place of publication:
- Chichester
Published in co-operation with the Guardian, this new directory provides a comprehensive directory of contact details of services for older people, helping you to make a referral, transfer or discharge. This reference book will put you directly in touch with specialists, clinics and key teams in PCTs, County Councils and hospitals across the UK.
Older lesbian and gay adults’ perceptions of barriers and facilitators to accessing health and aged care services in Australia
- Authors:
- ALBA Beatrice, et al
- Journal article citation:
- Health and Social Care in the Community, 29(4), 2021, pp.918-927.
- Publisher:
- Wiley
Older lesbian and gay people can face considerable marginalisation, which may affect their perceptions and experiences of accessing health and aged care services. To inform strategies promoting accessibility, this study aimed to investigate perceived barriers and facilitators to health and aged care service access among older lesbian and gay adults. A sample of 752 cisgender lesbian women and gay men aged 60 years and older living in Australia responded to questions on a broad range of potential barriers and facilitators to service access. Several barriers and facilitators were commonly reported, with some differences between the women and the men. LGBTI inclusiveness was among commonly reported concerns. A majority of participants reported a lack of LGBTI-inclusive service providers and professionals as a barrier. A majority also reported a perceived lack of professionals adequately trained and competent to work with LGBTI individuals, with significantly more women than men indicating this as a barrier. Almost all participants indicated LGBTI-inclusive mainstream services as a facilitator for access. In all, inclusiveness appears to be a key issue for service access among older lesbian and gay people, which may need to be further addressed by service providers and policy makers for improving service accessibility. (Edited publisher abstract)
“Just like I’m saving money in the bank”: client perspectives on care coordination services
- Authors:
- FREIJ Maysoun, et al
- Journal article citation:
- Journal of Gerontological Social Work, 54(7), October 2011, pp.731-748.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It is well understood that older adults often face many challenges to community living. However, researchers have not sufficiently examined the roles of care coordination in the maintenance of housing and access to health care among older adults, particularly from their own perspectives. This qualitative study analysed the findings from 25 interviews and 6 focus group discussions with 48 participants with a multi-ethnic sample of older adults, aged 57 to 96, in the New York City metropolitan area. Of the participating sample, 86% had Medicare, and 34% also had Medicaid. 92% reported living with at least one chronic health condition. Most reported housing difficulties, but had received no external assistance from their care coordinators. Findings revealed that care coordination services appeared to assist older adults’ access health care, and to a lesser extent, maintain affordable housing. Disparities in access to care coordination appear to remain for immigrant, minority and suburban populations. Implications for policy and practice are discussed.
Elderly people who committed suicide – their contact with the health service. What did they expect, and what did they get?
- Authors:
- KJOLSETH Ildri, EKEBERG Oivind, STEIHAUG Sissel
- Journal article citation:
- Aging and Mental Health, 14(8), November 2010, pp.938-946.
- Publisher:
- Taylor and Francis
Contact between elderly patients and healthcare professionals may be crucial for suicide prevention. This study investigated how elderly suicide cases had perceived the health service and what characterised their contact with it. The article describes a psychological autopsy study based on qualitative interviews. A psychological autopsy reconstructs the suicide through interviews with informants who knew the deceased well. The aim was to have two or three informants for each of 23 suicide cases aged over 65. The 63 informants were relatives, general practitioners, and home-based care workers. The systematic text condensation method was applied to analyse the interviews. The results indicated that many of the elderly expressed distrust of health service once their functional decline began. They feared losing their autonomy if they became dependent on help, and many therefore refused health service provisions. Communication between them and helpers failed. As they gradually became more dependent on medical care, many experienced that they were not given the desired help, which confirmed their distrust. The article concludes that contact between these people and the health service must inspire confidence for it to prevent suicide. Elderly people at risk of suicide are vulnerable and feel degraded if their autonomy is threatened by health personnel. The structure and organisation of the health service, and each worker's contact with the elderly, must preserve their dignity.
Negotiating candidacy: ethnic minority seniors' access to care
- Author:
- KOEHN Sharon
- Journal article citation:
- Ageing and Society, 29(4), May 2009, pp.585-608.
- Publisher:
- Cambridge University Press
The ‘Barriers to Access to Care for Ethnic Minority Seniors’ (BACEMS) study in Vancouver, British Columbia, found that immigrant families torn between changing values and the economic realities that accompany immigration cannot always provide optimal care for their elders. Ethnic minority seniors further identified language barriers, immigration status, and limited awareness of the roles of the health authority and of specific service providers as barriers to health care. The configuration and delivery of health services, and health-care providers' limited knowledge of the seniors' needs and confounded these problems. To explore the barriers to access, the BACEMS study relied primarily on focus group data collected from ethnic minority seniors and their families and from health and multicultural service providers. The applicability of the recently developed model of ‘candidacy’, which emphasises the dynamic, multi-dimensional and contingent character of health-care access to ethnic minority seniors, was assessed. The candidacy framework increased sensitivity to ethnic minority seniors' issues and enabled organisation of the data into manageable conceptual units, which facilitated translation into recommendations for action, and revealed gaps that pose questions for future research. It has the potential to make Canadian research on the topic more co-ordinated.
Never too late for living: inquiry into services for older people
- Authors:
- SILLETT Janet, COOKSON Ameila, ELLIOTT Craig
- Publisher:
- Local Government Information Unit
- Publication year:
- 2008
- Pagination:
- 44p., bibliog.
- Place of publication:
- London
This is the report of the All Party Parliamentary Local Government Inquiry in to services for older people. The inquiry was chaired by Clive Betts MP and supported by the LGiU. It looked at how the place of older people in society can be improved over the next decade within the context of rapid demographic change, rising expectations and increasing financial constraint. The report proposes a radical shake-up that would break down boundaries between councils and health, and between the public, private and voluntary sectors. It aims to ensure everyone in the country can expect the same kind of services and have a single place to go to access them.
Feet for purpose: the campaign to improve foot care for older people
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2007
- Pagination:
- 30p.
- Place of publication:
- London
Good foot care is crucial in helping older people to stay active and independent. But many older people struggle to care for their feet due to sight impairment or arthritis, or they simply can’t reach their feet to cut their toenails. Nearly 1 in 3 older people are unable to cut their own toenails. More than half of new episodes of foot care are for people aged 65 and over. In the past eight years there was a 20% drop in the number of treatments in NHS chiropody of new patients. Despite rising demand for foot care services, more and more Primary Care Trusts are rationing these services.
Bridging the gaps: the outcomes of information and advice services for older people and assessment of unmet need
- Authors:
- ROBSON Paul, ALI Shamshia
- Publisher:
- Age Concern
- Publication year:
- 2006
- Pagination:
- 47p.
- Place of publication:
- London
'Bridging the Gaps' shows how advice workers help thousands of older people access services and benefits. In 2004-05 Information and Advice services gained a total of £7.29 million in new benefits and grants for older people in twenty-one London boroughs. Information and Advice services also help older people understand their rights, improve their housing situation, and get the most out of living in London. The report shows that Age Concern information and advice services reduce demand on statutory services like health and social care and also complement them by helping individuals to negotiate the complex range of agencies and statutory services that older people need to deal with day to day.
Predictors of health service barriers for older Chinese immigrants in Canada
- Authors:
- LAI Daniel W., CHAU Shirley B.Y.
- Journal article citation:
- Health and Social Work, 32(1), February 2007, pp.57-65.
- Publisher:
- Oxford University Press
Elderly people from ethnic minority groups often experience different barriers in accessing health services. Earlier studies on access usually focused on types and frequency but failed to address the predictors of service barriers. This study examined access barriers to health services faced by older Chinese immigrants in Canada. Factor analysis results indicated that service barriers were related to administrative problems in delivery, cultural incompatibility, personal attitudes, and circumstantial challenges. Stepwise multiple regression showed that predictors of barriers include female gender, being single, being an immigrant from Hong Kong, shorter length of residency in Canada, less adequate financial status, not having someone to trust and confide in, stronger identification with Chinese health beliefs, and not self-identified as Canadian. Social work interventions should strengthen support and resources for the vulnerable groups identified in the findings. Service providers should adjust service delivery to better serve elderly immigrants who still maintain strong Chinese cultural values and beliefs.
Retirement homelessness
- Author:
- CAMM John
- Journal article citation:
- Community Practitioner, 78(3), March 2005, pp.81-82.
- Publisher:
- Community Practitioners' and Health Visitors' Association
Looks at the problems facing older homeless people and the role of the community practitioner, given that homeless people often have difficulty accessing health services, but it can be even harder for those who are older.